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74; 95%CI 1.22-2.48; P = .001) and with RDI mean ≥ 46 episodes/h (HR1.63; 95%CI 1.03-2.57; P = .014). The risk of all-cause death or stroke was higher in patients with AF burden ≥6 hours (HR1.75; 95%CI 1.06-2.86; P = .016). Moreover, among patients with no previous history of AF the risk was higher in those with RDI maximum ≥63 episodes/h (HR1.96; 95%CI 1.06-3.63; P = .031). Pacemaker-detected SA showed a considerable variability during follow-up. We confirmed the association between RDI and higher risk of AF, and we observed an associa