Table 2. Summary of Trials Using Continuous Arrhythmia Monitoring to Correlate AT/AF and Stroke Risk.
AT/AF = Atrial tachyarrhythmia/atrial fibrillation, C.I. = Confidence interval, CRT = Cardiac resynchronization therapy, ICD = Implantable cardioverter defibrillator, TIA = Transient ischemic attack
Study Name | Monitoring Device | Prior AT/AF? | AT/AF Burden Threshold | Endpoint Event | Hazard Ratio (C.I.) |
---|---|---|---|---|---|
MOST Sub-study22 | 100% Pacemaker | Allowed, but not required | >5 minutes | Death or non-fatal stroke | 2.79 [1.51,5.15] |
Italian AT500 Registry23 | 100% Pacemaker | History of symptomatic AT | >24 hours | Ischemic stroke, TIA, or peripheral arterial embolism | 3.1 [1.1, 10.5] |
TRENDS24 | TRENDS24 50% Pacemaker 31% ICD 19% CRT | Allowed, but not required | ≥5.5 hours | Ischemic stroke, TIA, or systemic embolism | 2.20 [0.96, 5.05] |
Biotronik25 | 100% CRT | Allowed, but not required | ≥3.8 hours | Ischemic stroke, TIA, or peripheral arterial embolism | 9.4 [1.8, 47.0] |
ASSERT27 | 95% Pacemaker 5% ICD | Excluded | ≥6 minutes | Ischemic stroke or systemic embolism | 2.49 [1.28, 4.85] |