Cor Vasa 2024, 66(1):84-86 | DOI: 10.33678/cor.2024.001
Non-conducted premature atrial complexes: a silent culprit of atrial fibrillation onset
- a Cardiology Unit, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
- b Arrhythmology Unit, Cardiology Division, S. Giovanni Calibita Hospital, Isola Tiberina, Rome, Italy
- c Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium
Atrial fibrillation (AF) is the most common cardiac arrhythmia in adults with substantial morbidity and mortality. AF increases the risk of stroke 5-fold compared to the general population and oral anticoagulant therapy represents the cornerstone for stroke prevention. Therefore, it is necessary to identify predictive factors for the onset of AF in order to screen patients with a high probability of AF development. We report the case of a 69-year-old patient asymptomatic for palpitation with a 24-hour Holter ECG showing several ncPACs (non-conducted premature atrial complexes) leading to AF onset.
Keywords: Atrial fibrillation, Atrial premature complexes, Electrocardiogram, Holter-monitoring
Received: August 12, 2023; Revised: December 25, 2023; Accepted: January 2, 2024; Prepublished online: February 5, 2024; Published: March 5, 2024 Show citation
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