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November 2022 Br J Cardiol 2022;29:145–9 doi:10.5837/bjc.2022.038

Should we be screening people with diabetes for atrial fibrillation? Exploring patients’ views

Angela Hall, Andrew Robert John Mitchell, Lisa Ashmore, Carol Holland

Abstract

Introduction There is an increasing prevalence of atrial fibrillation (AF) worldwide, with a one-in-three lifetime risk of developing AF over the age of 40 years.1 AF is a leading cause of stroke, and stroke risk is increased further in the presence of diabetes.2 Diabetes has been recognised as a risk factor for AF and, therefore, targeted screening for AF in such groups has been explored in combination with comorbid risk factors.2 There are yet to be universally accepted recommendations for AF screening. The European Society of Cardiology (ESC) recommend opportunistic screening in people >65 years and consideration of systematic screening

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