Cited by 171Atrial Fibrillation Management and OutcomesCardiac pacing and defibrillation studiesCardiovascular and Diving-Related Complications

The DOI matches its Crossref record; 55 of the 55 references it cites were found in a registry or an index.

Subclinical and Device-Detected Atrial Fibrillation: Pondering the Knowledge Gap: A Scientific Statement From the American Heart Association

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Noseworthy, Peter A., Kaufman, Elizabeth S., Chen, Lin Y., Chung, Mina K., Elkind, Mitchell S.V., Joglar, José A., Leal, Miguel A., McCabe, Pamela J., Pokorney, Sean D., Yao, Xiaoxi, On behalf of the American Heart Association Council on Clinical Cardiology Electrocardiography and Arrhythmias Committee; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular and Stroke Nursing; and Stroke Council·2019·Circulation

Abstract

The widespread use of cardiac implantable electronic devices and wearable monitors has led to the detection of subclinical atrial fibrillation in a substantial proportion of patients. There is evidence that these asymptomatic arrhythmias are associated with increased risk of stroke. Thus, detection of subclinical atrial fibrillation may offer an opportunity to reduce stroke risk by initiating anticoagulation. However, it is unknown whether long-term anticoagulation is warranted and in what populations. This scientific statement explores the existing data on the prevalence, clinical significance, and management of subclinical atrial fibrillation and identifies current gaps in knowledge and areas of controversy and consensus.

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Crossref · 10.1161/cir.0000000000000740

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  1. Rojo-Martinez, E, Sandín-Fuentes, M, Calleja-Sanz, AI, Cortijo-García, E, García-Bermejo, P, Ruiz-Piñero, M, Rubio-Sanz, J, Arenillas-Lara, JF. High performance of an implantable Holter monitor in the detection of concealed paroxysmal atrial fibrillation in patients with cryptogenic stroke and a suspected embolic mechanism [in Spanish]. Rev Neurol. 2013;57:251–257.
  2. Adam, B, Teplitsky, M, Mehta, P, Ghanbari, H. Real-world performance of atrial fibrillation detection from wearable patient ECG monitoring using deep learning. Heart Rhythm. 2019;16:S-215. Abstract.

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Metadata

Authors
Noseworthy, P. A., Kaufman, E. S., Chen, L. Y., Chung, M. K., Elkind, M. S. V., Joglar, J. A., Leal, M. A., McCabe, P. J., Pokorney, S. D., Yao, X., & On behalf of the American Heart Association Council on Clinical Cardiology Electrocardiography and Arrhythmias Committee; Council on Arteriosclerosis, T. A. V. B. C. O. C. A. S. N. A. S. C.
Venue
Circulation
Published
2019-12-17
Volume
140
Issue
25
Pages
e944-e963
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2982905111
Cited by
171
References
55
Citations by year
2026: 16 · 2025: 23 · 2024: 27 · 2023: 34 · 2022: 34 · 2021: 20 · 2020: 15 · 2019: 2
FWCI
3.22
Type
journal article
Language
en
Open access
Locations
  • Circulation (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Heart, Lung, and Blood Institute (R01HL111314)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cardiovascular and Diving-Related Complications
Keywords
subclinical atrial fibrillation, device-detected atrial fibrillation, cardiac implantable electronic devices, wearable monitors, stroke risk, anticoagulation, long-term anticoagulation, asymptomatic arrhythmia, prevalence, clinical management
MeSH terms
Wearable Electronic Devices, American Heart Association, Atrial Fibrillation, Humans, Health Knowledge, Attitudes, Practice, Pacemaker, Artificial, Risk Factors, United States, Defibrillators, Implantable

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