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Sökning: WFRF:(Quartieri J.) > (2020-2023) > Ability to remotely...

Ability to remotely monitor atrial high-rate episodes using a single-chamber implantable cardioverter-defibrillator with a floating atrial sensing dipole

Hindricks, Gerhard (författare)
Department of Electrophysiology, Heart Centre Leipzig and Leipzig Heart Institute, Leipzig, Germany,Heart Ctr Leipzig & Leipzig Heart Inst, Dept Elect, Strumpellstr 39, D-04289 Leipzig, Germany.
Theuns, Dominic A. (författare)
Erasmus University Medical Center, Rotterdam, The Netherlands,Erasmus MC, S Gravendijkwal 230, NL-3015 GD Rotterdam, Netherlands.
Bar-Lev, David (författare)
Chaim Sheba Medical Center, Tel Hashomer, Israel,Chaim Sheba Med Ctr, IL-52621 Tel Hashomer, Israel.
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Anguera, Ignasi (författare)
Arrhythmia Unit, Heart Diseases Institute, Bellvitge Biomedical Research Institute (IDIBELL), Bellvitge University Hospital, Barcelona, Spain,Bellvitge Univ Hosp, Heart Dis Inst, Bellvitge Biomed Res Inst IDIBELL, Arrhythmia Unit, Barcelona, Spain.
Ayala Paredes, Félix Alejandro (författare)
Sherbrooke University Hospitals (CHUS), Quebec, Canada,Sherbrooke Univ Hosp CHUS, 3001 12E Ave Nord, Sherbrooke, PQ J1H 5N4, Canada.
Arnold, Martin (författare)
Department of Cardiology, Friedrich-Alexander-Universität Erlangen-Nuremberg, Erlangen, Germany,Friedrich Alexander Univ Erlangen Nuremberg, Dept Cardiol, Ulmenweg 18, D-91054 Erlangen, Germany.
Geller, J. Christoph (författare)
Zentralklin Bad Berka GmbH, Robert Koch Allee 9, D-99437 Bad Berka, Germany.
Merkely, Béla (författare)
Semmelweis Medical University, Budapest, Hungary,Semmelweis Univ, Varosmajorutca 68, H-1122 Budapest, Hungary.
Dyrda, Katia Marjolaine (författare)
Montreal Heart Institute affiliated with Université de Montréal, Montréal Québec, Canada,Univ Montreal, Montreal Heart Inst, 5000 Rue Belanger, Montreal, PQ H1T IC8, Canada.
Perings, Christian (författare)
St. Marien-Hospital GmbH, Lünen, Germany,St Marien Hosp GmbH, Altstadtstr 23, D-44534 Lunen, Germany.
Maglia, Giampiero (författare)
Azienda Ospedaliera Pugliese Ciaccio, Catanzaro, Italia,Azienda Osped Pugliese Ciaccio, Via Vinicio Cortese 25, I-88100 Catanzaro, Italy.
Ploux, Sylvain (författare)
Hôpital Haut Lévêque (CHU), Pessac Cedex, France,Hop Haut Leveque CHU, 1 Ave Magellan, F-33600 Pessac, France.
Meyhöfer, Jürgen (författare)
Maria Heimsuchung Caritas Klin Pankow, Breite Str 46 47, D-13187 Berlin, Germany.
Blomström-Lundqvist, Carina, 1954- (författare)
Uppsala universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiology, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Medical Science and Cardiology, Uppsala University, Uppsala, Sweden,Kardiologi,Örebro Univ, Sch Med Sci, Fac Med & Hlth, Dept Cardiol, SE-70182 Örebro, Sweden.
Karjalainen, Pasi (författare)
Satakunta Central Hospital, Sydänyksikkö, Pori, Finland,Satakunta Cent Hosp, Sairaalantie 3, Pori 28500, Finland.
Liang, Yanchun (författare)
General Hospital of Northern Theater Command, Shenyang, China,Gen Hosp Northern Theater Command, 83 Wenhua Rd, Shenyang 110016, Peoples R China.
Diemberger, Igor (författare)
Department of Experimental, Diagnostic and Specialty Medicine, Institute of Cardiology, University of Bologna, Bologna, Italia,Univ Bologna, Inst Cardiol, Dept Expt Diagnost & Specialty Med, Via Massarenti 9, I-40138 Bologna, Italy.
Wranicz, Jerzy Krzysztof (författare)
Department of Electrocardiology, Medical University of Lodz, Łódź, Poland,Med Univ Lodz, Dept Elect, Ul Pomorska 251, PL-92213 Lodz, Poland.
Barr, Craig (författare)
Russells Hall Hospital, Dudley, UK,Russells Hall Hosp, Pensett Rd, Dudley DY1 2HQ, England.
Quartieri, Fabio (författare)
Arcispedale Santa Maria Nuova, Viale Risorgimento 80, I-42123 Reggio Emilia, Italy.
Timmel, Tobias (författare)
Biotron SE & Co KG, Woermannkehre 1, D-12359 Berlin, Germany.
Bollmann, Andreas (författare)
Biotron SE & Co KG, Woermannkehre 1, D-12359 Berlin, Germany.
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Department of Electrophysiology, Heart Centre Leipzig and Leipzig Heart Institute, Leipzig, Germany Heart Ctr Leipzig & Leipzig Heart Inst, Dept Elect, Strumpellstr 39, D-04289 Leipzig, Germany (creator_code:org_t)
Oxford University Press, 2023
2023
Engelska.
Ingår i: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 25:5
Relaterad länk:
https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
https://urn.kb.se/re...
https://doi.org/10.1...
https://urn.kb.se/re...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Aims: To allow timely initiation of anticoagulation therapy for the prevention of stroke, the European guidelines on atrial fibrillation (AF) recommend remote monitoring (RM) of device-detected atrial high-rate episodes (AHREs) and progression of arrhythmia duration along pre-specified strata (6 min...<1h, 1 h...<24 h, >= 24h). We used the MATRIX registry data to assess the capability of a single-lead implantable cardioverter-defibrillator (ICD) with atrial sensing dipole (DX ICD system) to follow this recommendation in patients with standard indication for single-chamber ICD.Methods and results: In 1841 DX ICD patients with daily automatic RM transmissions, electrograms of first device-detected AHREs per patient in each duration stratum were adjudicated, and the corresponding positive predictive values (PPVs) for the detections to be true atrial arrhythmia were calculated. Moreover, the incidence and progression of new-onset AF was assessed in 1451 patients with no AF history. A total of 610 AHREs >= 6min were adjudicated. The PPV was 95.1% (271 of 285) for episodes 6min...<1h, 99.6% (253/254) for episodes 1 h...<24h, 100% (71/71) for episodes >= 24h, or 97.5% for all episodes (595/610). The incidence of new-onset AF was 8.2% (119/1451), and in 31.1% of them (37/119), new-onset AF progressed to a higher duration stratum. Nearly 80% of new-onset AF patients had high CHA(2)DS(2)-VASc stroke risk, and 70% were not on anticoagulation therapy. Age was the only significant predictor of new-onset AF.Conclusion: A 99.7% detection accuracy for AHRE >= 1h in patients with DX ICD systems in combination with daily RM allows a reliable guideline-recommended screening for subclinical AF and monitoring of AF-duration progression.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Nyckelord

Single-lead ICD with atrial sensing
DX ICD
Atrial fibrillation
AHRE
Remote monitoring
Risk of stroke

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