Document Detail

Comparison of rate assessment between resting heart rate and 24-hour Holter monitoring in patients with chronic atrial fibrillation.
MedLine Citation:
PMID:  22574539     Owner:  NLM     Status:  In-Process    
BACKGROUND: Target heart rate in rate control strategy has been proposed by the Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) study. There is limited data on the correlation of measured heart rate at rest and during Holter monitoring.
OBJECTIVE: To evaluate the proportion of achieved target heart rate between resting heart rate measuring and 24-hour Holter monitoring in patients with chronic atrial fibrillation who receive rate control strategy.
MATERIAL AND METHOD: Patients with chronic atrial fibrillation who archived target resting heart rate under rate control strategy at Siriraj Hospital and who underwent 24-hour Holter monitoring were studied to evaluate the correlation between two methods of heart rate control.
RESULTS: 47 patients were enrolled. Underlying cardiac conditions were as follows: hypertensive heart disease 44.7%, valvular heart disease 25%, coronary artery disease 17% and dilated cardiomyopathy 12.8%. There were 10 patients (21.3%) whose achieving target resting heart rate was not correlated with 24-hour Holter monitoring. Three patients (6.4%) underwent permanent pacemaker implantation due to sick sinus syndrome (SSS) or tachycardia-bradycardia syndrome.
CONCLUSION: In chronic atrial fibrillation patients that receive rate control strategy, evaluation of only resting heart rate might not be enough for long-term evaluation and treatment and 24-hour monitoring may be an additional helpful test in order to more precisely adjust medication for long-term treatment and detection of SSS.
Akanis Srisukwattana; Rungroj Krittayaphong
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  95 Suppl 2     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-05-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  S111-6     Citation Subset:  IM    
Division of Cardiology, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
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