PT - JOURNAL ARTICLE AU - Steven Bernard Uittenbogaart AU - Stéphanie JE Becker AU - Maartje Hoogsteyns AU - Henk van Weert AU - Wim AM Lucassen TI - Experiences with screening for atrial fibrillation: a qualitative study in general care AID - 10.3399/BJGPO.2021.0126 DP - 2021 Nov 23 TA - BJGP Open PG - BJGPO.2021.0126 4099 - http://bjgpopen.org/content/early/2021/11/24/BJGPO.2021.0126.short 4100 - http://bjgpopen.org/content/early/2021/11/24/BJGPO.2021.0126.full AB - Background/Introduction Guidelines recommend screening for atrial fibrillation (AF). Currently screening is not considered standard care among general practitioners (GPs).Aim To explore the experiences of primary care workers with different methods of screening for AF and with implementation in daily practice.Design & setting A qualitative study using semi-structured interviews with GPs, nurses and assistants, experienced with implementation of different methods of screening.Method Two independent researchers audio recorded and analysed interviews using a thematic approach. They asked participants about their experiences with the different methods used for screening AF and which obstacles they faced with implementing screening in daily practice.Results In total 15 GPs, nurse practitioners and assistants from 7 different practices were interviewed. The GP’s office is suited for screening for AF, which ideally should be integrated with standard care. Participants considered pulse palpation, automated sphygmomanometer with AF detection and single-lead electrocardiography (ECG) as practical tests. Participants trusted pulse palpation over the algorithm of the devices. The follow-up of a positive test with a time-consuming 12-lead ECG hindered integration of screening. The single-lead ECG device reduces the need for immediate follow-up, because it can record a rhythm strip. The extra workload of screening and lack of financial coverage form obstacles for implementation.Conclusions Pulse palpation, automated blood pressure measure monitors with AF detection and single-lead ECGs might facilitate screening in a GP setting. When implementing screening, focus should lie on how to avoid disruption of consultation hours by unplanned 12-lead ECGs.