The optimal duration cut-off for the definition of device detected AF, however, currently remains elusive; a 6 min cut-off is mostly widely used, based on findings of the ASSERT trial (ASymptomatic AF and Stroke Evaluation in Pacemaker Patients and the AF Reduction Atrial Pacing).⁵⁴ Closely connected to this is the question of the necessary AF burden to initiate anticoagulation, but >5–6 min burden is generally considered as ‘significant’. Finally, use of new technology that can be incorporated into a smartphone may be another option to record an infrequent arrhythmic event or detect silent AF.⁸⁹ However, there is a disconnect between AHRE and thromboembolic events, raising the possibility that AF is marker of increased risk for stroke rather than a cause of stroke.⁹¹

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Consensus Statements .	.	References .
Silent AF is common, and opportunistic screening for underlying AF amongst hypertensive patients should be performed.		87–89
In hypertensive patients with symptoms suggestive of a cardiac rhythm disorder, documentation of the presence and type of arrhythmia should be done, for adequate management of the arrhythmia.

Consensus Statements .	.	References .
Silent AF is common, and opportunistic screening for underlying AF amongst hypertensive patients should be performed.		87–89
In hypertensive patients with symptoms suggestive of a cardiac rhythm disorder, documentation of the presence and type of arrhythmia should be done, for adequate management of the arrhythmia.

Open in new tab

Consensus Statements .	.	References .
Silent AF is common, and opportunistic screening for underlying AF amongst hypertensive patients should be performed.		87–89
In hypertensive patients with symptoms suggestive of a cardiac rhythm disorder, documentation of the presence and type of arrhythmia should be done, for adequate management of the arrhythmia.

Consensus Statements .	.	References .
Silent AF is common, and opportunistic screening for underlying AF amongst hypertensive patients should be performed.		87–89
In hypertensive patients with symptoms suggestive of a cardiac rhythm disorder, documentation of the presence and type of arrhythmia should be done, for adequate management of the arrhythmia.