Effectiveness of Patch-Electrocardiogram Recorders in Screening for Atrial Fibrillation in Elderly People in the Chinese Community

Effectiveness of Patch-Electrocardiogram Recorders in Screening for Atrial Fibrillation in Elderly People in the Chinese Community: A Prospective Multicenter Study

This prospective, multicenter, single-arm study evaluates the effectiveness of a single-lead patch electrocardiogram (ECG) recorder in screening for atrial fibrillation (AF) among community-dwelling elderly individuals aged ≥60 years in China. Participants will undergo 7 days of continuous ECG monitoring, followed by annual follow-up for up to 10 years to assess long-term outcomes including stroke, heart failure, and death.

Inclusion Criteria:

• Age ≥60 years
• No prior diagnosis of atrial fibrillation
• Able to understand the study purpose and willing to provide written informed consent
• No severe cardiac disease, acute illness, or contraindication to ECG monitoring
• Able to wear the patch ECG device and comply with continuous monitoring requirements

Exclusion Criteria:

• Severe cognitive impairment or inability to cooperate with follow-up assessments
• Pregnant or breastfeeding women
• Previously diagnosed with atrial fibrillation and already receiving treatment