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Figure 1.

Flow diagram.

Flow diagram of patients included in ESVEA analysis within the Find-AF trial. 281 were included in the Find-AF trial, 237 without AF at presentation received 7-day Holter-ECG-monitoring. 229 Holter-ECGs were analysed. ESVEA analysis was possible in 208 cases, 23 of which showed at least one episode of PAF.

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Table 1.

Clinical Characteristics.

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Figure 2.

Duration of PAF episodes.

Distribution of patients with longest episode of atrial fibrillation in 7-day Holter-monitoring in the respective category. Divisions were chosen based on trials indicating an increased thromboembolic risk above the respective cut-off: 6 min. as shown to increase stroke risk within the ASSERT-trial [24], 6 hours (5.5 hours) as presented by the TRENDS-study investigators [28] and 24 hours as identified within the Italian AT-500 registry [29]. 30 seconds as defined as minimal duration of atrial fibrillation by current AF guidelines [30].

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Figure 3.

PAF detection on 7-day holter in relation to PACs on 24-hour-Holter.

Percentage of patients with paroxysmal atrial fibrillation on 7-day Holter-monitoring across quartiles of PACs/h detected within a 24-hour episode free from PAF.

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Figure 4.

ROC-curves – ESVEA as a predictor of PAF.

ROC-curves for PAC/h (blue) and SV-run24 h (green) to detect paroxysmal atrial fibrillation A) in baseline 7-day Holter-monitoring only or B) total PAF after baseline 7-day Holter-monitoring and clinical follow-up (up to 1 year).

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