methods, accuracy and clinical implications of atrial fibrillation detection by cardiac implantable electronic devices.int j cardiol10.1016_j文档.pdf

IJCA-24454; No of Pages 8 International Journal of Cardiology xxx (2017) xxx–xxx Contents lists available at ScienceDirect International Journal of Cardiology journal homepage: www. else vi er. com/ locate/ijcard Methods, accuracy and clinical implications of atrial fibrillation detection by cardiac implantable electronic devices☆ Diana Solari 1, Edoardo Bertero 1, Roberta Miceli, Claudio Brunelli, Pietro Ameri, Marco Canepa ⁎ Cardiovascular Unit, Department of Internal Medicine, IRCCS-AOU San Martino-IST University of Genova, Genova, Italy a r t i c l e i n f o a b s t r a c t Article history: Atrial fibrillation (AF) is the most common arrhythmia in the developed countries and is associated with an in- Received 17 November 2016 creased risk of thromboembolic events and heart failure. Episodes of AF are often asymptomatic and intermittent, Accepted 31 December 2016 eluding diagnosis with non-continuous monitoring techniques. Cardiac implantable electronic devices (CIEDs) Available online xxxx represent the gold standard for detecting asymptomatic AF. Improper CIED programming may however increase the risk of false-positive detection of atrial tachyarrhythmias, leading to inappropriate clinical management of pa- Keywords: Atrial fibrillation tients. A faster rate and a longer duration of the tachyarrhythmic episodes, in addition to a greater AT/AF burden, Atrial tachyarrhythmias