Anticoagulation Management in Patients with Pacemaker-Detected Atrial Fibrillation

Authors

  • Lidija Poposka University Clinic of Cardiology, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Vladimir Boskov University Clinic of Cardiology, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Dejan Risteski University Clinic of Cardiology, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Jane Taleski University Clinic of Cardiology, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Ljubica Georgievska-Ismail University Clinic of Cardiology, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje

DOI:

https://doi.org/10.3889/oamjms.2016.053

Keywords:

atrial fibrillation, pacemaker, anticoagulants, thrombo-embolic events, asymptomatic

Abstract

INTRODUCTION: In patients with an implanted pacemaker, asymptomatic atrial fibrillation (AF) is associated with an increased risk of thrombo-embolic complications. There is still no consensus which duration of episodes of atrial fibrillation should be taken as an indicator for inclusion of oral anticoagulation therapy (OAC).

MATERIAL AND METHODS: A total of 104 patients who had no AF episodes in the past and have an indication for permanent pacing were included in the study.

RESULTS: During an average follow-up of 18 months, 33 of the patients developed episodes of AF. Inclusion of OAC was performed in 17 patients, in whom AF was recorded, although in all patients CHA2DS2-VASc score was ≥ 1. The inclusion of OAC showed a statistically significant correlation with increasing duration of episodes of AF (r = 0.502, p = 0.003). During the follow-up period none of the patients developed thrombo-embolic complication.

CONCLUSION: Considering that our group of patients had no thrombo-embolic events, we could conclude that dividing the AF episodes in less than 1% in 24 hours and longer than 1% within 24 hours could be an indicator for decision-making to include OAK if the CHA2DS2-VASc score is ≥ 1.

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References

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Published

2016-04-20

How to Cite

1.
Poposka L, Boskov V, Risteski D, Taleski J, Georgievska-Ismail L. Anticoagulation Management in Patients with Pacemaker-Detected Atrial Fibrillation. Open Access Maced J Med Sci [Internet]. 2016 Apr. 20 [cited 2022 Jan. 24];4(2):243-7. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2016.053

Issue

Section

B - Clinical Sciences

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