4,800 results match your criteria incidentally detected

Imaging of the Vagina: Spectrum of Disease with Emphasis on MRI Appearance.

Radiographics 2021 Jul 23:210018. Epub 2021 Jul 23.

From the Mallinckrodt Institute of Radiology (M.Z., A.S., M.I., M.N., C.L.S.) and Department of Obstetrics and Gynecology (V.S.R.), Washington University School of Medicine, 510 S Kingshighway Blvd, St Louis, MO 63110; Department of Radiology, Mayo Clinic Arizona, Scottsdale, Ariz (M.Y.); Department of Diagnostic Imaging and Interventional Radiology, Moffitt Cancer Center, Tampa, Fla (M.M.); and Department of Oncologic Sciences, University of South Florida College of Medicine, Tampa, Fla (M.M.).

The vagina is a median fibromuscular structure of the female reproductive system that extends from the vulva inferiorly to the uterine cervix superiorly. As most vaginal lesions are detected at gynecologic examination, imaging performed for nongynecologic indications can frequently cause concomitant vaginal pathologic conditions to be overlooked. The vagina is often underevaluated at routinely performed pelvic transvaginal US because of a narrow scan area and probe positioning. Read More

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Incidental Polyp on Colectomy Specimen is Linked with Higher Odds of Polyp on Interval Colonoscopy.

J Surg Res 2021 Jul 23;268:158-167. Epub 2021 Jul 23.

Department of Surgery, MedStar Washington Hospital Center, Washington, DC. Electronic address:

Background: Incidentally found polyps on surgical pathology after colectomy is an underreported phenomenon, and management guidelines are lacking. Elucidation of the significance of incidental polyps is needed to determine if post-operative endoscopic surveillance modification is warranted. We sought to determine the relationship between incidental polyp on colectomy specimen and findings on post-operative colonoscopy. Read More

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Laparoscopic resection of retroperitoneal paraganglioma close to caudal vena cava in a dog.

Vet Med Sci 2021 Jul 26. Epub 2021 Jul 26.

Evergreen Vet Research & Publication, Ichinomiya, Japan.

Objective: To report laparoscopic resection of retroperitoneal paraganglioma close to the caudal vena cava in a dog.

Study Design: Case report.

Animal: Twelve-year-old, neutered male Jack Russell terrier. Read More

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A Rare Case of Intrapulmonary Sequestration With Multiple Feeding Arteries and an Anomalous Pulmonary Vein Draining Into the Azygos Vein.

Cureus 2021 Jun 13;13(6):e15628. Epub 2021 Jun 13.

Internal Medicine, Interfaith Medical Center, New York, USA.

Pulmonary sequestration is an isolated mass of lung tissue that has no identifiable bronchial communication and that receives its blood supply from one or more anomalous systemic arteries. The feeding vessel is the aorta or its major vessels and venous drainage usually is to the pulmonary veins to the left atrium. We present a rare case of intralobar sequestration in a 65-year-old man with multiple feeding arteries from the aorta and partial anomalous venous return draining into the azygos vein. Read More

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Calcifying nested stromal-epithelial tumor of the liver: Case report of a rare primary liver tumor.

Radiol Case Rep 2021 Sep 30;16(9):2337-2342. Epub 2021 Jun 30.

Department of Radiology, Phoenix Children's Hospital, 1919 E. Thomas Rd., Phoenix, AZ 85016, USA.

Calcifying nested stromal epithelial tumor is a very rare primary liver tumor in children. To our knowledge, few cases have been reported in literature. We describe the imaging appearance and histopathologic features of this tumor incidentally detected in a 2-year-old girl. Read More

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September 2021

[Adrenal imaging: anatomy and pathology (literature review)].

Probl Endokrinol (Mosk) 2021 Jun 7;67(3):26-36. Epub 2021 Jun 7.

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department.

This literature review focuses on the normal adrenal gland anatomy and typical imaging features necessary to evaluate benign and malignant lesions. In particular, adenoma, pheochromocytoma, metastases and adrenocortical carcinoma were discussed as some of the most common lesions. For this purpose, a review of relevant local and international literature sources up to January 2021 was conducted. Read More

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The clinicopathologic and operative characteristics of patients with small nonfunctioning pancreatic neuroendocrine tumors.

ANZ J Surg 2021 Jul 21. Epub 2021 Jul 21.

Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul, South Korea.

