1360Incident comorbidities in patients with atrial fibrillation initially with a CHA2DS2-VASc score of 0 (males) or 1 (females): how frequent should we reassess stroke risk in these patients?

guage, included posters and public information leaflets on AF and pulse rhythm.Pharmacists were instructed to take the pulse manually, assess symptoms and risk factors.Whenever an abnormal heart rate or rhythm was detected, the patient was referred to a physician with a letter containing additional information.Where feasible, the manual pulse check was supplemented by use of a mobile single lead ECG.Results: Ten countries participated, and 3,974 participants were involved in the awareness campaign.For the screening event, a total of 2,573 patients were included in the final analysis.The majority were female (68.9%); mean age approx.65 years.Risk factors identified: hypertension (48.9%), diabetes (19.8%) and peripheral heart disease (15.4%).The least common was having had a stroke, Transient Ischaemic Attack or Thromboembolism, (1.1%).Mean heart rate detected was 72.7bpm.Bradycardia detected in 107 people and tachycardia in 14 people.An irregular pulse was detected in 212 patients (8.3%).AF confirmed in 35 people, a detection rate of 1.4%. Know Your PulseConclusion: Opportunistic screening for AF in people over the age of 65 years is recommended in ESC guidelines on the management of AF.The experience gained from conducting this initiative in various health care settings suggests that community pharmacies may be a good location for identifying undiagnosed people with AF.