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The impact of home electrocardiograph measurement rate on the detection of atrial fibrillation recurrence after ablation: A prospective multicenter observational study

BACKGROUND: This multicenter prospective observational study examined the impact of additionally using a home electrocardiograph (ECG) to detect atrial fibrillation (AF) recurrence after ablation. METHODS: Between May 2019 and December 2020, 128 patients undergoing ablation were enrolled in the stud...

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Autores principales: Senoo, Keitaro, Yukawa, Arito, Ohkura, Takashi, Iwakoshi, Hibiki, Nishimura, Tetsuro, Shimoo, Satoshi, Inoue, Keiji, Sakatani, Tomohiko, Kakita, Ken, Hattori, Tetsuhisa, Kitajima, Hiroki, Nakai, Kentaro, Nishiuchi, Suguru, Nakata, Mitsuko, Teramukai, Satoshi, Shiraishi, Hirokazu, Matoba, Satoaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9938453/
https://www.ncbi.nlm.nih.gov/pubmed/36820388
http://dx.doi.org/10.1016/j.ijcha.2023.101177
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author Senoo, Keitaro
Yukawa, Arito
Ohkura, Takashi
Iwakoshi, Hibiki
Nishimura, Tetsuro
Shimoo, Satoshi
Inoue, Keiji
Sakatani, Tomohiko
Kakita, Ken
Hattori, Tetsuhisa
Kitajima, Hiroki
Nakai, Kentaro
Nishiuchi, Suguru
Nakata, Mitsuko
Teramukai, Satoshi
Shiraishi, Hirokazu
Matoba, Satoaki
author_facet Senoo, Keitaro
Yukawa, Arito
Ohkura, Takashi
Iwakoshi, Hibiki
Nishimura, Tetsuro
Shimoo, Satoshi
Inoue, Keiji
Sakatani, Tomohiko
Kakita, Ken
Hattori, Tetsuhisa
Kitajima, Hiroki
Nakai, Kentaro
Nishiuchi, Suguru
Nakata, Mitsuko
Teramukai, Satoshi
Shiraishi, Hirokazu
Matoba, Satoaki
author_sort Senoo, Keitaro
collection PubMed
description BACKGROUND: This multicenter prospective observational study examined the impact of additionally using a home electrocardiograph (ECG) to detect atrial fibrillation (AF) recurrence after ablation. METHODS: Between May 2019 and December 2020, 128 patients undergoing ablation were enrolled in the study. After performing ablation, they were instructed to measure their ECGs at home using Complete (ECG paired with a blood pressure monitor; Omron Healthcare, Japan) every day and to visit the hospital every 3 months until after 12 months for 24-hour Holter ECG and 12-lead ECG as usual care (UC). RESULTS: After ablation, 94 patients were followed up, and AF recurrence at 12 months was detected more commonly in adjudicators-interpreted Complete (31 [33 %]) than in UC (18 [9 %]) (hazard ratio 1.95, 95 % confidence interval [95 %CI] 1.35–2.81, P < 0.001). In patients with recurrent AF found via both modalities (n = 16), the time to first AF detection by Complete was 40.9 ± 73.9 days faster than that in UC (P = 0.04). Notably, when the adherence to Complete measurement was divided by 80 %, the add-on effect of Complete on the detection of recurrent AF in UC indicated the hazard ratio (HR) of 1.71 (95 %CI 0.92–3.18, P = 0.09) for the low adherence (<80 %) group, but it was significant for the high adherence (≥80 %) group, with HR of 2.19 (95 %CI 1.43–3.36, P < 0.001). CONCLUSIONS: Despite a shorter measurement time, Complete detected recurrent AF more frequently and faster compared with UC after AF ablation. A significant adherence-dependent difference of Complete was found in detecting AF recurrence.
