title: Management of device-detected atrial high-rate episodes.
abstract: Atrial tachyarrhythmias are common in patients with cardiac implantable electronic devices (CIEDs) with atrial leads. These atrial tachyarrhythmias are detected as atrial high-rate episodes (AHREs) by the CIED. AHREs may be brief, infrequent, and asymptomatic, and may be detected before clinical arrhythmia is apparent. These subclinical device-detected AHREs are associated with an increased stroke risk, similar to, but to a lesser degree than, clinically apparent atrial fibrillation detected by routine methods. Whether a specific duration of AHREs is needed before the risk of stroke increases and whether treatment with anticoagulation for subclinical device-detected AHREs reduces stroke risk is unclear.
authors: Department of Preventive Medicine, Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine, 676 North St Claire, Suite 600, Chicago, IL 60611, USA.
authors: Todd T
authors: TT
authors: Tomson
authors: Department of Preventive Medicine, Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine, 676 North St Claire, Suite 600, Chicago, IL 60611, USA. Electronic address: r-passman@northwestern.edu.
authors: Rod
authors: R
authors: Passman
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000175:diagnosis* / Q000628:therapy*; D017147:Defibrillators, Implantable; D005260:Female; D006325:Heart Atria / Q000503:physiopathology*; D006801:Humans; D008297:Male
keywords: Atrial fibrillation; Atrial high-rate episodes; Cardiac implantable electronic devices; Cardiac monitoring; Implantable cardioverter-defibrillator; Pacemaker