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Atrial High-Rate Episodes and Subclinical Atrial Fibrillation: State of the Art and Clinical Questions with Complex Solutions.
Griffith Brookles, Carola; De Ponti, Roberto; Russo, Vincenzo; Ziacchi, Matteo; Pelargonio, Gemma; Casella, Michela; Lauretti, Maurelio; Vilotta, Manola; Themistoclakis, Sakis; D'Onofrio, Antonio; Boriani, Giuseppe; Anselmino, Matteo.
Afiliação
  • Griffith Brookles C; Cardiology Division, Department of Medical Sciences, "Città della Salute e della Scienza" Hospital, Univerisity of Turin, 10116 Turin, Italy.
  • De Ponti R; Department of Medicine and Surgery, University of Insubria, 21100 Varese, Italy.
  • Russo V; Cardiology Unit, Department of Translational Medical Sciences, Monaldi Hospital, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
  • Ziacchi M; Institute of Cardiology, IRCCS Azienda Ospedaliero Universitaria di Bologna, 40138 Bologna, Italy.
  • Pelargonio G; Fondazione Policlinico Universitario Agostino Gemelli IRCCS, University "Cattolica del Sacro Cuore", 00168 Rome, Italy.
  • Casella M; Cardiology and Arrhythmology Clinic, Department of Clinical, Special and Dental Sciences, Marche Polytechnic University, Marche University Hospital, 60126 Ancona, Italy.
  • Lauretti M; Cardiology Division, "Vito Fazzi" Hospital, 73100 Lecce, Italy.
  • Vilotta M; Department of Heart and Vessels, Ospedale di Circolo, 21100 Varese, Italy.
  • Themistoclakis S; Department of Cardiothoracic, Vascular Medicine and Intensive Care, Dell'Angelo Hospital, 30174 Mestre-Venice, Italy.
  • D'Onofrio A; Electrophysiology and Cardiac Pacing Unit, Cardiology Division, Monaldi Hospital, 80131 Naples, Italy.
  • Boriani G; Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, 41124 Modena, Italy.
  • Anselmino M; Cardiology Division, Department of Medical Sciences, "Città della Salute e della Scienza" Hospital, Univerisity of Turin, 10116 Turin, Italy.
Rev Cardiovasc Med ; 25(8): 305, 2024 Aug.
Article em En | MEDLINE | ID: mdl-39228483
ABSTRACT
Atrial high-rate episodes (AHREs) and subclinical atrial fibrillation (AF) are frequently registered in asymptomatic patients with cardiac implantable electronic devices (CIEDs) and insertable cardiac monitors (ICMs). While an increased risk of thromboembolic events (e.g., stroke) and benefits from anticoagulation have been widely assessed in the setting of clinical AF, concerns persist about optimal clinical management of subclinical AF/AHREs. As a matter of fact, an optimal threshold of subclinical episodes' duration to predict stroke risk is still lacking and recently published randomized clinical trials assessing the impact of anticoagulation on thromboembolic events in this specific setting have shown contrasting results. The aim of this review is to summarize current evidence regarding classification and clinical impact of subclinical AF/AHREs and to discuss the latest evidence regarding the potential benefit of anticoagulation in this setting, highlighting which clinical questions are still unanswered.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Rev Cardiovasc Med / Rev. cardiovasc. med / Reviews in cardiovascular medicine Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Rev Cardiovasc Med / Rev. cardiovasc. med / Reviews in cardiovascular medicine Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Itália
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