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January 18, 2017JAMA Cardiology

The Role of Cardiovascular Implantable Electronic Devices in the Detection and Treatment of Subclinical Atrial Fibrillation

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Key result

Implanting CIEDs for subclinical AF detection or initiating OAC shows no clinical benefit.

Why the study?

Does oral anticoagulation therapy improve outcomes in patients with subclinical atrial fibrillation detected by cardiovascular implantable electronic devices?

Population

Patients with subclinical atrial fibrillation detected by cardiovascular implantable electronic devices

Design

Review

Authors

PHPaul L. HessJHJeff S. HealeyCGChristopher B. Granger

Discussion

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Overview

Does not support routine anticoagulation for CIED-detected subclinical AF; leaves open whether ongoing trials will alter practice.

Structured PICO

Does oral anticoagulation therapy improve outcomes in patients with subclinical atrial fibrillation detected by cardiovascular implantable electronic devices?

P
Population
Patients with subclinical atrial fibrillation detected by cardiovascular implantable electronic devices (CIEDs)
I
Intervention
Cardiovascular implantable electronic devices (CIEDs) for detection of atrial fibrillation and oral anticoagulation for treatment

There is currently no direct evidence supporting the routine use of oral anticoagulation for subclinical AF detected by CIEDs, highlighting the need for ongoing trials.

Cite This Study

Hess et al. (2017) conducted a review in Subclinical atrial fibrillation. Cardiovascular implantable electronic devices (CIEDs) and oral anticoagulation was evaluated. Current evidence does not suggest that implanting a cardiovascular electronic device to detect subclinical atrial fibrillation or initiating oral anticoagulation in these patients is beneficial.

synapsesocial.com/papers/6a095e6fa9b5885644340d9bhttps://doi.org/10.1001/jamacardio.2016.5167
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Tactics of anticoagulant therapy in patients with cardiac implantable electronic devices and subclinical atrial fibrillation: A review2023
  2. 2Role of cardiac electronic implantable device in the stratification and management of embolic risk of silent atrial fibrillation: are all atrial fibrillations created equal?2018 · 7 citations
  3. 3Subclinical Atrial Fibrillation and Anticoagulation: Weighing the Absolute Risks and Benefits2024 · 13 citations
  4. 4Subclinical Atrial Tachyarrhythmias:Implantable Devices and Remote Monitoring.2015 · 7 citations
  5. 5Subclinical atrial fibrillation and stroke: insights from continuous monitoring by implanted cardiac electronic devices2015 · 22 citations