ClinicalTrials.gg
Status unknownNCT01593553Updated Nov 20, 2017

Systematic ECG Screening for Atrial Fibrillation Among 75 Year Old Subjects in the Region of Stockholm and Halland, Sweden

An interventional study of ECG screening for atrial fibrillation using intermittent ECG recorder in Atrial Fibrillation and Stroke, sponsored by Karolinska University Hospital. Status unknown at 1 site in Sweden. Open to participants aged 75 Years to 76 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-11-20.

Sponsored by Karolinska University Hospital · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Nov 2017), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
7,173
Allocation
Randomized
Ages
75 Years to 76 Years
Sex
All
01

Study summary

The purpose of this study is to determine whether screening for atrial fibrillation by intermittent ECG recording and initiation of anticoagulation treatment among high risk individuals is cost-effective and can lower the incidence of stroke.

02

Conditions studied

  • Atrial Fibrillation
  • Stroke

Keywords

  • Screening
  • Stroke prevention
  • Cost effectiveness
03

In context

Atrial Fibrillation

3,957 studies on the registry are indexed under Atrial Fibrillation; 933 are open to participants now.

This study's enrollment of 7,173 is above the median of 145 across 2,437 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Karolinska University Hospital is the lead sponsor of 278 studies on the registry; 54 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
75 Years to 76 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Men and women 75-76 years of age living in the region of Stockholm or Halland

Exclusion criteria

Exclusion Criteria:

  • Not fulfilling the inclusion criteria
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
7,173 participants (actual)

Study arms

  • Experimental
    ECG screening

    Twice daily screening using intermittent ECG recorder (Zenicor) for two weeks

    Other: ECG screening for atrial fibrillation using intermittent ECG recorder

  • No intervention
    Control group

    Standard of care

Interventions

  • OtherECG screening for atrial fibrillation using intermittent ECG recorder

    ECG screening for atrial fibrillation with intermittent ECG recording (Zenicor device) for 14 days. Introduction of anticoagulants in the case of atrial fibrillation.

    Also known as: Zenicor ECG recorder

06

What researchers measure

Primary outcomes

  1. Ischaemic or haemorrhagic stroke, systemic embolism, major bleeding leading to hospitalization or death from any cause

    A composite endpoint of incidence of ischamemic and haemorrhagic stroke, incidence of systemic embolism, major bleeding requiring hospitalization and all cause mortality in the group randomized to screening compared to the control group

    Time frame: Five years. Interim analysis after 3 years.

Secondary outcomes

  1. Ischaemic stroke

    Incidence of ischaemic stroke in the group randomized to screening compared to the control group

    Time frame: Five years. Interim analysis after 3 years.

  2. Ischaemic stroke and systemic thromboembolism

    Incidence of ischaemic stroke and systemic thromboembolism in the group randomized to screening compared to the control group

    Time frame: Five years. Interim analysis after 3 years.

  3. Ischaemic stroke and systemic thromboembolism

    Incidence of ischaemic stroke and systemic thromboembolism in the group participating in screening (as treated) compared to the control group

    Time frame: Five years. Interim analysis after 3 years.

  4. Dementia

    Incidence of dementia in the group randomized to screening compared to the control group

    Time frame: Five years. Interim analysis after 3 years.

  5. All cause mortality

    All cause mortality in the group randomized to screening compared to the control group

    Time frame: Five years. Interim analysis after 3 years.

  6. Cardiovascular mortality

    Cardiovascular in the group randomized to screening compared to the control group

    Time frame: Five years. Interim analysis after 3 years.

  7. Hospitalization due to cardiovascular disease

    Hospitalization due to cardiovascular disease in the group randomized to screening compared to the control group

    Time frame: Five years. Interim analysis after 3 years.

  8. Ischaemic or haemorrhagic stroke, systemic embolism, major bleeding leading to hospitalization, hospitalization due to cardiovascular disease or death from any cause

    In the group randomized to screening compared to the control group

    Time frame: Five years. Interim analysis after 3 years.

  9. Cost effectivity

    Time frame: Five years

  10. Initiation and compliance to oral anticoagulation therapy

    The National Prescription Drug's register will be used to study intiation and duration of oral anticoagulation therapy in a as-treated and per-protocol analysis in the screened population compared to the control group

    Time frame: Five years

  11. Detection of atrial fibrillation

    Incidence of atrial fibrillation in the group randomized to screening compared to the control group

    Time frame: Five years

  12. Pulmonary embolism and deep vein thrombosis

    Incidence of pulmonary embolism and deep vein thrombosis in the group randomized to screening compared to the control group

    Time frame: Five years

07

Study locations

1 site
  • Karolinska Trial Alliance, KTA Prim
    Stockholm, 11361, Sweden
08

References and documents

Publications

  • Svennberg E, Friberg L, Frykman V, Al-Khalili F, Engdahl J, Rosenqvist M. Clinical outcomes in systematic screening for atrial fibrillation (STROKESTOP): a multicentre, parallel group, unmasked, randomised controlled trial. Lancet. 2021 Oct 23;398(10310):1498-1506. doi: 10.1016/S0140-6736(21)01637-8. Epub 2021 Aug 29. PubMed 34469764 ↗
  • Hygrell T, Stridh M, Friberg L, Svennberg E. Prognostic Implications of Supraventricular Arrhythmias. Am J Cardiol. 2021 Jul 15;151:57-63. doi: 10.1016/j.amjcard.2021.04.020. PubMed 34167689 ↗
  • Svennberg E, Henriksson P, Engdahl J, Hijazi Z, Al-Khalili F, Friberg L, Frykman V. N-terminal pro B-type natriuretic peptide in systematic screening for atrial fibrillation. Heart. 2017 Aug;103(16):1271-1277. doi: 10.1136/heartjnl-2016-310236. Epub 2017 Mar 2. PubMed 28255099 ↗
  • Svennberg E, Engdahl J, Al-Khalili F, Friberg L, Frykman V, Rosenqvist M. Mass Screening for Untreated Atrial Fibrillation: The STROKESTOP Study. Circulation. 2015 Jun 23;131(25):2176-84. doi: 10.1161/CIRCULATIONAHA.114.014343. Epub 2015 Apr 24. PubMed 25910800 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 20, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01593553
Responsible party
Professor Mårten Rosenqvist (Professor, Karolinska University Hospital) — Principal investigator
First posted
May 8, 2012
Start date
Mar 2012
Primary completion
Mar 2019 (estimated)
Completion
Mar 2019 (estimated)
Last update
Nov 20, 2017
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Nov 2017. You cannot join it, but the record below documents what was studied.

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