Role of Extended External Auto-Triggered Loop Recorder Monitoring for Atrial Fibrillation : Validation and Utility After Catheter Ablation

DOI Web Site Web Site PubMed 被引用文献4件 参考文献16件

書誌事項

タイトル別名
  • Role of Extended External Auto-Triggered Loop Recorder Monitoring for Atrial Fibrillation
  • – Validation and Utility After Catheter Ablation –

この論文をさがす

抄録

Background:Clinical outcomes after atrial fibrillation (AF) ablation are evaluated using standard 24-h Holter monitoring, and the large spontaneous variability of AF episodes and incidence of silent AF are major limitations. Further, symptoms generally decrease after AF ablation.Methods and Results:Newly developed extended external auto-trigger loop recorders (ELR) were used for 14-day consecutive monitoring to detect atrial tachyarrhythmia (ATa). Continuous tracings were stored for the initial 24h. Among 500 examinations after AF ablation in 342 patients, 40 ATa episodes were manually detected in 25 patients during the initial 24h. All episodes including 27 asymptomatic episodes (67.5%) were successfully identified using ELR. Recurrent ATa after AF ablation were detected in 83 patients, and a median monitoring duration of 4.0 days (IQR, 1.0–7.75 days) was required to detect the first episode of recurrence. The sensitivity of 24-h monitoring in detecting arrhythmia recurrence was 27.7% relative to the 14-day monitoring. The diagnostic yield gradually improved with longer monitoring duration regardless of the period after the ablation procedure. Longer follow-up, however, was required to obtain similar diagnostic yield >1 year after as compared to <1 year after the procedure.Conclusions:Twenty-four-hour monitoring detected a part of the ATa recurrences after ablation procedures. Extended ELR enabled arrhythmia monitoring for longer, with higher diagnostic yield of recurrence, regardless of patient symptoms. (Circ J 2014; 78: 2637–2642)

収録刊行物

  • Circulation Journal

    Circulation Journal 78 (11), 2637-2642, 2014

    一般社団法人 日本循環器学会

被引用文献 (4)*注記

もっと見る

参考文献 (16)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