Approach to device-detected subclinical atrial fibrillation
Subclinical atrial fibrillation, a commonly encountered entity in patients with implantable devices, has been associated with a number of adverse outcomes – the most important of which is thromboembolism. Through the detection of atrial high rate episodes, implanted devices offer a method to monitor...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
South African Heart Association
2017-08-01
|
| Series: | SA Heart Journal |
| Subjects: | |
| Online Access: | https://www.journals.ac.za/index.php/SAHJ/article/view/2497 |
| _version_ | 1811235682895527936 |
|---|---|
| author | van Zyl, Martin McLeod, Christopher J. Gersh, Bernard J. |
| author_facet | van Zyl, Martin McLeod, Christopher J. Gersh, Bernard J. |
| author_sort | van Zyl, Martin |
| collection | DOAJ |
| description | Subclinical atrial fibrillation, a commonly encountered entity in patients with implantable devices, has been associated with a number of adverse outcomes – the most important of which is thromboembolism. Through the detection of atrial high rate episodes, implanted devices offer a method to monitor for atrial fibrillation over extended periods of time. Several studies have demonstrated that patients with device-detected atrial tachyarrhythmias have an increased incidence of stroke, especially in the presence of additional risk factors. Yet, there are many uncertainties with limited evidence from randomised clinical studies and no formal guidelines to inform management in this population. This contributes to marked practice heterogeneity, underrecognition and missed opportunities for stroke prevention. We propose a logical approach to management of patients with device-detected atrial high rate episodes pending additional data from ongoing trials. |
| first_indexed | 2024-04-12T11:55:08Z |
| format | Article |
| id | doaj.art-b64dbd1f8b6d41dc92bac25e69c73f11 |
| institution | Directory Open Access Journal |
| issn | 1996-6741 2071-4602 |
| language | English |
| last_indexed | 2024-04-12T11:55:08Z |
| publishDate | 2017-08-01 |
| publisher | South African Heart Association |
| record_format | Article |
| series | SA Heart Journal |
| spelling | doaj.art-b64dbd1f8b6d41dc92bac25e69c73f112022-12-22T03:34:01ZengSouth African Heart AssociationSA Heart Journal1996-67412071-46022017-08-01142869510.24170/14-2-2497Approach to device-detected subclinical atrial fibrillationvan Zyl, Martin McLeod, Christopher J. Gersh, Bernard J. Subclinical atrial fibrillation, a commonly encountered entity in patients with implantable devices, has been associated with a number of adverse outcomes – the most important of which is thromboembolism. Through the detection of atrial high rate episodes, implanted devices offer a method to monitor for atrial fibrillation over extended periods of time. Several studies have demonstrated that patients with device-detected atrial tachyarrhythmias have an increased incidence of stroke, especially in the presence of additional risk factors. Yet, there are many uncertainties with limited evidence from randomised clinical studies and no formal guidelines to inform management in this population. This contributes to marked practice heterogeneity, underrecognition and missed opportunities for stroke prevention. We propose a logical approach to management of patients with device-detected atrial high rate episodes pending additional data from ongoing trials.https://www.journals.ac.za/index.php/SAHJ/article/view/2497atrial fibrillationimplantable devices |
| spellingShingle | van Zyl, Martin McLeod, Christopher J. Gersh, Bernard J. Approach to device-detected subclinical atrial fibrillation SA Heart Journal atrial fibrillation implantable devices |
| title | Approach to device-detected subclinical atrial fibrillation |
| title_full | Approach to device-detected subclinical atrial fibrillation |
| title_fullStr | Approach to device-detected subclinical atrial fibrillation |
| title_full_unstemmed | Approach to device-detected subclinical atrial fibrillation |
| title_short | Approach to device-detected subclinical atrial fibrillation |
| title_sort | approach to device detected subclinical atrial fibrillation |
| topic | atrial fibrillation implantable devices |
| url | https://www.journals.ac.za/index.php/SAHJ/article/view/2497 |
| work_keys_str_mv | AT vanzylmartin approachtodevicedetectedsubclinicalatrialfibrillation AT mcleodchristopherj approachtodevicedetectedsubclinicalatrialfibrillation AT gershbernardj approachtodevicedetectedsubclinicalatrialfibrillation |