Arrhythmias & electrophysiology

Heart Failure Events After Long-term Continuous Screening for Atrial Fibrillation: Results From the Randomized LOOP Study

Circ Arrhythm ElectrophysiolPublished Secondary analysis of the LOOP randomised trial

Authors' conclusion

In an older population with additional stroke risk factors, ILR screening for atrial fibrillation tended to be associated with a lower rate of total HF events and cardiovascular death, particularly those related to HFrEF.

Study context

Population
Older individuals with additional stroke risk factors
Participants
6,004 individuals
Comparison
Implantable loop recorder (ILR) screening for AF vs usual care
  • ILRn = 1,501
  • Controln = 4,503reference
Primary endpoint
HF event or CV death

Primary result

As reported in the abstract

ILR vs ControlHazard ratio (95% CI)
Time-to-first event
0.78(0.61–1.01)
Total events (Andersen-Gill)
0.77(0.59–1.01)

Further findings

OutcomeHR (95% CI)
HFrEF event or CV death, total events0.74 (0.56–0.98)
HFrEF event, total events0.65 (0.44–0.97)

Heart failure (HF) event

Similar results to primary outcome

Original publication

Heart Failure Events After Long-term Continuous Screening for Atrial Fibrillation: Results From the Randomized LOOP Study. Circ Arrhythm Electrophysiol. Published 18 July 2024. doi:10.1161/circep.124.012764

Summarised from the published abstract; every number is checked against it

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