Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Comment
  • Published:

Are device-detected atrial high-rate episodes a risk marker for stroke?

Nature Cardiovascular Research volume 2, pages 1097–1098 (2023)Cite this article

Subjects

Continuous cardiac rhythm monitoring via cardiac implantable electronic devices finds an increased number of patients with asymptomatic atrial fibrillation. Yet, not all patients with device-detected atrial high-rate episodes are alike. Fine-tuning risk assessment may help identify those who can benefit most from anticoagulation.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

References

  1. US Preventive Services Task Force. JAMA 327, 360–367 (2022).

  2. Freedman, B. et al. Circulation 135, 1851–1867 (2017).

    Article  PubMed  Google Scholar 

  3. Healey, J. S. et al. N. Engl. J. Med. 366, 120–129 (2012).

    Article  CAS  PubMed  Google Scholar 

  4. Kirchhof, P. et al. N. Engl. J. Med. 389, 1167–1179 (2023).

    Article  CAS  PubMed  Google Scholar 

  5. Lip, G. Y., Nieuwlaat, R., Pisters, R., Lane, D. A. & Crijns, H. J. Chest 137, 263–272 (2010).

    Article  PubMed  Google Scholar 

  6. Svendsen, J. H. et al. Lancet 398, 1507–1516 (2021).

    Article  CAS  PubMed  Google Scholar 

  7. Van Gelder, I. C. et al. Eur. Heart J. 38, 1339–1344 (2017).

    Article  PubMed  Google Scholar 

  8. Friberg, L., Rosenqvist, M. & Lip, G. Y. Eur. Heart J. 33, 1500–1510 (2012).

    Article  PubMed  Google Scholar 

  9. Diederichsen, S. Z. et al. JAMA Neurol. 79, 997–1004 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  10. Svennberg, E. et al. Lancet 398, 1498–1506 (2021).

    Article  PubMed  Google Scholar 

  11. Shivkumar, K., Jafri, S. M. & Gheorghiade, M. Prog. Cardiovasc. Dis. 38, 337–342 (1996).

    Article  CAS  PubMed  Google Scholar 

  12. Chesebro, J. H., Fuster, V. & Halperin, J. L. N. Engl. J. Med. 323, 1556–1558 (1990).

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

P.H. was supported by American Heart Association Career Development Award 23CDA1039446. K.S. was supported by US National Institutes of Health grants P01HL164311 and R01HL162921.

Author information

Authors and Affiliations

  1. University of California Los Angeles (UCLA) Cardiac Arrhythmia Center, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA

    Peter Hanna, Eric Buch & Kalyanam Shivkumar

  2. Neurocardiology Research Program of Excellence, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA

    Peter Hanna & Kalyanam Shivkumar

Authors
  1. Peter Hanna
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Eric Buch
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kalyanam Shivkumar
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kalyanam Shivkumar.

Ethics declarations

Competing interests

UCLA holds patents developed by K.S. relating to cardiac neural diagnostics and therapeutics. K.S. is a consultant for Nference Inc. & Anumana Inc.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hanna, P., Buch, E. & Shivkumar, K. Are device-detected atrial high-rate episodes a risk marker for stroke?. Nat Cardiovasc Res 2, 1097–1098 (2023). https://doi.org/10.1038/s44161-023-00383-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s44161-023-00383-y

Search

Advanced search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing