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This editorial refers to ‘A population screening programme for atrial fibrillation: a report from the Belgian Heart Rhythm Week screening programme’ by M. Proietti et al., on pages 1779–1786. The first recommendation of the current ESC guideline on atrial fibrillation (AF) is to perform opportunistic screening for AF in patients ≥65 years of age using pulse-taking followed by an ECG, to allow timely detection of AF.1 The rationale for this recommendation is that patients with undetected asymptomatic ‘silent’ AF are not treated for the arrhythmia, which increases the risk of heart failure due to uncontrolled high ventricular rates and risk of ischaemic stroke

Obey the first recommendation: start screening programmes for atrial fibrillation<xref ref-type="fn" rid="AN1" />