Device-detected subclinical atrial tachyarrhythmias: definition, implications and management—an European Heart Rhythm Association (EHRA) consensus document, endorsed by Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS) and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE)
Bülent Görenek(Eskişehir Osmangazi University), Jeroen J. Bax(Leiden University Medical Center), Giuseppe Boriani(University of Modena and Reggio Emilia), Shih‐Ann Chen(National Yang Ming Chiao Tung University), Nikolaos Dagres(Leipzig Heart Institute), Taya V. Glotzer(Hackensack University Medical Center), Jeff S. Healey(Population Health Research Institute), Carsten W. Israel(Evangelisches Krankenhaus Bielefeld), Gulmira Kudaiberdieva, Lars‐Åke Levin, Gregory Y.H. Lip(University of Birmingham), David T. Martin(Lahey Medical Center), Ken Okumura, Jesper Hastrup Svendsen(Copenhagen University Hospital), Hung‐Fat Tse(Chinese University of Hong Kong), Giovanni Luca Botto(Ospedale Sant'Anna), ESC Scientific Document Group(University Hospital of Basel), Christian Sticherling(Karolinska University Hospital), Cecilia Linde(Karolinska University Hospital), Valentina Kutyifa(University of Rochester Medical Center), Robert Bernat(Medical University of Graz), Daniel Scherr(Medical University of Graz), Chu‐Pak Lau(Instituto Nacional de Cardiología), Pedro Iturralde(Ochsner Medical Center), Daniel P. Morin(St George's, University of London), Irina Savelieva(St George's, University of London), Gregory Y.H. Lip(University of Birmingham), Bulent Gorenek(Eskişehir Osmangazi University), Christian Sticherling(University Hospital of Basel), Laurent Fauchier, A. Goette, Werner Jung, Marc A. Vos, Michele Brignole, Christian Elsner, Gheorghe‐Andrei Dan, Francisco Marı́n, Giuseppe Boriani(University of Modena and Reggio Emilia), Deirdre A. Lane, Carina Blomström Lundqvist, Irina Savelieva(St George's, University of London)
Cited by 239Open Access
Abstract
Among atrial tachyarrhythmias (AT), atrial fibrillation (AF) is the most common sustained arrhythmia. Many patients with AT have no symptoms during brief or even extended periods of the arrhythmia, making detection in patients at risk for stroke challenging. Subclinical atrial tachyarrhythmia and asymptomatic or silent atrial tachyarrhythmia often precede the development of clinical AF. Clinical AF and subclinical atrial fibrillation (SCAF) are associated with an increased risk of thromboembolism. Indeed, in many cases, SCAF is discovered only after complications such as ischaemic stroke or congestive heart failure have occurred
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