{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:07:20Z","timestamp":1792188440699,"version":"4.4.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Device-detected subclinical atrial fibrillation (DDAF) is increasingly documented either with implantable cardiac electronic devices (CIED) or with consumer-based mobile or wearable monitors. We aimed to investigate phisician's reaction to DDAF, which management is still matter of debate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a physician-based survey with 24 multiple-choice questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 222 physicians from 46 countries responded the survey. DDAF is frequent, occurring in &amp;gt;10% of CIEDs follow-up for 37% of respondents. Oral anticoagulation is prescribed according to CHA2DS2-VA and AF duration; 34% of the respondents initiate anticoagulation with AF &amp;gt;24\u2005h, 26% with AF &amp;gt;6\u2005h, and 15% with AF &amp;gt;5\u20136\u2005min. Respondents from non-European countries and Mediterranean Europe are more likely to prescribe diagnostic exams and therapy than respondents from North Europe. Systematic long-term AF screening with implantable loop recorder (ILR) after cryptogenic stroke ranges from 43 \u00b1 27% of ILR implanted for that purpose in Mediterranean countries to 10 \u00b1 20% in North Europe. The majority of responders recommends the use of consumer-based devices to screen for AF mainly in specific situations (undiagnosed palpitations, ischaemic stroke, or AF burden monitoring) and not routinely, just according to CHA2DS2-VA or age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>AF screening is not routinely performed, either in primary or secondary prevention of stroke. Device-detected AF is not uncommon and generally managed based on thromboembolic risk and duration of episodes; the cut-offs of AF duration, global burden, and number of episodes are yet to be determined in terms of role and clinical value. Clinicians\u2019 approaches to subclinical AF remain heterogeneous.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euaf284","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T13:16:49Z","timestamp":1762435009000},"source":"Crossref","is-referenced-by-count":9,"title":["Management of device-detected subclinical atrial fibrillation: a European Heart Rhythm Association survey"],"prefix":"10.1093","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8526-4472","authenticated-orcid":false,"given":"Ilaria","family":"Meynet","sequence":"first","affiliation":[{"name":"Division of Cardiology, Ospedale di Rivoli , Strada Rivalta 29, 10098, Rivoli (Torino) ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0686-2782","authenticated-orcid":false,"given":"Jarkko","family":"Karvonen","sequence":"additional","affiliation":[{"name":"Helsinki University Hospital and University of Helsinki , Haartmaninkatu 4, 00290 Helsinki ,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9820-4815","authenticated-orcid":false,"given":"Giuseppe","family":"Boriani","sequence":"additional","affiliation":[{"name":"Cardiology Division, University of Modena and Reggio Emilia, Policlinico di Modena , Via del Pozzo 71, 41125 Modena ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7221-4829","authenticated-orcid":false,"given":"Diego","family":"Penela","sequence":"additional","affiliation":[{"name":"Humanitas Research Hospital IRCCS , Via Manzoni 56, 20089 Rozzano, Milan ,","place":["Italy"]},{"name":"Department of Biomedical Sciences, Humanitas University , Via Levi Montalcini 4, 20072 Pieve Emanuele, Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1991-1707","authenticated-orcid":false,"given":"Michal","family":"Mazurek","sequence":"additional","affiliation":[{"name":"1st Department of Cardiology and Angiology, Silesian Center for Heart Diseases , ul. Sk\u0142odowskiej Curie 9, 41-800 Zabrze ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4733-9418","authenticated-orcid":false,"given":"Giacomo","family":"Mugnai","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardio-Thoracic Department, School of Medicine, University Hospital of Verona , Piazzale Stefani 1, 37126 Verona ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9141-9883","authenticated-orcid":false,"given":"Rui","family":"Providencia","sequence":"additional","affiliation":[{"name":"Institute of Health Informatics Research, University College London , 222 Euston Road, London NW1 2DA ,","place":["United Kingdom"]},{"name":"Barts Heart Centre, St Bartholomew\u2019s Hospital , West Smithfield, London EC1A 7BE ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0219-7612","authenticated-orcid":false,"given":"Piotr","family":"Futyma","sequence":"additional","affiliation":[{"name":"Medical College, University of Rzesz\u00f3w , al. Tadeusza Rejtana 16C, 35-959 Rzesz\u00f3w ,","place":["Poland"]},{"name":"Clinical Electrophysiology, St. Joseph\u2019s Heart Rhythm Center , Anny Jagiellonki 17, 35-623 Rzesz\u00f3w ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6818-6396","authenticated-orcid":false,"given":"Andreas","family":"Metzner","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Heart and Vascular Center Hamburg, University Hospital Hamburg-Eppendorf , Martinistra\u00dfe 52, 20246 Hamburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2355-6015","authenticated-orcid":false,"given":"Julian K R","family":"Chun","sequence":"additional","affiliation":[{"name":"Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Agaplesion Markus Krankenhaus , Wilhelm\u2013Epstein\u2013Stra\u00dfe 4, 60431 Frankfurt am Main ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4322-1183","authenticated-orcid":false,"given":"Laura","family":"Perrotta","sequence":"additional","affiliation":[{"name":"Arrhythmia Unit, Careggi University Hospital , Largo Brambilla 3, 50134 Firenze ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"2025120411320558000_euaf284-B1","first-page":"1","article-title":"2024 ESC guidelines for the management of atrial fibrillation developed in collaboration with the European association for cardio-thoracic surgery (EACTS)","volume":"00","author":"Van Gelder","year":"2024","journal-title":"Eur Heart J"},{"key":"2025120411320558000_euaf284-B2","doi-asserted-by":"crossref","first-page":"euad176","DOI":"10.1093\/europace\/euad176","article-title":"The digital journey: 25 years of digital development in 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