Impact of monitoring on detection of arrhythmia recurrences in the ESC-EHRA EORP atrial fibrillation ablation long-term registry
| Autor: | Federico Segura Villalobos, Cécile Laroche, Piotr Kulakowski, Aldo P. Maggioni, Tamás Forster, Carina Blomström-Lundqvist, Oskars Kalejs, Elena Arbelo, Tosho L. Balabanski, Josef Kautzner, Luigi Tavazzi, Massimo Tritto, Nikolaos Dagres, Josep Brugada |
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| Rok vydání: | 2019 |
| Předmět: |
Ablation Techniques
medicine.medical_specialty medicine.medical_treatment Aftercare Kaplan-Meier Estimate Electrocardiography Recurrence Physiology (medical) Internal medicine Atrial Fibrillation medicine Humans Telemetry Registries cardiovascular diseases Monitoring methods business.industry Cardiac arrhythmia Atrial fibrillation medicine.disease Ablation Telephone Ecg monitoring Catheter Electrocardiography Ambulatory Cardiology Cardiac monitoring Cardiology and Cardiovascular Medicine business Holter ecg |
| Zdroj: | EP Europace. 21:1802-1808 |
| ISSN: | 1532-2092 1099-5129 |
| Popis: | Aims Monitoring of patients after ablation had wide variations in the ESC-EHRA atrial fibrillation ablation long-term (AFA-LT) registry. We aimed to compare four different monitoring strategies after catheter AF ablation. Methods and results The ESC-EHRA AFA-LT registry included 3593 patients who underwent ablation. Arrhythmia monitoring during follow-up was performed by 12-lead electrocardiogram (ECG), Holter ECG, trans-telephonic ECG monitoring (TTMON), or an implanted cardiac monitoring (ICM) system. Patients were selected to a given monitoring group according to the most extensive ECG tool used in each of them. Comparison of the probability of freedom from recurrences was performed by censored log-rank test and presented by Kaplan–Meier curves. The rhythm monitoring methods were used among 2658 patients: ECG (N = 578), Holter ECG (N = 1874), TTMON (N = 101), and ICM (N = 105). A total of 767 of 2658 patients (28.9%) had AF recurrences during follow-up. Censored log-rank test discovered a lower probability of freedom from relapses, which was detected with ICM compared to TTMON, ECG, and Holter ECG (P Conclusion Comparing all main electrocardiographic monitoring methods in a large patient sample, our results suggest that post-ablation recurrences of AF are significantly underreported by TTMON, ECG, and Holter ECG. The ICM estimates AF ablation recurrences most reliably and should be a preferred mode of monitoring for trials evaluating novel AF ablation techniques. |
| Databáze: | OpenAIRE |
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