Podiatrists play a critical role in managing the health of a high-risk patient population—often older adults who may present with multiple comorbidities. This demographic is particularly vulnerable to atrial fibrillation (AF), a common cardiac arrhythmia that frequently goes undetected because many individuals remain asymptomatic. Given that podiatrists routinely assess vascular health and circulation during foot and ankle consultations, these appointments offer an ideal opportunity for opportunistic AF screening.
Why Early Detection Matters
AF is a major risk factor for stroke, which can lead to severe disability or premature mortality. Timely identification and management of AF significantly reduce the likelihood of AF-related strokes. Integrating AF screening into routine podiatry practice is not only clinically beneficial but also cost-effective, as it leverages existing patient interactions without requiring additional appointments or resources.
Technology Enabling Change
A recent paper published in the Journal of Foot and Ankle Research (Lewis JEA, Tozer J, Lobban T, Evans A, Banner M, Ambrose L. 2025 Mar;18) highlights the effectiveness of Kardia ECG technology in supporting AF detection within podiatry settings. The study demonstrates that handheld ECG devices, such as AliveCor KardiaMobile, can be seamlessly incorporated into podiatry workflows. These devices provide quick, accurate readings, enabling podiatrists to identify irregular heart rhythms during routine vascular assessments.
Professional Endorsement and Pathway Integration
The paper strongly advocates for opportunistic AF screening by podiatrists and other allied health professionals. It references the modified pathway endorsed by the Royal College of Podiatry, which emphasizes the importance of a well-defined, locally agreed referral process. This ensures that patients identified with suspected AF receive timely follow-up and appropriate management through primary care or cardiology services.
A Cost-Effective, Preventive Approach
By embedding AF screening into standard podiatry practice, healthcare systems can improve early detection rates without significant additional costs. This proactive approach not only enhances patient outcomes but also reduces the long-term burden of stroke-related complications on both patients and healthcare resources.