Background: Incidentally detected, small nonfunctioning pancreatic neuroendocrine tumors (NF-PNETs) are increasingly diagnosed on imaging modalities. This retrospective investigation evaluated the clinicopathologic characteristics and perioperative and oncologic outcomes in patients with small NF-PNETs undergoing curative resection.

Methods: The medical records of 444 patients who underwent pancreatic resection for NF-PNETs at a single, large-volume institution between January 2000 and December 2018 were retrospectively reviewed. Read More

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Misdiagnosis of asymptomatic intrathyroidal pyriform sinus fistula: a case report.

J Int Med Res 2021 Jul;49(7):3000605211031430

Department of Pathology, 12553Hebei Medical University, The Second Hospital of Hebei Medical University, Shijiazhuang City, Hebei Province, P. R. China.

Pyriform sinus fistula is uncommon and easily misdiagnosed. Most reported cases occur in children and are associated with either acute suppurative thyroiditis or deep neck infection. Asymptomatic pyriform sinus fistula is difficult to diagnose because it can manifest as an incidental thyroid nodule with highly suspicious malignant features on ultrasonography. Read More

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Clonal Megakaryocyte Dysplasia with Normal Blood Values Is a Distinct Myeloproliferative Neoplasm.

Acta Haematol 2021 Jul 19:1-8. Epub 2021 Jul 19.

Department of Immunology and Inflammation, Center for Haematology Research, Imperial College London, London, United Kingdom.

Introduction: In 1991, we reported 18 persons with a clinical-pathologic entity and termed atypical myeloproliferative disorder because they did not meet the contemporary diagnostic criteria for a myeloproliferative neoplasm. We sought to gain further knowledge on this disease entity.

Methods: This retrospective cohort study included consecutive subjects registered in the database of the Center for the Study of Myelofibrosis in Pavia, Italy, from 1998 to 2020 (June), and diagnosed with atypical myeloproliferative disorder according to our adjudicated criteria. Read More

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Frequency of sternal variations and anomalies in living individuals evaluated by MDCT.

Eur J Radiol 2021 Jun 24;142:109828. Epub 2021 Jun 24.

Department of Anatomy, Faculty of Medicine, University of Thessaly, Biopolis, 41110 Larissa, Greece.

Purpose: The aim of this retrospective study was to present the frequency and MDCT appearances of sternal variations and anomalies, as well as to highlight their clinical significance.

Methods: This retrospective study was carried out on 1150 patients, who underwent chest MDCT. Axial planes, multiplanar and curved-planar reconstructed images were studied. Read More

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Impact of healthcare services on thyroid cancer incidence among World Trade Center-exposed rescue and recovery workers.

Am J Ind Med 2021 Jul 18. Epub 2021 Jul 18.

Fire Department of the City of New York, Bureau of Health Services, Brooklyn, New York, USA.

Background: A recent study of World Trade Center (WTC)-exposed firefighters and emergency medical service workers demonstrated that elevated thyroid cancer incidence may be attributable to frequent medical testing, resulting in the identification of asymptomatic tumors. We expand on that study by comparing the incidence of thyroid cancer among three groups: WTC-exposed rescue/recovery workers enrolled in a New York State (NYS) WTC-medical monitoring and treatment program (MMTP); WTC-exposed rescue/recovery workers not enrolled in an MMTP (non-MMTP); and the NYS population.

Methods: Person-time began on 9/12/2001 or at enrollment in a WTC cohort and ended at death or on 12/31/2015. Read More

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Adrenalectomy for incidental and symptomatic phaeochromocytoma: retrospective multicentre study based on the Eurocrine® database.

Br J Surg 2021 Jul 16. Epub 2021 Jul 16.

Department of Surgery, Skåne University Hospital, Lund, Sweden.

Background: Phaeochromocytoma is sometimes not diagnosed before surgery and may present as an adrenal incidentaloma. The aim of this study was to investigate differences in clinical presentation and perioperative outcome in patients with subclinical and symptomatic phaeochromocytoma, and in patients operated with and without preoperative α-blockade.

Methods: This was a retrospective observational study of patients with a histopathological diagnosis of phaeochromocytoma registered in Eurocrine®, the European registry for endocrine tumours, between 1 January 2015 and 31 March 2020. Read More

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Role of Imaging in Renal Cell Carcinoma: A Multidisciplinary Perspective.

Radiographics 2021 Jul 16:200202. Epub 2021 Jul 16.

