Impact of monitoring on detection of arrhythmia recurrences in the ESC-EHRA EORP atrial fibrillation ablation long-term registry
Jazyk angličtina Země Velká Británie, Anglie Médium print
Typ dokumentu časopisecké články, pozorovací studie, práce podpořená grantem
Odkazy
PubMed
31693093
DOI
10.1093/europace/euz216
PII: 5549235
Knihovny.cz E-zdroje
- Klíčová slova
- Ablation, Atrial fibrillation, EHRA registry, Recurrence, Rhythm monitoring,
- MeSH
- ablace * MeSH
- elektrokardiografie ambulantní metody MeSH
- elektrokardiografie metody MeSH
- fibrilace síní diagnóza chirurgie MeSH
- Kaplanův-Meierův odhad MeSH
- lidé MeSH
- následná péče MeSH
- recidiva MeSH
- registrace MeSH
- telefon MeSH
- telemetrie metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- pozorovací studie MeSH
- práce podpořená grantem MeSH
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 < 0.001). The rate of freedom from AF recurrences was 50.5% among patients using the ICM while it was 65.4%, 70.6%, and 72.8% using the TTMON, ECG, and Holter ECG, respectively. 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.
2nd Department of Medicine and Cardiology Center University of Szeged Szeged Hungary
ANMCO Research Center Florence Italy
Department of Cardiology Grochowski Hospital Postgraduate Medical School Warsaw Poland
Department of Electrophysiology Heart Center Leipzig at University of Leipzig Leipzig Germany
Department of Electrophysiology National Heart Hospital 65 Konyovitza Street 1309 Sofia Bulgaria
Department of Medical Science and Cardiology Uppsala University Uppsala Sweden
Hospital Universitario Insular de Gran Canaria Cardiology Las Palmas de Gran Canaria Spain
Humanitas Mater Domini Hospital Castellanza Italy
Institute for Clinical and Experimental Medicine Prague Czech Republic
Maria Cecilia Hospital GVM Care and Research Cotignola Ravenna Italy
Pauls Stradins Clinical University Hospital Latvian Centre of Cardiology Riga Latvia