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The influence of at...
The influence of atrial high-rate episodes on stroke and cardiovascular death : an update
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- Toennis, Tobias (author)
- 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 (author)
- Azienda Osped, Dept Cardiac Vasc Thorac & Publ Hlth Sci, I-35128 Padua, Italy.
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- Brandes, Axel (author)
- Univ Southern Denmark, Dept Clin Res, DK-5230 Odense, Denmark.;Odense Univ Hosp, Dept Cardiol, DK-5230 Odense, Denmark.
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- Dichtl, Wolfgang (author)
- Med Univ Innsbruck, Univ Hosp Internal Med III, A-6020 Innsbruck, Austria.
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- Fluschnik, Nina (author)
- 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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- de Groot, Joris R. (author)
- Univ Amsterdam, Amsterdam Univ, Heart Ctr, Dept Cardiol,Med Ctr, NL-1081 HV Amsterdam, Netherlands.
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- Marijon, Eloi (author)
- Hop Europeen Georges Pompidou, Cardiac Electrophysiol Sect, F-75015 Paris, France.
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- Mont, Lluis (author)
- Univ Barcelona, Hosp Clin, Cardiovasc Clin Inst, Barcelona 08036, Spain.
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- Lundqvist, Carina Blomström (author)
- Uppsala universitet,Kardiologi,Örebro Univ, Fac Med & Hlth, Sch Med Sci, Dept Cardiol, S-70185 Örebro, Sweden.
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- Cabanelas, Nuno (author)
- Hosp Prof Dr Fernando Fonseca, Arrhythmias Unit Cardiol Dept, P-2720276 Amadora Sintra, Portugal.
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- Dan, G. Andrei (author)
- Colentina Univ Hosp, Med Univ Carol Davila, Dept 5, Bucharest 020021, Romania.
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- Lubinski, Andrzej (author)
- Med Univ Gdansk, Dept Cardiol & Internal Dis, PL-80210 Gdansk, Poland.
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- Merkely, Bela (author)
- Semmelwe Univ Budapest, Heart & Vasc Ctr, H-1122 Budapest, Hungary.
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- Rajappan, Kim (author)
- John Radcliffe Hosp, Cardiac Dept, Oxford OX3 9DU, England.
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- Sarkozy, Andrea (author)
- Univ Hosp Brussels, Heart Rhythm Management Ctr, Ventricular Arrhythmia & Sudden Death Management U, B-1090 Brussels, Belgium.
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- Velchev, Vasil (author)
- Med Univ Sofia, St Anna Univ Hosp, Cardiol Clin, Sofia 1750, Bulgaria.
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- Wichterle, Dan (author)
- Inst Clin & Expt Med, Dept Cardiol, Prague 4, Czech Republic.
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- Kirchhof, Paulus (author)
- 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.;Univ Birmingham, UHB & Sandwell & West Birmingham Hosp NHS Trusts, Inst Cardiovasc Sci, IBR 126A,Wolfson Dr, Birmingham, England.;Atrial Fibrillat NETwork AFNET, D-48149 Munster, Germany.
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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
- English.
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In: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 25:7
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Abstract
Subject headings
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Atrial fibrillation
- Atrial high-rate episodes
- Sub-clinical atrial fibrillation
- Pacemaker
- Implantable cardiac monitor
- Continuous monitoring
- Stroke
- Thrombo-embolic risk
- Anticoagulation
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Toennis, Tobias
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Bertaglia, Emanu ...
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Brandes, Axel
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Dichtl, Wolfgang
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Fluschnik, Nina
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de Groot, Joris ...
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Marijon, Eloi
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Mont, Lluis
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Lundqvist, Carin ...
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Cabanelas, Nuno
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Dan, G. Andrei
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Lubinski, Andrze ...
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Merkely, Bela
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Rajappan, Kim
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Sarkozy, Andrea
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Velchev, Vasil
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Wichterle, Dan
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Kirchhof, Paulus
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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Europace
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Uppsala University