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Int J Cardiol Heart Vasc. 2019 Mar 4;22:210-211. doi: 10.1016/j.ijcha.2019.02.009. eCollection 2019 Mar.

Bayesian network analyses in atrial fibrillation - A path to better therapies?

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Department of Cardiology, CARIM School for Cardiovascular Diseases, Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, the Netherlands.
Institute of Pharmacology, West German Heart and Vascular Center, University Duisburg-Essen, Essen, Germany.


Despite several major innovations in atrial fibrillation (AF) management, including the improved detection of AF and advances in catheter-ablation-based rhythm control, AF remains a major health-care burden. Recent advances have enabled curation of increasingly large data sets, which, together with improvements in AF detection through screening and continuous rhythm monitoring, enable novel 'big data' approaches to better predict and classify AF. In this issue of the International Journal of Cardiology Heart & Vasculature, Drs. Ebana and Furakawa describe an approach to shed light on potential causal links between several risk factors and atrial arrhythmias from the superior vena cava using a Bayesian network analysis. This approach may be a relevant step from statistical association towards identification of causative mechanisms and together with experimental work and mechanistic computer models may help to establish tailored mechanism-based therapies for AF.

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