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The influence of atrial high-rate episodes on stroke and cardiovascular death : an update
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- Toennis, Tobias (författare)
- Univ Med Ctr Hamburg Eppendorf, Univ Heart & Vasc Ctr Hamburg, Dept Cardiol, Martinistr 52, D-20246 Hamburg, Germany.;German Ctr Cardiovasc Res DZHK, Partner Site Hamburg Kiel Luebeck, Martinistr 52, D-20246 Hamburg, Germany.
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- Bertaglia, Emanuele (författare)
- Azienda Osped, Dept Cardiac Vasc Thorac & Publ Hlth Sci, I-35128 Padua, Italy.
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- Brandes, Axel (författare)
- Univ Southern Denmark, Dept Clin Res, DK-5230 Odense, Denmark.;Odense Univ Hosp, Dept Cardiol, DK-5230 Odense, Denmark.
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- Univ Med Ctr Hamburg Eppendorf, Univ Heart & Vasc Ctr Hamburg, Dept Cardiol, Martinistr 52, D-20246 Hamburg, Germany;German Ctr Cardiovasc Res DZHK, Partner Site Hamburg Kiel Luebeck, Martinistr 52, D-20246 Hamburg, Germany. Azienda Osped, Dept Cardiac Vasc Thorac & Publ Hlth Sci, I-35128 Padua, Italy. (creator_code:org_t)
- Oxford University Press, 2023
- 2023
- Engelska.
- Ingår i: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 25:7
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- Atrial high-rate episodes (AHRE) are atrial tachyarrhythmias detected by continuous rhythm monitoring by pacemakers, defibrillators, or implantable cardiac monitors. Atrial high-rate episodes occur in 10-30% of elderly patients without atrial fibrillation. However, it remains unclear whether the presence of these arrhythmias has therapeutic consequences. The presence of AHRE increases the risk of stroke compared with patients without AHRE. Oral anticoagulation would have the potential to reduce the risk of stroke in patients with AHRE but is also associated with a rate of major bleeding of & SIM;2%/year. The stroke rate in patients with AHRE appears to be lower than the stroke rate in patients with atrial fibrillation. Wearables like smart-watches will increase the absolute number of patients in whom atrial arrhythmias are detected. It remains unclear whether anticoagulation is effective and, equally important, safe in patients with AHRE. Two randomized clinical trials, NOAH-AFNET6 and ARTESiA, are expected to report soon. They will provide much-needed information on the efficacy and safety of oral anticoagulation in patients with AHRE.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Atrial fibrillation
- Atrial high-rate episodes
- Sub-clinical atrial fibrillation
- Pacemaker
- Implantable cardiac monitor
- Continuous monitoring
- Stroke
- Thrombo-embolic risk
- Anticoagulation
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