Incidence, duration, pattern, and burden of de novo atrial arrhythmias detected by continuous ECG monitoring using an implantable loop recorder following ablation of the cavotricuspid isthmus
| Autor: | Advay G. Bhatt, Laura Flynn, Nicolle S Milstein, Suneet Mittal, Richard E. Shaw, Tina Sichrovsky, Carissa Pistilli, Jacqueline Pimienta, Dan Musat, Mark W. Preminger |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Catheter ablation Atrial flutter Interquartile range Internal medicine Implantable loop recorder Medical technology Medicine Diseases of the circulatory (Cardiovascular) system R855-855.5 General Environmental Science business.industry Incidence (epidemiology) Atrial fibrillation Cavotricuspid isthmus ablation medicine.disease Ablation Duration (music) RC666-701 Cardiology General Earth and Planetary Sciences business |
| Zdroj: | Cardiovascular Digital Health Journal, Vol 1, Iss 3, Pp 114-122 (2020) |
| ISSN: | 2666-6936 |
| Popis: | Background: Following cavotricuspid isthmus (CTI) ablation, many patients with atrial flutter (AFL) are diagnosed with atrial fibrillation (AF). The incidence, duration, pattern, and burden of AF remain undefined. These may have implications for the management of these patients. Objective: To classify the incidence, duration, pattern, and burden of AF/AFL using an implantable loop recorder (ILR) after CTI ablation. Methods: We enrolled consecutive patients with CTI-dependent AFL, no known history of AF, and CHA2DS2-VASc ≥ 2. An ILR was implanted before or within 90 days of ablation. The time to first AF/AFL, pattern, duration, and burden of longest AF/AFL were determined. Five distinct AF/AFL cohorts were identified: no AF/AFL and those with recurrences of isolated, clustered, frequent, or persistent AF/AFL. Results: Fifty-two patients (81% male; 73 ± 9 years; CHA2DS2-VASc 3.7 ± 1.2) were followed for 784 (interquartile range [IQR] 263, 1150) days. AF/AFL occurred in 44 (85%) patients at 64 (IQR 8, 189) days post-CTI ablation and was paroxysmal in 31 (70%) patients (burden 0.6% [IQR 0.1, 4.8]). AF/AFL was isolated (n = 5, 11%), clustered (n =7, 16%), frequent (n =19, 43%), and persistent (n =13, 30%). The longest AF episode was |
| Databáze: | OpenAIRE |
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