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November 2, 2018

Remote monitoring detected atrial high rate episodes in 5.14% of implantable defibrillator recipients, with thyroid dysfunction and left atrial enlargement identified as risk factors.

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Population

1226 patients with implantable cardioverter defibrillator remotely followed-up

Design

Cohort

Key result

Remote monitoring detected atrial high rate episodes in 5.14% of implantable defibrillator recipients, with thyroid dysfunction and left atrial enlargement identified as risk factors.

Authors

ESElodie SurgetCKClaude KouakamNSNinni Sandro

Discussion

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Overview

AHRE detection with identifiable risk factors in remote-monitored ICD patients was associated with low thromboembolism but notable bleeding on anticoagulation; leaves open net benefit pending trials.

Study Design

Type

Cohort (n=1,226)

Multicenter

No

Structured PICO

P
Population
1226 patients with implantable cardioverter defibrillator remotely followed-up
O
Outcome
Incidence and risk factors of atrial high rate episodes (AHREs)

In ICD patients undergoing remote monitoring, sub-clinical atrial fibrillation (AHREs) occurred in 5.14% of patients, and subsequent anticoagulation was associated with a low risk of thromboembolism but an 8.5% rate of hemorrhagic complications.

Cite This Study

Surget et al. (2018) conducted a cohort in implantable cardioverter defibrillator recipients (n=1,226). Remote monitoring was evaluated on Incidence of atrial high rate episodes (AHREs). Remote monitoring detected atrial high rate episodes in 5.14% of implantable defibrillator recipients, with thyroid dysfunction and left atrial enlargement identified as risk factors.

synapsesocial.com/papers/6a154e47b03a896dfa82081bhttps://doi.org/10.2196/preprints.12674
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Also Consider

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

  1. 1New onset of chest pain: the importance of remote monitoring2019
  2. 2Device-detected atrial fibrillation in a large remote-monitored cohort: implications for anticoagulation and need for new pathways of service delivery2023 · 7 citations
  3. 3Ability to remotely monitor atrial high-rate episodes using a single-chamber implantable cardioverter-defibrillator with a floating atrial sensing dipole2023 · 13 citations
  4. 4Remote monitoring from implantation detects AF in 20% of CIED patients at 77 days: a call for precision prevention2026
  5. 5F-1 | Outcomes of Cardiac Implantable Electronic Device-Detected Subclinical Atrial Fibrillation and Role of Anticoagulation: A Meta-Analysis2024