From the Department of Radiology, University of Alabama at Birmingham, 619 19th St S, JTN 452, Birmingham, AL 35249-6830 (A.M.A.E., A.J.G., A.D.S.); Department of Radiation Oncology (S.S.L.) and Department of Radiology (S.S.V.), University of Washington School of Medicine, Seattle, Wash; Department of Urology, UCLA Medical Center, Santa Monica, Calif (B.M.S.); Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio (M.E.D.F., R.A.); Division of Hematology/Oncology, Department of Internal Medicine, Loyola University Medical Center, Maywood, Ill (J.I.C.); Department of Radiation Oncology, Sunnybrook Health Science Centre, University of Toronto, Toronto, Ontario, Canada (A.V.L.); Division of Radiation Oncology, Peter MacCallum Cancer Centre, University of Melbourne, Parkville, Victoria, Australia (S.S.); and Department of Radiation Oncology, University of Freiburg, Freiburg, Germany (A.L.G.).

With the expansion in cross-sectional imaging over the past few decades, there has been an increase in the number of incidentally detected renal masses and an increase in the incidence of renal cell carcinomas (RCCs). The complete characterization of an indeterminate renal mass on CT or MR images is challenging, and the authors provide a critical review of the best imaging methods and essential, important, and optional reporting elements used to describe the indeterminate renal mass. While surgical staging remains the standard of care for RCC, the role of renal mass CT or MRI in staging RCC is reviewed, specifically with reference to areas that may be overlooked at imaging such as detection of invasion through the renal capsule or perirenal (Gerota) fascia. Read More

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PET/CT variants and pitfalls in prostate cancer: What you might see on PET and should never forget.

Semin Nucl Med 2021 Jul 12. Epub 2021 Jul 12.

Nuclear Medicine Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Department of Experimental, Diagnostic and Specialty Medicine, Alma Mater Studiorum, University of Bologna, Italy.

2-deoxy-2-[F]fluorodeoxyglucose (FDG) positron emission tomography (PET) gained an impressive role in the diagnostic management of many oncological diseases, even though its use in imaging prostate cancer (PC) is limited to selected cases, mostly advanced stage of PC and selection for prostate specific antigen membrane (PSMA) radioligand therapy (RLT). In the past years, several PET tracers have been developed for both staging and restaging PC. The three most employed PET molecules in daily practice are [C] or [F]F-Choline, [F]F-Fluciclovine (Anti-1- amino-3-[18F]Fluorocyclobutane-1-Carboxylic Acid, also known as (Anti-[F]FACBC), [Ga]Ga-PSMA and recently FDA approved the first Fluorinated PSMA-based named [F]F-DCFPyl. Read More

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Back somersault-induced atrioventricular nodal reentrant tachycardia - A case of a 15-year-old promising gymnast.

J Cardiol Cases 2021 Jul 26;24(1):14-19. Epub 2020 Dec 26.

Cardiology, Nephrology, Pulmonology and Neurology Division, Department of Internal Medicine, Asahikawa Medical University, Asahikawa, Hokkaido 078-8510, Japan.

A male 15-year-old promising gymnast suffered palpitations, which emerged only after landing a round-off back somersault. The performance induced an attack of regular narrow QRS complex tachycardia that was highly reproducible. Not a single element of the performance, but a whole sequence of round-off back somersault was required to induce the attack. Read More

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[A rare carcinoma metastasizing to the lung: Sertoli-leydig cell tumor].

Tuberk Toraks 2021 Jun;69(2):247-252

Department of Pathology, Ege University Faculty of Medicine, Izmir, Turkey.

The lung is the most common site of metastasis for many malignancies. Especially the gastrointestinal system, gynecological malignancies and osteosarcomas frequently metastasize to the lung. It accounts for less than 0. Read More

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Incidentally Detected Chronic Lymphocytic Leukemia in Hilar Lymph Nodes at the Time of Lung Transplantation: A Case Report.

Transplant Proc 2021 Jul 9. Epub 2021 Jul 9.

Division of Cardiothoracic Surgery, Department of Surgery, Washington University, Saint Louis, Missouri. Electronic address:

A 68-year-old man with interstitial pulmonary fibrosis underwent bilateral lung transplantation. Histopathologic examination of hilar lymph nodes in the explanted lungs showed effacement of normal nodal architecture by the proliferation of small lymphocytes, consistent with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL). Unexpectedly discovered malignancies at the time of lung transplantation is uncommon, especially in the lymph nodes. Read More

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Managing Incidental Findings on Thoracic CT: Lung Findings. A White Paper of the ACR Incidental Findings Committee.