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spelling pubmed-99384532023-02-19 The impact of home electrocardiograph measurement rate on the detection of atrial fibrillation recurrence after ablation: A prospective multicenter observational study Senoo, Keitaro Yukawa, Arito Ohkura, Takashi Iwakoshi, Hibiki Nishimura, Tetsuro Shimoo, Satoshi Inoue, Keiji Sakatani, Tomohiko Kakita, Ken Hattori, Tetsuhisa Kitajima, Hiroki Nakai, Kentaro Nishiuchi, Suguru Nakata, Mitsuko Teramukai, Satoshi Shiraishi, Hirokazu Matoba, Satoaki Int J Cardiol Heart Vasc Original Paper BACKGROUND: This multicenter prospective observational study examined the impact of additionally using a home electrocardiograph (ECG) to detect atrial fibrillation (AF) recurrence after ablation. METHODS: Between May 2019 and December 2020, 128 patients undergoing ablation were enrolled in the study. After performing ablation, they were instructed to measure their ECGs at home using Complete (ECG paired with a blood pressure monitor; Omron Healthcare, Japan) every day and to visit the hospital every 3 months until after 12 months for 24-hour Holter ECG and 12-lead ECG as usual care (UC). RESULTS: After ablation, 94 patients were followed up, and AF recurrence at 12 months was detected more commonly in adjudicators-interpreted Complete (31 [33 %]) than in UC (18 [9 %]) (hazard ratio 1.95, 95 % confidence interval [95 %CI] 1.35–2.81, P < 0.001). In patients with recurrent AF found via both modalities (n = 16), the time to first AF detection by Complete was 40.9 ± 73.9 days faster than that in UC (P = 0.04). Notably, when the adherence to Complete measurement was divided by 80 %, the add-on effect of Complete on the detection of recurrent AF in UC indicated the hazard ratio (HR) of 1.71 (95 %CI 0.92–3.18, P = 0.09) for the low adherence (<80 %) group, but it was significant for the high adherence (≥80 %) group, with HR of 2.19 (95 %CI 1.43–3.36, P < 0.001). CONCLUSIONS: Despite a shorter measurement time, Complete detected recurrent AF more frequently and faster compared with UC after AF ablation. A significant adherence-dependent difference of Complete was found in detecting AF recurrence. Elsevier 2023-01-19 /pmc/articles/PMC9938453/ /pubmed/36820388 http://dx.doi.org/10.1016/j.ijcha.2023.101177 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Paper
Senoo, Keitaro
Yukawa, Arito
Ohkura, Takashi
Iwakoshi, Hibiki
Nishimura, Tetsuro
Shimoo, Satoshi
Inoue, Keiji
Sakatani, Tomohiko
Kakita, Ken
Hattori, Tetsuhisa
Kitajima, Hiroki
Nakai, Kentaro
Nishiuchi, Suguru
Nakata, Mitsuko
Teramukai, Satoshi
Shiraishi, Hirokazu
Matoba, Satoaki
The impact of home electrocardiograph measurement rate on the detection of atrial fibrillation recurrence after ablation: A prospective multicenter observational study
title The impact of home electrocardiograph measurement rate on the detection of atrial fibrillation recurrence after ablation: A prospective multicenter observational study
title_full The impact of home electrocardiograph measurement rate on the detection of atrial fibrillation recurrence after ablation: A prospective multicenter observational study
title_fullStr The impact of home electrocardiograph measurement rate on the detection of atrial fibrillation recurrence after ablation: A prospective multicenter observational study
title_full_unstemmed The impact of home electrocardiograph measurement rate on the detection of atrial fibrillation recurrence after ablation: A prospective multicenter observational study
title_short The impact of home electrocardiograph measurement rate on the detection of atrial fibrillation recurrence after ablation: A prospective multicenter observational study
title_sort impact of home electrocardiograph measurement rate on the detection of atrial fibrillation recurrence after ablation: a prospective multicenter observational study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9938453/
https://www.ncbi.nlm.nih.gov/pubmed/36820388
http://dx.doi.org/10.1016/j.ijcha.2023.101177
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