Detection of new atrial fibrillation in patients with cardiac implanted electronic devices and factors associated with transition to higher device-detected atrial fibrillation burden
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F18%3A00069525" target="_blank" >RIV/65269705:_____/18:00069525 - isvavai.cz</a>
Result on the web
<a href="http://dx.doi.org/10.1016/j.hrthm.2017.11.007" target="_blank" >http://dx.doi.org/10.1016/j.hrthm.2017.11.007</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.hrthm.2017.11.007" target="_blank" >10.1016/j.hrthm.2017.11.007</a>
Alternative languages
Result language
angličtina
Original language name
Detection of new atrial fibrillation in patients with cardiac implanted electronic devices and factors associated with transition to higher device-detected atrial fibrillation burden
Original language description
BACKGROUND In patients with cardiac implanted electronic devices, detection of new atrial fibrillation (AF) is associated with an increased risk of stroke. OBJECTIVE To characterize daily AF burden at first detection and the rate of temporal transition to higher device-detected AF burden. METHODS A pooled analysis of data from 3 prospective projects was analyzed, and 6580 patients (mean age 68 +/- 12 years, 72% male) with no history of AF and no use of anticoagulants at baseline were identified. Various thresholds of daily AF burden (5 minutes and 1, 6, 12, and 23 hours) were analyzed. RESULTS Among the study population of 6580 patients, a new AF, with an AF burden of >= 5 minutes, was detected in 2244 patients (34%) during a follow-up period of 2.4 +/- 1.7 years. Among these patients, 1091 (49.8%) transitioned to a higher AF-burden threshold during follow-up. A higher duration of daily AF burden manifest at first detection and CHADS(2) score >= 2 were associated with faster transition to a subsequent higher burden. Approximately 24% of patients transitioned from a lower threshold to a daily AF burden of >= 23 hours during follow-up. CONCLUSION More than one-third of patients with no history of AF developed device-detected AF, with attainment of different thresholds of daily AF burden over time. Continuous long-term monitoring, especially when the initial detection corresponds to a higher daily AF burden and the CHADS2 score is >= 2, could support timely clinical decisions on anticoagulation by capturing transitions to higher AF-burden thresholds.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2018
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Heart Rhythm
ISSN
1547-5271
e-ISSN
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Volume of the periodical
15
Issue of the periodical within the volume
3
Country of publishing house
US - UNITED STATES
Number of pages
8
Pages from-to
376-383
UT code for WoS article
000426467700013
EID of the result in the Scopus database
2-s2.0-85042758231