J Am Coll Radiol 2021 Jul 7. Epub 2021 Jul 7.

Director, MGH Institute for Technology Assessment, Massachusetts General Hospital, Boston, Massachusetts; Associate Chair, Integrated Imaging & Imaging Sciences, MGH Radiology, Massachusetts General Hospital, Boston, Massachusetts; Executive Director, Clinical Enterprise Integration, Mass General Brigham (MGB) Radiology, Massachusetts General Hospital, Boston, Massachusetts; Associate Professor of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

The ACR Incidental Findings Committee presents recommendations for managing incidentally detected lung findings on thoracic CT. The Chest Subcommittee is composed of thoracic radiologists who endorsed and developed the provided guidance. These recommendations represent a combination of current published evidence and expert opinion and were finalized by informal iterative consensus. Read More

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Novel detection of the CAMTA1-WWTR1 fusion gene in extra-adrenal myelolipoma-like lesion: a case report.

Virchows Arch 2021 Jul 6. Epub 2021 Jul 6.

Division of Pathology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.

A mediastinal mass was incidentally detected by chest X-ray in a 44-year-old man. Computed tomography findings revealed that the mass was a possible malignancy in the right and middle mediastinum and was removed by surgical resection. Macroscopically, the resected specimen was a well-demarcated yellowish, brownish, and whitish mass. Read More

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Development and validation of an institutional nomogram for aiding aneurysm rupture risk stratification.

Sci Rep 2021 Jul 5;11(1):13826. Epub 2021 Jul 5.

Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tiantan Hospital of Capital Medical University, Beijing, 100050, China.

Rupture risk stratification is critical for incidentally detected intracranial aneurysms. Here we developed and validated an institutional nomogram to solve this issue. We reviewed the imaging and clinical databases for aneurysms from January 2015 to September 2018. Read More

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Initial experience of laparoscopic radical nephrectomy using the Senhance robotic system for renal cell carcinoma.

Int Cancer Conf J 2021 Jul 29;10(3):228-232. Epub 2021 Apr 29.

Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama 350-1298 Japan.

The Senhance robotic system (TransEnterix, Morrisville, NC, USA), previously called the TELELAP Alf-X system, is a novel robotic system with a telesurgical concept. We herein describe our initial experience of Senhance assisted laparoscopic radical nephrectomy (LRN) for renal cell carcinoma (RCC) with detailed figures and videos. Case 1: A left renal tumor was incidentally detected in a 52-year-old female on ultrasonography. Read More

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Left Ventricle Intramuscular Haemangioma: A case report and review of literature.

Sultan Qaboos Univ Med J 2021 May 21;21(2):e316-e319. Epub 2021 Jun 21.

Department of Cardiology, Royal Hospital, Muscat, Oman.

Cardiac haemangiomas are rare cardiac tumours that are usually asymptomatic and detected incidentally while imaging the heart with echocardiogram. Cardiovascular magnetic resonance (CMR) is a non-ionising imaging modality that allows the diagnosis of cardiac haemangiomas prior to surgery. We report a 36-year old male patient who was referred to the Adult Cardiology Clinic at the Royal Hospital, Muscat, Oman, in 2006 with a history of a left ventricle mass detected on echocardiogram. Read More

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Development of a Prediction Model for Patients at Risk of Incidental Skin Cancer: A Multicentre Prospective Study.

Acta Derm Venereol 2021 Jul 13;101(7):adv00498. Epub 2021 Jul 13.

Department of Dermatology, Hospital Universitario Clínico San Carlos, ES-28040 Madrid, Spain. E-mail:

In the absence of guidelines recommending routine total-body skin examination, patient concern remains the main factor in seeking consultation regarding suspicion of skin cancer. This study explores gaps in patients' understanding of malignant skin lesions, through the factors associated with incidental skin cancer. Included patients had a confirmed histological diagnosis of basal cell carci-noma, squamous cell carcinoma or melanoma. Read More

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Detection and Early Referral of Patients With Interstitial Lung Abnormalities: An Expert Survey Initiative.

Chest 2021 Jun 28. Epub 2021 Jun 28.

Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor MI, USA.

