Does Atrial Fibrillation Detected by Cardiac Implantable Electronic Devices Have Clinical Relevance?

被引：3

作者：

Glotzer, Taya V. ^{[1
]}

Ziegler, Paul D. ^{[2
]}

机构：

[1] Hackensack Univ, Med Ctr, Hackensack, NJ 07601 USA

[2] Medtronic Inc, Medtron Cardiac Rhythm Dis Management Div, Mounds View, MN 55112 USA

来源：

CARDIOLOGY CLINICS | 2014年 / 32卷 / 02期

关键词：

Atrial fibrillation; Stroke; Implantable device; Continuous monitoring; HIGH-RATE EPISODES; RISK-FACTOR; STROKE; ARRHYTHMIAS; ALGORITHMS; MONITOR; EVENTS; TACHYARRHYTHMIAS; PERFORMANCE; DIAGNOSTICS;

D O I：

10.1016/j.ccl.2013.11.001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The precise role atrial fibrillation (AF) plays in increasing the risk of stroke is not well understood; this is especially true for the implanted device population. Current cardiac implanted electronic devices have a very high sensitivity and specificity for true AF detection. It does not seem to matter if the AF episode is proximal to the stroke event, and risk seems to be increased by relatively brief AF episodes. The appearance of new atrial high-rate episodes increases thronnboembolic event rates. Until larger trials or registries are conducted, it is important to follow established guidelines regarding anticoagulation.

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页码：271 / +

页数：13

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