{"id":"https://openalex.org/W2990536877","doi":"https://doi.org/10.7326/m19-1126","title":"Should This Patient Be Screened for Atrial Fibrillation?","display_name":"Should This Patient Be Screened for Atrial Fibrillation?","publication_year":2019,"publication_date":"2019-12-03","ids":{"openalex":"https://openalex.org/W2990536877","doi":"https://doi.org/10.7326/m19-1126","mag":"2990536877","pmid":"https://pubmed.ncbi.nlm.nih.gov/31791056"},"language":"en","primary_location":{"id":"doi:10.7326/m19-1126","doi":"https://doi.org/10.7326/m19-1126","is_oa":false,"landing_page_url":"https://doi.org/10.7326/m19-1126","pdf_url":null,"source":{"id":"https://openalex.org/S119722071","display_name":"Annals of Internal Medicine","issn_l":"0003-4819","issn":["0003-4819","1539-3704"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316812","host_organization_name":"American College of Physicians","host_organization_lineage":["https://openalex.org/P4310316812"],"host_organization_lineage_names":["American College of Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5053287945","display_name":"Risa Beth Burns","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Risa B. Burns","raw_affiliation_strings":["Beth Israel Deaconess Medical Center, Boston, Massachusetts (R.B.B., P.Z., G.W.S.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Beth Israel Deaconess Medical Center, Boston, Massachusetts (R.B.B., P.Z., G.W.S.)","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012332896","display_name":"PETER J. ZIMETBAUM","orcid":"https://orcid.org/0000-0002-7958-7558","observed_orcids":["https://orcid.org/0000-0002-7958-7558"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Peter Zimetbaum","raw_affiliation_strings":["Beth Israel Deaconess Medical Center, Boston, Massachusetts (R.B.B., P.Z., G.W.S.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Beth Israel Deaconess Medical Center, Boston, Massachusetts (R.B.B., P.Z., G.W.S.)","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042984133","display_name":"Steven A. Lubitz","orcid":"https://orcid.org/0000-0002-9599-4866","observed_orcids":["https://orcid.org/0000-0002-9599-4866"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steven A. Lubitz","raw_affiliation_strings":["Massachusetts General Hospital, Boston Massachusetts (S.A.L.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hospital, Boston Massachusetts (S.A.L.)","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040102724","display_name":"Gerald W. Smetana","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gerald W. Smetana","raw_affiliation_strings":["Beth Israel Deaconess Medical Center, Boston, Massachusetts (R.B.B., P.Z., G.W.S.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Beth Israel Deaconess Medical Center, Boston, Massachusetts (R.B.B., P.Z., G.W.S.)","institution_ids":["https://openalex.org/I1316535847"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.3613,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.67533815,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"171","issue":"11","first_page":"828","last_page":"836"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14212","display_name":"Health Promotion and Cardiovascular Prevention","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/atrial-fibrillation","display_name":"atrial fibrillation","score":0.9900000095367432},{"id":"https://openalex.org/keywords/screening","display_name":"screening","score":0.5809999704360962},{"id":"https://openalex.org/keywords/12-lead-electrocardiogram","display_name":"12-lead ECG","score":0.9459999799728394},{"id":"https://openalex.org/keywords/stroke-risk","display_name":"stroke risk","score":0.6119999885559082},{"id":"https://openalex.org/keywords/anticoagulation","display_name":"anticoagulation","score":0.9829999804496765},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.796999990940094},{"id":"https://openalex.org/keywords/consumer-wearables","display_name":"consumer wearable devices","score":0.47099998593330383},{"id":"https://openalex.org/keywords/pulse-oximetry","display_name":"pulse oximetry","score":0.6809999942779541},{"id":"https://openalex.org/keywords/u-s-preventive-services-task-force","display_name":"U.S. Preventive Services Task Force","score":0.7289999723434448},{"id":"https://openalex.org/keywords/risk-benefit-assessment","display_name":"risk-benefit assessment","score":0.6309999823570251}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9581873416900635},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.8723599910736084},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.5998944640159607},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5090939402580261},{"id":"https://openalex.org/C2988455589","wikidata":"https://www.wikidata.org/wiki/Q189331","display_name":"Cardiac arrhythmia","level":3,"score":0.48884814977645874},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.48152977228164673},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.47354716062545776},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D001281","descriptor_name":"Atrial Fibrillation","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003937","descriptor_name":"Diagnosis, Differential","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018579","descriptor_name":"Patient Selection","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.7326/m19-1126","doi":"https://doi.org/10.7326/m19-1126","is_oa":false,"landing_page_url":"https://doi.org/10.7326/m19-1126","pdf_url":null,"source":{"id":"https://openalex.org/S119722071","display_name":"Annals