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July 22, 2013EP EuropaceOpen Access

Current practice for diagnosis and management of silent atrial fibrillation: results of the European Heart Rhythm Association survey

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Population

33 centres in 16 countries (European Heart Rhythm Association Research Network partners)

Design

Cross-sectional

Authors

DDDan DobreanuElectrophysiology JSJesper Hastrup SvendsenElectrophysiology TLThorsten LewalterElectrophysiology

Discussion

Member takes

Implication

Wide variation in silent AF practices warrants caution against unguided adoption; leaves open need for consensus guidelines and trials.

Key Points

To assess current practices for the diagnosis and management of silent atrial fibrillation among European heart rhythm experts.
Survey conducted via an electronic questionnaire among European Heart Rhythm Association Research Network partners.
Responses collected from 33 centers in 16 countries.
Focus on preferred screening methods and therapeutic approaches for silent atrial fibrillation.
Preferred screening methods included 12-lead ECG (31.3%) and 24-hour Holter ECG (34.4%) for rhythm control patients.
Rate control was favored over rhythm control, despite some preference for pulmonary vein isolation in younger patients.
Oral anticoagulants were deemed necessary for high thromboembolic risk patients with documented silent AF, with no consensus on further investigation.

Structured PICO

Population

33 centres in 16 countries (European Heart Rhythm Association Research Network partners)

Outcome

Current practices for the diagnosis and management of silent atrial fibrillation

This survey highlights a lack of consensus and inconsistency with evidence-based recommendations in the screening and management of silent atrial fibrillation across European centers.

Cite This Study

Dobreanu et al. (2013) studied this question.

synapsesocial.com/papers/6a70b44c439bab0cabc347a2 https://doi.org/10.1093/europace/eut227

Topics

Persistent AF management Atrial fibrillation AF ablation outcomes Anticoagulation in AF

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Current practice for diagnosis and management of silent atrial fibrillation: results of the European Heart Rhythm Association survey

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Current practice for diagnosis and management of silent atrial fibrillation: results of the European Heart Rhythm Association survey

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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