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Long-term intermittent versus short continuous heart rhythm monitoring for the detection of atrial fibrillation recurrences after catheter ablation
- Source :
- International Journal of Cardiology, 329, 105-112. Elsevier Ireland Ltd, International Journal of Cardiology, 329, pp. 105-112, International Journal of Cardiology, 329, 105-112
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Background: The utility of long-term intermittent heart rhythm monitoring after atrial fibrillation (AF) ablation remains undear. Therefore, we compared the efficacy and usability of long-term intermittent (AliveCor Kardia (R) (ACK)) versus short continuous (Hotter) heart rhythm monitoring for the detection of AF recurrences after AF ablation and evaluated ACK accuracy to detect AF.Methods: Patients were provided with Hotter (for >= 24 h) simultaneously with an ACK (4 weeks) used three times a day and in case of symptoms. The primary endpoint was the difference in proportion of patients diagnosed with recurrent AF by ACK as compared to Holier monitoring. Secondary endpoints were the usability (System Usability Scale and a four-item questionnaire) of ACK and Holler monitoring; and the accuracy of the ACK algorithm for AF detection.Results: Out of 126 post-ablation patients, 115 (91.3%; 35 females, median age 64.0 [58.0-68.0] years) transmitted overall 7838 ACK ECG recordings. ACK and Holler monitoring detected 29 (252%) and 17 (14.8%) patients with AF recurrences, respectively (p < 0.001). More than 2 weeks of ACK monitoring did not have additional diagnostic yield for detection of AF recurrences. Patients graded ACK higher than Hotter monitoring and found ACK more convenient in daily usage than Holler (p < 0.001). Sensitivity and specificity of ACK for AF detection were 95.3% and 97.5%, respectively.Conclusions: Long-term intermittent monitoring by ACK more effectively detects AF recurrences after AF ablation and has a higher patients' usability than short continuous Holter monitoring. ACK showed a high accuracy to detect AF. (C) 2021 Elsevier B.V. All rights reserved.
- Subjects :
- Telemonitoring
medicine.medical_specialty
medicine.medical_treatment
Vascular damage Radboud Institute for Health Sciences [Radboudumc 16]
Catheter ablation
030204 cardiovascular system & hematology
Sensitivity and Specificity
03 medical and health sciences
0302 clinical medicine
Recurrence
Internal medicine
MANAGEMENT
medicine
Clinical endpoint
Humans
030212 general & internal medicine
EXPERT CONSENSUS STATEMENT
business.industry
Holter
Atrial fibrillation
Middle Aged
Ablation
medicine.disease
Heart Rhythm
SURGICAL ABLATION
Catheter Ablation
Electrocardiography, Ambulatory
Cardiology
e-health
Female
AliveCor
m-health
FOLLOW-UP
Cardiology and Cardiovascular Medicine
Af ablation
business
Holter monitoring
Subjects
Details
- ISSN :
- 01675273
- Volume :
- 329
- Database :
- OpenAIRE
- Journal :
- International Journal of Cardiology
- Accession number :
- edsair.doi.dedup.....21d55b6124e3a816bb48f231e5111241