of Internal Medicine","issn_l":"0003-4819","issn":["0003-4819","1539-3704"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316812","host_organization_name":"American College of Physicians","host_organization_lineage":["https://openalex.org/P4310316812"],"host_organization_lineage_names":["American College of Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Internal Medicine","raw_type":"journal-article"},{"id":"pmid:31791056","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31791056","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of internal medicine","raw_type":"Clinical Conference"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":54,"referenced_works":["https://openalex.org/W1616073113","https://openalex.org/W1794940606","https://openalex.org/W1947980380","https://openalex.org/W1988998000","https://openalex.org/W1999468381","https://openalex.org/W2018796325","https://openalex.org/W2020061893","https://openalex.org/W2020682484","https://openalex.org/W2024058203","https://openalex.org/W2025221952","https://openalex.org/W2027218023","https://openalex.org/W2045093798","https://openalex.org/W2055181085","https://openalex.org/W2065028337","https://openalex.org/W2065958606","https://openalex.org/W2068017066","https://openalex.org/W2090513638","https://openalex.org/W2097173178","https://openalex.org/W2103245453","https://openalex.org/W2114775432","https://openalex.org/W2117742792","https://openalex.org/W2122796266","https://openalex.org/W2132505348","https://openalex.org/W2145908364","https://openalex.org/W2152623033","https://openalex.org/W2154658516","https://openalex.org/W2158311202","https://openalex.org/W2160206914","https://openalex.org/W2175171408","https://openalex.org/W2306725801","https://openalex.org/W2475249835","https://openalex.org/W2509795914","https://openalex.org/W2530491033","https://openalex.org/W2548845220","https://openalex.org/W2588827571","https://openalex.org/W2598361327","https://openalex.org/W2609045359","https://openalex.org/W2610740339","https://openalex.org/W2612736007","https://openalex.org/W2616300024","https://openalex.org/W2654908526","https://openalex.org/W2743797071","https://openalex.org/W2746322177","https://openalex.org/W2752766789","https://openalex.org/W2758814712","https://openalex.org/W2782438303","https://openalex.org/W2790444357","https://openalex.org/W2869528658","https://openalex.org/W2887104224","https://openalex.org/W2957544571","https://openalex.org/W2987391007","https://openalex.org/W3004050106","https://openalex.org/W3107986792","https://openalex.org/W3144268446"],"related_works":["https://openalex.org/W7005746275","https://openalex.org/W2887104224","https://openalex.org/W3132708174","https://openalex.org/W4207083310","https://openalex.org/W4404163533","https://openalex.org/W2990444645","https://openalex.org/W3138789309","https://openalex.org/W4205450103","https://openalex.org/W2925195304","https://openalex.org/W6906587722"],"abstract_inverted_index":{"Atrial":[0,89],"fibrillation":[1,90],"(AFib)":[2],"is":[3,91,150],"the":[4,19,119,156,162,196],"most":[5],"common":[6],"type":[7],"of":[8,84,95,123,159,166,171,200],"cardiac":[9],"arrhythmia,":[10],"affecting":[11],"2.7":[12],"million":[13,16],"to":[14,153],"6.1":[15],"persons":[17,24],"in":[18,128,151,183],"United":[20],"States.":[21],"Although":[22],"some":[23],"with":[25,78,102,220],"AFib":[26,36,85,103,127,142,182],"have":[27,104],"no":[28,87],"symptoms,":[29,35],"others":[30],"do.":[31],"For":[32],"those":[33],"without":[34,98],"may":[37,70,189],"be":[38,190],"detected":[39],"by":[40],"12-lead":[41],"electrocardiogram":[42],"(ECG),":[43],"single-lead":[44],"monitors":[45,51,61],"(such":[46,58],"as":[47,59],"ambulatory":[48],"blood":[49],"pressure":[50],"and":[52,62,66,97,121,135,161,168,173,198,205,211],"pulse":[53],"oximeters),":[54],"or":[55,133],"consumer":[56],"devices":[57],"wearable":[60],"smartphones).":[63],"Pulse":[64],"palpation":[65],"heart":[67],"auscultation":[68],"also":[69],"detect":[71],"AFib.":[72,222],"In":[73],"a":[74,106,218],"systematic":[75],"review,":[76],"screening":[77,125,180,201],"ECG":[79,124,140],"identified":[80],"more":[81,143],"new":[82],"cases":[83],"than":[86,145,186],"screening.":[88],"an":[92],"important":[93],"cause":[94],"stroke,":[96],"anticoagulant":[99],"treatment,":[100],"patients":[101,184],"approximately":[105],"5-fold":[107],"increased":[108],"risk":[109],"for":[110,126,181,202,217],"stroke.":[111],"The":[112],"U.S.":[113],"Preventive":[114],"Services":[115],"Task":[116],"Force":[117],"reviewed":[118],"benefits":[120,199],"harms":[122],"adults":[129],"aged":[130],"65":[131,187],"years":[132,188],"older":[134,185],"found":[136,177],"inadequate":[137],"evidence":[138],"that":[139,178],"identifies":[141],"effectively":[144],"usual":[146],"care.":[147],"This":[148],"conclusion":[149],"contrast":[152],"guidelines":[154],"from":[155],"European":[157],"Society":[158,170],"Cardiology":[160],"National":[163],"Heart":[164],"Foundation":[165],"Australia":[167,172],"Cardiac":[169],"New":[174],"Zealand,":[175],"which":[176],"active":[179],"useful.":[191],"Here,":[192],"2":[193],"cardiologists":[194],"discuss":[195],"risks":[197],"AFib,":[203],"if":[204],"when":[206],"they":[207,213],"would":[208,214],"recommend":[209,215],"screening,":[210],"whether":[212],"anticoagulation":[216],"patient":[219],"screen-detected":[221]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-12-05T00:00:00"}
