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  "notes": "Uses a combination of expert testimony and industry guidelines to undermine the company's growth narrative.",
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      "text": "Several Cardiologists Spruce Point Surveyed About the Asymptomatic Opportunity Reinforced the Point",
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      "text": "A Former iRhythm Executive Spruce Point Interviewed Highlighted the Issue",
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      "text": "As stated in the 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation, \"Brief episodes of subclinical AF are at low risk of clinical events.\"",
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      "text": "Unless a cryptogenic stroke is being evaluated there is no role for using a monitor for screening in asymptomatic individuals; Unless they have had some type of event I do not know that it's appropriate to look for silent atrial fibrillation",
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      "text": "As stated in the 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation, \"Brief episodes of subclinical AF are at low risk of clinical events.\"",
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      "text": "While iRhythm likes to talk about the prevalence of atrial fibrillation as a rationale for asymptomatic screening, the practical reality is that not all arrhythmias are so important as to justify preemptive testing.",
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      "text": "...that's the one area of the business [asymptomatic monitoring] that I was never bullish on... screening the whole population for AF only to find out that 70% of your population has it doesn't make sense from a healthcare test perspective.",
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      "text": "\"...that's the one area of the business [asymptomatic monitoring] that I was never bullish on... screening the whole population for AF only to find out that 70% of your population has it doesn't make sense from a healthcare test perspective. That's asking the wrong question.\" — Former iRhythm Executive",
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      "text": "Source: Spruce Point research, JACC Journals",
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      "text": "Importantly, Not All Arrhythmias Matter",
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