A Comprehensive Evaluation of Rhythm Monitoring Strategies for the Detection of Atrial Fibrillation Recurrence Insights From 647 Continuously Monitored Patients and Implications for Monitoring After Therapeutic Interventions
A Comprehensive Evaluation of Rhythm Monitoring Strategies for the Detection of Atrial Fibrillation Recurrence Insights From 647 Continuously Monitored Patients and Implications for Monitoring After Therapeutic Interventions
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DOI：
10.1161/circulationaha.112.098079
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发表时间：
2012-08-14
期刊：
影响因子：
37.8
通讯作者：
Hanke, Thorsten
中科院分区：
文献类型：
--
作者：
Charitos, Efstratios I.;Stierle, Ulrich;Hanke, Thorsten
背景-间歇性心律监测（ECG）检测心房颤动（AF）复发被用来评估治疗干预的成功。在大量连续监测（CM）的患者中，我们研究了不同频率和持续时间的心律失常策略对检测AF复发的敏感性，AF复发检测背后的动力学，我们描述了评估时间AF复发的措施。方法和结果-647例患者的心律史（平均AF负荷，0.12 ± 0.22;中位数，0.014; 687患者-年）。通过使用计算密集型模拟，评估了不同频率和持续时间的除颤对识别AF复发的敏感性。延长病程组上级优于短病程组（P
Background-Intermittent rhythm monitoring (IRM) to detect atrial fibrillation (AF) recurrence is employed to evaluate the success of therapeutic interventions. In a large population of patients with continuous monitoring (CM), we investigated the sensitivity of various frequencies and durations of IRM strategies on the detection of AF recurrence, the dynamics behind AF recurrence detection, and we describe measures to evaluate temporal AF recurrence.Methods and Results-Rhythm histories of 647 patients (mean AF burden, 0.12 +/- 0.22; median, 0.014; 687 patient-years) with implantable CM devices were reconstructed and analyzed. With the use of computationally intensive simulation, the sensitivity of IRM of various frequencies and durations on the identification of AF recurrence was evaluated. Prolonged-duration IRM was superior to shorter IRM (P