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Nervenheilkunde 2022; 41(06): 381-389
DOI: 10.1055/a-1755-7997
Schwerpunkt

Neue Ansätze zur Früherkennung von Vorhofflimmern

New approaches to early detection of atrial fibrillation
Amelie H. Ohlrogge
1   Universitäres Herz- und Gefäßzentrum Hamburg, Klinik und Poliklinik für Kardiologie, Universitätsklinikum Hamburg-Eppendorf
2   DZHK (Deutsches Zentrum für Herz-Kreislaufforschung), Standort Hamburg/Kiel/Lübeck
,
Andreas Goette
3   AFNET e. V., Münster
4   MAESTRIA Consortium, Münster
5   St. Vincenz-Krankenhaus Paderborn, Medizinische Klinik II: Kardiologie und internistische Intensivmedizin, Paderborn
,
Uli Schotten
3   AFNET e. V., Münster
5   St. Vincenz-Krankenhaus Paderborn, Medizinische Klinik II: Kardiologie und internistische Intensivmedizin, Paderborn
,
Renate B. Schnabel
1   Universitäres Herz- und Gefäßzentrum Hamburg, Klinik und Poliklinik für Kardiologie, Universitätsklinikum Hamburg-Eppendorf
2   DZHK (Deutsches Zentrum für Herz-Kreislaufforschung), Standort Hamburg/Kiel/Lübeck
3   AFNET e. V., Münster
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ZUSAMMENFASSUNG

Vorhofflimmern (VHF) ist mit dem Auftreten von ischämischen Schlaganfällen assoziiert. Orale Antikoagulation kann das Auftreten von Schlaganfällen verhindern. Das Screening auf ein bislang nicht entdecktes VHF erscheint daher ein vielversprechender Ansatz, um das Auftreten von Schlaganfällen zu verhindern. Neben zahlreichen anderen wissenschaftlichen Studien liegen seit August 2021 die Ergebnisse von 2 Studien mit klinischen Endpunkten vor, die STROKESTOP- und die LOOP-Studie. Weitere wissenschaftliche Untersuchungen zu dieser Fragestellung befinden sich in der Durchführung.

ABSTRACT

Atrial fibrillation is associated with the occurrence of ischemic stroke. Oral anticoagulation may prevent strokes. Screening for previously undetected AF therefore appears to be a promising approach to prevent strokes. Among numerous other scientific studies, the results of 2 trials with clinical endpoints, the STROKESTOP and LOOP trials, have been available since August 2021. They provide first evidence that atrial fibrillation screening may be efficient. Further scientific studies regarding this issue are ongoing.

Schlüsselwörter

Vorhofflimmern - Screening - Prävention - Schlaganfall - randomisierte Studie - Wearables

Key words

Atrial fibrillation - screening - prevention - stroke - randomised study - wearables


Publication History

Article published online:
07 June 2022

© 2022. Thieme. All rights reserved.

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