Stroke risk in patients with device-detected atrial high-rate episodes

Erkuner, O., Rienstra, M., Van Gelder, I. C., Schotten, U., Crijns, H. J. G. M. & Luermans, J. G. L. M., Apr-2018, In : Netherlands Heart Hournal. 26, 4, p. 177-181 5 p.

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Cardiovascular implantable electronic devices (CIEDs) can detect atrial arrhythmias, i.e. atrial high-rate episodes (AHRE). The thrombo-embolic risk in patients showing AHRE appears to be lower than in patients with clinical atrial fibrillation (AF) and it is unclear whether the former will benefit from oral anticoagulants. Based on currently available evidence, it seems reasonable to consider antithrombotic therapy in patients without documented AF showing AHRE >24 hours and a CHA(2)DS(2)-VASc score (congestive heart failure, hypertension, age >= 75 years [doubled], diabetes mellitus, prior stroke [doubled], vascular disease, age 65-74 years and female sex) >= 1, awaiting definite answers from ongoing randomised clinical trials. In patients with AHRE

Original languageEnglish
Pages (from-to)177-181
Number of pages5
JournalNetherlands Heart Hournal
Issue number4
Publication statusPublished - Apr-2018


  • Atrial high-rate episode, Stroke, Atrial fibrillation, Cardiovascular implantable electronic device, Antithrombotic therapy, TEMPORAL RELATIONSHIP, EMBOLIC EVENTS, FIBRILLATION, ANTICOAGULATION, STRATIFICATION, PACEMAKERS, DURATION, TRIAL

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