Background: Interstitial lung abnormalities (ILA) may represent undiagnosed early-stage or subclinical interstitial lung disease (ILD). ILA are often observed incidentally in patients who subsequently develop clinically overt ILD. There is limited information on consensus definitions for, and the appropriate evaluation of, ILA; early recognition of patients with ILD remains challenging, yet critically important. Read More

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A tracheobronchial adenoid cystic carcinoma incidentally detected by chest radiography and pulmonary function test.

Adv Respir Med 2021 ;89(3):320-323

Department of Thoracic Surgery, Tokyo Medical University Ibaraki Medical Center, Ami-machi, Ibaraki, Japan.

Tracheobronchial adenoid cystic carcinomas are rare tumors that progress slowly. Diagnosis by chest plain radiography is difficult, and suspecting the existence of a disease that causes stenosis in the airways is an important key for diagnosis. A 51-year-old woman referred to our hospital because of dyspnea on exertion. Read More

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January 2021

Clinicopathological Evaluation of 15 Ectopic Adrenal Tissues.

Arch Iran Med 2021 04 1;24(4):301-305. Epub 2021 Apr 1.

Department of Pathology, Dr. Lutfi Kirdar Kartal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Background: Ectopic adrenal tissue is a rare condition associated with embryological development defects seen in many different areas in the abdomen and pelvis. Here, we aimed to discuss the clinicopathological features of ectopic adrenal tissues diagnosed in our clinic, in light of the literature.

Methods: We included cases of ectopic adrenal tissues incidentally detected in the specimens from patients undergoing operation for various diagnoses during 2012- March 2020. Read More

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Incidentally Detected Gastrointestinal Wall Thickness on Abdominal Computed Tomography; What Does it Mean for Endoscopy?

Arch Iran Med 2021 04 1;24(4):296-300. Epub 2021 Apr 1.

Department of General Surgery, University of Health Sciences, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.

Background: The clinical significance of gastrointestinal wall thickening (GWT) on abdominal computed tomography (CT) is not certain, yet. Despite the need for clinical guidelines describing the importance and evaluation of GWT on a CT scan, there have been few studies evaluating these incidental imaging abnormalities. The aim of this study is to endoscopically evaluate certain etiologies that cause incidental GWT found on CT. Read More

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PET/CT-Detected myofibroblastoma of the breast with bizarre cells: A potential diagnostic pitfall of malignancy.

Breast J 2021 Jun 30. Epub 2021 Jun 30.

Department of Medical, Surgical Sciences and Advanced Technologies and Biotechnological Sciences, G.F. Ingrassia, Anatomic Pathology, University of Catania, Catania, Italy.

Myofibroblastoma (MFB) is a rare benign mesenchymal tumor usually occurring in the breast parenchyma. This tumor can present as a palpable nodule or can be incidentally detected as a nonpalpable mass on routine screening mammogram. We first report a rare case of histologically proven MFB of the breast revealed by fluoro-deoxyglucose uptake on PET-CT examination in a patient with a lung nodule. Read More

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Hyperostosis fronto-parietalis - radiology mimic of metastasis: A case report.

Radiol Case Rep 2021 Aug 21;16(8):2244-2247. Epub 2021 Jun 21.

Department of Radiology, Darlington Memorial Hospital, Hollyhurst Rd, Darlington, DL3 6HX, UK.

Hyperostosis frontalis interna (HFI) is a benign entity manifested by bony overgrowth in the frontal endocranial surface. It is most commonly reported incidentally among postmenopausal elderly women. Tracer uptake appearances of HFI can vary on planar bone scans, enabling it to be easily confounded with bone metastases. Read More

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Risk of ischemic stroke in asymptomatic atrial fibrillation incidentally-detected in primary care compared with other clinical presentations.

Thromb Haemost 2021 Jun 30. Epub 2021 Jun 30.

Sydney Medical School, University of Sydney, Sydney, Australia.

Background: It is uncertain whether stroke risk of asymptomatic ambulatory atrial fibrillation (AA-AF) incidentally-detected in primary care is comparable with other clinical AF presentations in primary care or hospital.

Methods: The stoke risk of 22,035 patients with incident non-valvular AF from the UK primary care Clinical Practice Research Datalink with linkage to hospitalization and mortality data, was compared to 23,605 controls without AF (age and sex-matched 5:1 to 5,409 AA-AF patients). Incident AF included 5,913 with symptomatic ambulatory AF (SA-AF); 4,989 with Primary and 5,724 with non-Primary Hospital AF discharge diagnosis (PH-AF and Non-PH-AF); and 5,409 with AA-AF. Read More

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