Thus, patients with excessive SVPBs and LVH have a greater risk of developing AF, which is associated with increased age, systolic blood pressure and N-terminal pro-brain natriuretic peptide (NT-proBNP) levels.23 Interestingly, stroke was commonly the first clinical presentation, beyond manifest AF, in these study subjects. Even short runs of 20–50 SVPBs are associated with AF or some cryptogenic stroke events. Similarly, SVPBs were previously associated with an increased risk of ischaemic stroke.24 In the EMBRACE (30-day cardiac event monitor belt for recording AF after a cerebral ischaemic event) trial,25 among older cryptogenic stroke or transient ischaemic attack (TIA) patients (median CHADS2 score 3), the number of SVPBs on a routine 24-h Holter was a strong independent predictor of subclinical AF.
| Consensus statements | References | |
|---|---|---|
| Patients with frequent SVPBs and LVH have a higher probability of AF and prolonged electrocardiographic (ECG) monitoring for AF detection may be used |  | 23 |
| Lifestyle changes may be used when managing majority of patients with SVPBs, including addressing precipitants relevant to some patients (e.g. alcohol, caffeine) and optimizing BP control especially where LVH is present | | 20 |
| Consensus statements | References | |
|---|---|---|
| Patients with frequent SVPBs and LVH have a higher probability of AF and prolonged electrocardiographic (ECG) monitoring for AF detection may be used | | 23 |
| Lifestyle changes may be used when managing majority of patients with SVPBs, including addressing precipitants relevant to some patients (e.g. alcohol, caffeine) and optimizing BP control especially where LVH is present | | 20 |
| Consensus statements | References | |
|---|---|---|
| Patients with frequent SVPBs and LVH have a higher probability of AF and prolonged electrocardiographic (ECG) monitoring for AF detection may be used | | 23 |
| Lifestyle changes may be used when managing majority of patients with SVPBs, including addressing precipitants relevant to some patients (e.g. alcohol, caffeine) and optimizing BP control especially where LVH is present | | 20 |
| Consensus statements | References | |
|---|---|---|
| Patients with frequent SVPBs and LVH have a higher probability of AF and prolonged electrocardiographic (ECG) monitoring for AF detection may be used | | 23 |
| Lifestyle changes may be used when managing majority of patients with SVPBs, including addressing precipitants relevant to some patients (e.g. alcohol, caffeine) and optimizing BP control especially where LVH is present | | 20 |
