Arrhythmias & electrophysiologyMeta-analysis

Incidental ambulatory electrocardiogram (ECG) findings during atrial fibrillation screening in community-based populations: A systematic review and meta-analysis

Heart RhythmPublished

  • systematic review and meta-analysis

Authors' conclusion

Overall, the prevalence of non-AF incidental findings during continuous ambulatory ECG screening in AF-free primary care and community-based cohorts varied widely, largely reflecting differences in definitions and reporting practices. This highlights the need for uniform reporting and further research into the prevalence and clinical relevance of these findings.

Study context

Population
Community-based populations without prior atrial fibrillation (AF) undergoing ≥24-hour continuous rhythm monitoring for AF screening25 publications (17 cohorts)
Participants
136,344 participants

Pooled result

As reported in the abstract

Non-AF abnormalities

Occurrence of non-AF abnormalities, including supraventricular and ventricular arrhythmias and conduction defects

4%-96%

Further pooled results

Potentially serious incidental findings and other non-AF abnormalities

Substantial heterogeneity in the reported prevalences of most potentially serious incidental findings, and other non-AF abnormalities

Sustained ventricular tachycardias

Pooled prevalence
0.2%
I2
0.00%

Original publication

Incidental ambulatory ECG findings during atrial fibrillation screening in community-based populations: A systematic review and meta-analysis. Heart Rhythm. Published 29 January 2026. doi:10.1016/j.hrthm.2026.01.023

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