{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:50:43Z","timestamp":1762005043348,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,12,13]],"date-time":"2018-12-13T00:00:00Z","timestamp":1544659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Atrial arrhythmias are associated with major adverse cardiovascular events. Recent reports among implantable cardioverter defibrillator (ICD) patients have demonstrated a high prevalence of atrial fibrillation (AF), predominantly in dual\u2010chamber recipients. AF incidence among patients with single\u2010chamber systems (approximately 50% of all ICDs) is currently unknown. The objective was to estimate the prevalence of new\u2010onset AF among single\u2010chamber ICD patients by observing the rates of new atrial tachycardia (AT)\/AF among a propensity scoring matched cohort of dual\u2010chamber ICD patients from the PainFree SmartShock technology study, to better inform screening initiatives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Among 2770 patients enrolled, 1862 single\u2010chamber, dual\u2010chamber, and cardiac resynchronization therapy subjects with no prior history of atrial tachyarrhythmias were included. Daily AT\/AF burden was estimated using a propensity score weighted model against data from dual\u2010chamber ICDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over 22\u00a0\u00b1\u00a09\u00a0months of follow\u2010up, the estimated incidence of AT\/AF\u2014lasting at least 6\u00a0min, 6\u00a0h, and 24\u00a0h per day \u2014in the single\u2010chamber cohort was 22.0, 9.8, and 6.3%, whereas among dual\u2010chamber patients, the prevalence was 26.6, 13.1, and 7.1%, respectively. Initiation of oral anticoagulation was estimated to occur in 9.8% of the propensity matched single\u2010chamber cohort, which was higher than the actual observed rate of 6.0%. Stroke and transient ischemic attack occurred at low rates in all device subgroups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Atrial arrhythmias occur frequently, and significant underutilization of anticoagulation is suggested in single\u2010chamber ICD recipients. Routine screening for AF should be considered among single\u2010chamber ICD recipients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.13555","type":"journal-article","created":{"date-parts":[[2018,11,27]],"date-time":"2018-11-27T07:35:34Z","timestamp":1543304134000},"page":"132-138","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Estimating the incidence of atrial fibrillation in single\u2010chamber implantable cardioverter defibrillator patients"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1967-6559","authenticated-orcid":false,"given":"Steven","family":"Zweibel","sequence":"first","affiliation":[{"name":"Division of Electrophysiology, Department of Cardiology, Hartford Healthcare Heart and Vascular Institute Hartford Hospital  Hartford Connecticut"},{"name":"Division of Cardiology University of Connecticut School of Medicine  Farmington Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edmond M.","family":"Cronin","sequence":"additional","affiliation":[{"name":"Division of Electrophysiology, Department of Cardiology, Hartford Healthcare Heart and Vascular Institute Hartford Hospital  Hartford Connecticut"},{"name":"Division of Cardiology University of Connecticut School of Medicine  Farmington Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward J.","family":"Schloss","sequence":"additional","affiliation":[{"name":"Division of Cardiology The Christ Hospital Physicians\u2014Ohio Heart &amp; Vascular  Cincinnati Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelo","family":"Auricchio","sequence":"additional","affiliation":[{"name":"Division of Cardiology Fondazione Cardiocentro Ticino  Lugano Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kurita","sequence":"additional","affiliation":[{"name":"Division of Cardiology Kindai University School of Medicine  Higashi\u2010osaka Osaka Prefecture Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence D.","family":"Sterns","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Royal Jubilee Hospital  Victoria Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bart","family":"Gerritse","sequence":"additional","affiliation":[{"name":"Medtronic, Bakken Research Center (BRC)  Maastricht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel R.","family":"Lexcen","sequence":"additional","affiliation":[{"name":"Medtronic plc  Mounds View Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8213-9115","authenticated-orcid":false,"given":"Alan","family":"Cheng","sequence":"additional","affiliation":[{"name":"Medtronic plc  Mounds View Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(99)80348-9"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1994.03510350050036"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60443-8"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105575"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1160\/TH13-02-0165"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.026693"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2012.06.034"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.12.126"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.12.004"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.01.017"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eur133"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx731"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.5984"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.11.007"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa013040"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.12918"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.12967"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx042"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eux163"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2008.01320.x"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpace.13555","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.13555","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.13555","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.13555","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T19:08:30Z","timestamp":1694718510000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.13555"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,13]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1111\/pace.13555"],"URL":"https:\/\/doi.org\/10.1111\/pace.13555","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"type":"print","value":"0147-8389"},{"type":"electronic","value":"1540-8159"}],"subject":[],"published":{"date-parts":[[2018,12,13]]},"assertion":[{"value":"2018-07-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}