{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T11:46:54Z","timestamp":1774957614140,"version":"3.50.1"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,2,20]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Screening for atrial fibrillation (AF) may reveal incidental arrhythmias of relevance. The aim of this study was to describe incidental arrhythmias detected during screening for AF in the STAR\u2010FIB (Predicting SilenT AtRial FIBrillation in Patients at High Thrombembolic Risk) cohort study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">In the STAR\u2010FIB cohort study, we screened hospitalized patients for AF with 3 repeat 7\u2010day Holter ECGs. We analyzed all Holter ECGs for the presence of the following incidental arrhythmias: (1) sinus node dysfunction, defined as sinus pause of \u22653\u2009seconds\u2019 duration; (2) second\u2010degree (including Wenckebach) or higher\u2010degree atrioventricular block (AVB); (3) sustained supraventricular tachycardia of \u226530\u2009seconds\u2019 duration; and (4) sustained ventricular tachycardia of \u226530\u2009seconds\u2019 duration. We furthermore report treatment decisions because of incidental arrhythmias. A total of 2077 Holter ECGs were performed in 794 patients (mean age, 74.7\u2009years; 49% women), resulting in a mean cumulative duration of analyzable ECG signal of 414\u00b1136 hours\/patient. We found incidental arrhythmias in 94 patients (11.8%). Among these were sinus node dysfunction in 14 patients (1.8%), AVB in 41 (5.2%), supraventricular tachycardia in 42 (5.3%), and ventricular tachycardia in 2 (0.3%). Second\u2010degree AVB was found in 23 patients (2.9%), 2:1 AVB in 10 (1.3%), and complete AVB in 8 (1%). Subsequently, 8 patients underwent pacemaker implantation, 1 for sinus node dysfunction (post\u2010AF conversion pause of 9\u2009seconds) and 7 for advanced AVB. One patient had an implantable cardioverter\u2010defibrillator implanted for syncopal ventricular tachycardia.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Incidental arrhythmias were frequently detected during screening for AF in the STAR\u2010FIB study and resulted in device therapy in 1.1% of our cohort patients.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.123.032223","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T10:44:15Z","timestamp":1707821055000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Incidental Arrhythmias During Atrial Fibrillation Screening With Repeat 7\u2010Day Holter ECGs in a Hospital\u2010Based Patient Population"],"prefix":"10.1161","volume":"13","author":[{"given":"Eleni","family":"Goulouti","sequence":"first","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9686-8928","authenticated-orcid":false,"given":"Nikolas","family":"Nozica","sequence":"additional","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Elchinova","sequence":"additional","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7400-7961","authenticated-orcid":false,"given":"Chrisoula","family":"Dernektsi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Neugebauer","sequence":"additional","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8063-7882","authenticated-orcid":false,"given":"Mattia","family":"Branca","sequence":"additional","affiliation":[{"name":"Clinical Trials Unit University of Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2887-8707","authenticated-orcid":false,"given":"Helge","family":"Servatius","sequence":"additional","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2719-5149","authenticated-orcid":false,"given":"Fabian","family":"Noti","sequence":"additional","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9283-0110","authenticated-orcid":false,"given":"Andreas","family":"Haeberlin","sequence":"additional","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland"},{"name":"Sitem Center for Translational Medicine and Biomedical Entrepreneurship University of Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2050-6311","authenticated-orcid":false,"given":"Gregor","family":"Thalmann","sequence":"additional","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikola Asenov","family":"Kozhuharov","sequence":"additional","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8364-3279","authenticated-orcid":false,"given":"Antonio","family":"Madaffari","sequence":"additional","affiliation":[{"name":"Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern 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Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa612"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.030583"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1901183"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.8102"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01698-6"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01637-8"},{"key":"e_1_3_1_8_2","unstructured":"SAFER trial . https:\/\/www.safer.phpc.cam.ac.uk\/."},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euw319"},{"key":"e_1_3_1_10_2","unstructured":"GUARD\u2010AF: reducinG Stroke by Screening for UndiAgnosed atRial Fibrillation in Elderly inDividuals. 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