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Impact of monitorin...
Impact of monitoring on detection of arrhythmia recurrences in the ESC-EHRA EORP atrial fibrillation ablation long-term registry
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Balabanski, Tosho (författare)
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Brugada, Josep (författare)
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Arbelo, Elena (författare)
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visa fler...
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Laroche, Cécile (författare)
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Maggioni, Aldo (författare)
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- Blomström-Lundqvist, Carina, 1954- (författare)
- Uppsala universitet,Kardiologi-arrytmi,Kardiologi
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Kautzner, Josef (författare)
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Tavazzi, Luigi (författare)
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Tritto, Massimo (författare)
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Kulakowski, Piotr (författare)
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Kalejs, Oskars (författare)
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Forster, Tamas (författare)
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Villalobos, Federico Segura (författare)
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Dagres, Nikolaos (författare)
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(creator_code:org_t)
- 2019-08-13
- 2019
- Engelska.
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Ingår i: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 21:12, s. 1802-1808
- Relaterad länk:
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https://academic.oup...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Ablation
- Atrial fibrillation
- EHRA registry
- Recurrence
- Rhythm monitoring
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Europace
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- Av författaren/redakt...
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Balabanski, Tosh ...
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Brugada, Josep
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Arbelo, Elena
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Laroche, Cécile
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Maggioni, Aldo
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Blomström-Lundqv ...
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visa fler...
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Kautzner, Josef
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Tavazzi, Luigi
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Tritto, Massimo
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Kulakowski, Piot ...
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Kalejs, Oskars
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Forster, Tamas
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Villalobos, Fede ...
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Dagres, Nikolaos
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visa färre...
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Uppsala universitet