Silent atrial fibrillation in pacemaker early post-implantation period: an unintentionally provoked situation?
| Autor: | José Antonio Iglesias, P. Sánchez-Borque, Angel Miracle, Juan Benezet-Mazuecos, José Manuel Rubio, Juan José de la Vieja, Jerónimo Farré, Marcelino Cortés, Ana del Río |
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| Rok vydání: | 2017 |
| Předmět: |
Pacemaker
Artificial medicine.medical_specialty Time Factors Ischemia Computed tomography 030204 cardiovascular system & hematology Brain Ischemia law.invention Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine law Physiology (medical) Internal medicine Atrial Fibrillation Outcome Assessment Health Care medicine Humans 030212 general & internal medicine Aged Aged 80 and over Atrium (architecture) medicine.diagnostic_test business.industry Atrial fibrillation medicine.disease United States Atrial Lead Stroke Asymptomatic Diseases Cardiology Brain lesions Artificial cardiac pacemaker Female Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Post implantation Follow-Up Studies |
| Zdroj: | EP Europace. 20:758-763 |
| ISSN: | 1532-2092 1099-5129 |
| Popis: | Aims Atrial high-rate episodes (AHREs) compatible with silent AF detected in pacemakers (PM) are related to an increased risk of stroke and silent ischaemic brain lesions (IBL) on CT scan. AHREs soon after PM implantation could be related with the procedure itself and the prognosis might be different. Methods and results We analysed the incidence of AHREs >5 min and the presence of silent IBL in 110 patients (56% men, aged 75 ± 9 year-old) with PM and no history of AF, in relation to time from implantation (≤3 months vs. >3 months) and the atrial lead fixation (LF) (active vs. passive). Mean CHADS2 and CHA2DS2VASc scores were 1.9 ± 1.2 and 3.5 ± 1.5, respectively. Time from implantation was ≤3 months in 88 patients (80%). Active LF was used in 55 patients (50%). After 24 ± 9 months, AHREs were present in 40 patients (36.4%). CT-scan showed silent IBL in 26 patients (23.6%). The presence of AHREs at 3 months was more frequent in the patients with recent PM implantation (17% vs. 4.5%, P = 0.09) and significantly related to active LF (OR 5.36, 1.43-20.07; P |
| Databáze: | OpenAIRE |
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