Τίτλος:
Influence of the duration of Holter monitoring on the detection of arrhythmia recurrences after catheter ablation of atrial fibrillation Implications for patient follow-up
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
We investigated the influence of Holter duration on the detection of recurrences after ablation for atrial fibrillation (AF). Two-hundredand-fifteen patients underwent a 7-day Holter ECG at 6 months after catheter ablation. We analyzed the number of patients who had a recurrence within the first 24, 48, 72 h etc. up to the total of 7 days. During the complete 7-day recording, 30% had a recurrence. All Holter durations <5 days would have detected significantly less patients with recurrence than the complete 7-day recording. A 24-hour Holter would have detected 59%, a 48-hour Holter 67% and a 72-hour Holter 80% of patients with recurrences, whereas a 4-day recording would have detected 91% of the recurrences that were detected with the complete 7-day recording. In conclusion, a Holter duration of less than 4 days misses a great portion of recurrences, whereas a 4-day recording might offer a reasonable compromise. © 2008 Published by Elsevier Ireland Ltd.
Συγγραφείς:
Dagres, N.
Kottkamp, H.
Piorkowski, C.
Weis, S.
Arya, A.
Sommer, P.
Bode, K.
Gerds-Li, J.-H.
Kremastinos, D.Th.
Hindricks, G.
Περιοδικό:
International Journal of Cardiology
Εκδότης:
Elsevier Ireland Ltd
Λέξεις-κλειδιά:
adult; article; catheter ablation; female; follow up; heart arrhythmia; heart atrium fibrillation; heart atrium flutter; Holter monitoring; human; major clinical study; male; priority journal; recurrent disease; supraventricular tachycardia; aged; comparative study; electrocardiography; heart arrhythmia; heart atrium fibrillation; letter; methodology; middle aged; pathophysiology; standard, Aged; Arrhythmias, Cardiac; Atrial Fibrillation; Catheter Ablation; Electrocardiography, Ambulatory; Female; Follow-Up Studies; Humans; Male; Middle Aged; Recurrence
DOI:
10.1016/j.ijcard.2008.10.004