TY - JOUR
T1 - Excessive Supraventricular Ectopic Activity and Adverse Cardiovascular Outcomes
T2 - a Systematic Review and Meta-analysis
AU - Meng, Lei
AU - Tsiaousis, Georgios
AU - He, Jinli
AU - Tse, Gary
AU - Antoniadis, Antonios P.
AU - Korantzopoulos, Panagiotis
AU - Letsas, Konstantinos P.
AU - Baranchuk, Adrian
AU - Qi, Wenwei
AU - Zhang, Zhiwei
AU - Liu, Enzhao
AU - Xu, Gang
AU - Xia, Yunlong
AU - Li, Guangping
AU - Roever, Leonardo
AU - Lip, Gregory Yh
AU - Fragakis, Nikolaos
AU - Liu, Tong
PY - 2020/5/21
Y1 - 2020/5/21
N2 - Purpose of Review: Excessive supraventricular ectopic activity (ESVEA), in the form of frequent premature atrial contractions (PACs) and runs of PACs, is commonly observed in clinical practice and is frequently considered to be benign. Yet, recent studies have demonstrated a link between ESVEA and adverse cardiovascular outcomes. The aim of this meta-analysis was to examine the association between ESVEA and the risk of atrial fibrillation (AF), stroke, and mortality. Recent Findings: A systematic search was performed in PubMed, EMBASE, and the Cochrane Library up to December 2017 to identify studies assessing adverse cardiovascular outcomes in patients with ESVEA, recorded on ambulatory electrocardiography. ESVEA was defined as a burden of PACs > 30 PACs/h or any runs of ≥20 PACs. The risk estimates for EVSEA and each clinical endpoint were pooled and analyzed separately. Results: Five studies comprising 7545 participants were included in this meta-analysis. The pooled analysis showed that ESVEA doubled the risk of AF (HR 2.19, 95% CI 1.70–2.82). ESVEA was also associated with a higher incidence of stroke (HR 2.23, 95% CI 1.24–4.02). Finally, ESVEA was associated with higher all-cause mortality (HR 1.61, 95% CI 1.25–2.07). Summary: Our meta-analysis found that ESVEA is closely associated with AF, stroke, and all-cause mortality. Further studies are required to examine the implication of therapeutic strategies in patients with ESVEA, in order to prevent potential subsequent adverse cardiovascular outcomes.
AB - Purpose of Review: Excessive supraventricular ectopic activity (ESVEA), in the form of frequent premature atrial contractions (PACs) and runs of PACs, is commonly observed in clinical practice and is frequently considered to be benign. Yet, recent studies have demonstrated a link between ESVEA and adverse cardiovascular outcomes. The aim of this meta-analysis was to examine the association between ESVEA and the risk of atrial fibrillation (AF), stroke, and mortality. Recent Findings: A systematic search was performed in PubMed, EMBASE, and the Cochrane Library up to December 2017 to identify studies assessing adverse cardiovascular outcomes in patients with ESVEA, recorded on ambulatory electrocardiography. ESVEA was defined as a burden of PACs > 30 PACs/h or any runs of ≥20 PACs. The risk estimates for EVSEA and each clinical endpoint were pooled and analyzed separately. Results: Five studies comprising 7545 participants were included in this meta-analysis. The pooled analysis showed that ESVEA doubled the risk of AF (HR 2.19, 95% CI 1.70–2.82). ESVEA was also associated with a higher incidence of stroke (HR 2.23, 95% CI 1.24–4.02). Finally, ESVEA was associated with higher all-cause mortality (HR 1.61, 95% CI 1.25–2.07). Summary: Our meta-analysis found that ESVEA is closely associated with AF, stroke, and all-cause mortality. Further studies are required to examine the implication of therapeutic strategies in patients with ESVEA, in order to prevent potential subsequent adverse cardiovascular outcomes.
KW - Atrial fibrillation
KW - Excessive supraventricular ectopy
KW - Mortality
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=85085016712&partnerID=8YFLogxK
U2 - 10.1007/s11883-020-0832-4
DO - 10.1007/s11883-020-0832-4
M3 - Review article
C2 - 32440839
AN - SCOPUS:85085016712
SN - 1523-3804
VL - 22
JO - Current Atherosclerosis Reports
JF - Current Atherosclerosis Reports
IS - 4
M1 - 14
ER -