Key result
Stored atrial electrograms in pacemakers and defibrillators improve the diagnostic capabilities for detecting silent atrial fibrillation by confirming the arrhythmia diagnosis.
Stored electrograms in pacemakers and defibrillators are crucial for confirming the diagnosis of silent atrial fibrillation and overcoming the limitations of automated detection algorithms.
Supports electrogram review for silent AF confirmation in device patients; leaves open impact on outcomes.
Today's pacemakers and defibrillators include diagnostic tools for detecting and treating cardiac arrhythmias like silent atrial fibrillation as atrial high rate episodes (AHREs). This diagnostic capability is crucial to prevent the potential embolic complications this AHREs are related to. However, sometimes data retrieved from diagnostic counters may be misleading reflecting limitations of detection algorithms, which must follow mathematical rules to classify events on a beat-to-beat basis. The incorporation of stored electrograms has been an important milestone in improving the diagnostic capabilities of these devices confirming the arrhythmia diagnosis.
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Benezet‐Mazuecos et al. (2018) conducted a review in Silent atrial fibrillation. Stored atrial electrograms was evaluated. Stored atrial electrograms in pacemakers and defibrillators improve the diagnostic capabilities for detecting silent atrial fibrillation by confirming the arrhythmia diagnosis.
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