What question did this study set out to answer?

This study aims to assess the incidence and early detection of atrial fibrillation in patients with cardiac implantable electronic devices using remote monitoring.

June 27, 2026EP EuropaceOpen Access

Remote monitoring from implantation detects AF in 20% of CIED patients at 77 days: a call for precision prevention

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Why the study?

Subclinical atrial fibrillation in CIED patients can determine clinical AF and stroke risk, and remote monitoring from implantation could enable earlier detection than standard care.

Does remote monitoring from implantation detect early subclinical atrial fibrillation in CIED patients?

Population

80 CIED patients (ICD/CRT-P/CRT-D) with RM activated at implant

Design

Single-center retrospective study

Follow-up

≥12 months

Authors

EKE KandicUniversity Clinic of Traumatology IZI ZdravkovskiUniversity Clinic of Traumatology FJF JanushevskiUniversity Clinic of Traumatology

Discussion

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Implication

May inform monitoring strategies in similar cohorts; leaves open outcome benefits without randomized confirmation.

Key Points

This study aims to assess the incidence and early detection of atrial fibrillation in patients with cardiac implantable electronic devices using remote monitoring.
Single center retrospective study of 80 CIED patients with remote monitoring activated at implantation.
Atrial high-rate episodes were analyzed, looking specifically at AHRE count, first episode date, and burden.
Time to detection calculated from implantation and validated by intracardiac electrograms.
AF was detected in 16 out of 80 CIED patients (20%).
The median time to first AF detection was 77 days, with a median AHRE count of 25.
No strokes were noted in this patient group, highlighting the effectiveness of remote monitoring.

Structured PICO

Does remote monitoring from implantation detect early subclinical atrial fibrillation in CIED patients?

Population

80 CIED patients (ICD/CRT-P/CRT-D) with remote monitoring activated at implant and ≥12 months follow-up. Mean age 62 ± 11 years, 69% male, median LVEF 42%, mean CHA2DS2-VASc 3.

Intervention

Remote monitoring (RM) activated at implantation for continuous atrial surveillance

Outcome

Incidence and early detection of atrial fibrillation (AF) defined as atrial high-rate episodes (AHRE) >180 bpm for >6 minutessurrogate

Remote monitoring activated at implantation detects subclinical atrial fibrillation in 20% of CIED patients within a median of 77 days, highlighting its utility for early stroke prevention.

Cite This Study

Kandic et al. (2026) studied this question.

synapsesocial.com/papers/6a3f97bb125782b61d8658f7 https://doi.org/10.1093/europace/euag105.896

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Remote monitoring from implantation detects AF in 20% of CIED patients at 77 days: a call for precision prevention

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Remote monitoring from implantation detects AF in 20% of CIED patients at 77 days: a call for precision prevention

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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