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ESC Cardio Talk

Journal Editorial - Translating HARMS2-AF into benefits for our atrial fibrillation patients and the general public: challenges and opportunities

Aug 7, 2023
Gregory Marcus and Chris Wong, both from the University of California, discuss the development of the Harm to AF Lifestyle Risk Score and the importance of accurate prediction scores for atrial fibrillation. They explore lifestyle factors, such as diabetes and physical activity, that contribute to predicting AFib. The limitations of the study, including self-reporting of lifestyle factors, are discussed. The benefits and ease of use of the HARMS2-AF score in predicting AFib are highlighted.
21:51

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Quick takeaways

  • The Harm to AF Lifestyle Risk Score is a prediction tool that accurately assesses the risk of new onset atrial fibrillation by incorporating lifestyle factors such as hypertension, age, BMI, sex, sleep apnea, smoking, and alcohol consumption.
  • Recent advancements in AFib screening methods and the recognition that AFib is preventable highlight the need for prediction scores like the Harm to AF Lifestyle Risk Score, which can efficiently screen for AFib risk and empower individuals to modify their risk through lifestyle changes.

Deep dives

Prediction Score for New Onset Atrial Fibrillation

Researchers have developed a prediction score called the Harm to AF Lifestyle Risk Score to assess the risk of new onset atrial fibrillation (AFib). Derived from the UK Biobank Study, this score incorporates lifestyle factors such as hypertension, age, raised body mass index (BMI), male sex, sleep apnea, smoking, and alcohol consumption. The score ranges from 0 to 14, with higher scores indicating a higher risk of AFib. Validation of the score demonstrated a high accuracy in predicting AFib risk, making it a potentially valuable tool for identifying individuals who would benefit from screening and interventions to prevent AFib.

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