Development of MENARI plus (Self Pulse Assessment and Clinical Scoring) for Detecting Atrial Fibrillation in High-risk Population

Muhamad Rizki Fadlan, Monika Sitio, Diah Ivanasari, Astrid Pramudya, Ardani Prakosa, Dea Kurniawan, Ardian Rizal, Mohammad Rohman

2019

Abstract

This study was intended to examine the accuracy of MENARI Plus in atrial fibrillation detection. We collected data from a total of 476 subjects who were considered to be high-risk patients at Saiful Anwar General Hospital, a member of Yayasan Jantung Indonesia in Banyuwangi and Batu, East Java, Indonesia. We identified independent risk factors for detecting atrial fibrillation (AF) with multiple regressions. Every participant underwent a self-pulse radial check and electrocardiography examination. AF was diagnosed by a cardiologist. In this study, the mean age of these patients was 58,9, ± 10,9 years. We found 25% of patients had AF, and 74,4% of our subjects were female. This tools had an area under the receiver operating curve (AUC) of 0.83 (95% CI 0.84 to 0.92) with a sensitivity of 0.84 (95% CI 0.82 to 0.94) and a specificity of 0.80 (95% CI 0.79 to 0.84) at a cut-off score of 7 on the scale. In this study, the sensitivity of MENARI Plus was high; however, it had low specificity for atrial fibrillation. Therefore, it is applicable for ruling out atrial fibrillation, and it may also become an effective screening tool in earlier detection of atrial fibrillation. In addition, MENARI Plus can be opportunistically used by the doctors to analyse patients with previously undetected atrial fibrillation.

Paper Citation

in Harvard Style

Fadlan M., Sitio M., Ivanasari D., Pramudya A., Prakosa A., Kurniawan D., Rizal A. and Rohman M. (2019). Development of MENARI plus (Self Pulse Assessment and Clinical Scoring) for Detecting Atrial Fibrillation in High-risk Population.In Proceedings of the 4th Annual International Conference and Exhibition on Indonesian Medical Education and Research Institute - Volume 1: The 4th ICE on IMERI, ISBN 978-989-758-433-6, pages 57-61. DOI: 10.5220/0009427300570061

in Bibtex Style

@conference{the 4th ice on imeri19,
author={Muhamad Rizki Fadlan and Monika Sitio and Diah Ivanasari and Astrid Pramudya and Ardani Prakosa and Dea Kurniawan and Ardian Rizal and Mohammad Rohman},
title={Development of MENARI plus (Self Pulse Assessment and Clinical Scoring) for Detecting Atrial Fibrillation in High-risk Population},
booktitle={Proceedings of the 4th Annual International Conference and Exhibition on Indonesian Medical Education and Research Institute - Volume 1: The 4th ICE on IMERI,},
year={2019},
pages={57-61},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009427300570061},
isbn={978-989-758-433-6},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 4th Annual International Conference and Exhibition on Indonesian Medical Education and Research Institute - Volume 1: The 4th ICE on IMERI,
TI - Development of MENARI plus (Self Pulse Assessment and Clinical Scoring) for Detecting Atrial Fibrillation in High-risk Population
SN - 978-989-758-433-6
AU - Fadlan M.
AU - Sitio M.
AU - Ivanasari D.
AU - Pramudya A.
AU - Prakosa A.
AU - Kurniawan D.
AU - Rizal A.
AU - Rohman M.
PY - 2019
SP - 57
EP - 61
DO - 10.5220/0009427300570061