| The use of transtelephonic loop recorders for the assessment of symptoms and arrhythmia recurrence after radiofrequency catheter ablation. | |
| | |
MedLine Citation:
|
PMID: 20815746 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Radiofrequency catheter ablation (RFA) is an effective treatment of arrhythmias. However, patients often remain symptomatic after the procedure. We aimed to assess the arrhythmia recurrence after successful RFA in relation to patients' symptoms using transtelephonic loop recorders. Thirty-six consecutive patients (age 50 +/- 14 years, 17 males/19 females) were enrolled after successful RFA for atrioventricular (AV) nodal reentrant tachycardia (n = 21), AV reentrant tachycardia (n = 8), atrial tachycardia (n = 2), atrial fibrillation/flutter (n = 4), and ventricular tachycardia (n = 1). During 23 +/- 6 days of follow-up, 679 events were recorded, 246 of which were true arrhythmic events, mostly (56%) asymptomatic. The vast majority of these true arrhythmic events were due to trivial arrhythmias (extrasystoles or sinus tachycardia), equally distributed among symptomatic and asymptomatic episodes. Arrhythmia relapse was shown in four patients, who had a total of nine episodes, eight of which were symptomatic. No high degree AV block was detected. Overall, symptom recurrence had low sensitivity (44%) and high specificity (95%) for the detection of any arrhythmia, and high sensitivity (89%) but low specificity (58%) for the detection of relapse. In conclusion, transtelephonic monitoring was a useful tool for the assessment of symptoms after RFA and its use may be reserved for the most symptomatic patients to detect a relapse or to reassure them for the benign nature of their symptoms. |
| | |
Authors:
|
Vassilios P Vassilikos; Vassilios Vogas; Georgios Giannakoulas; Lilian Mantziari; Ioanna Lekka; Konstantinos Dimitrakopoulos; Stelios Paraskevaidis; Sokratis Konias; Nikolaos Maglavelas; Ioanna Chouvarda; Haralambos Styliadis; Ioannis H Styliadis |
Related Documents
:
|
3981796 - Problems and anti-tachyarrhythmic effects of chronic atrial pacing. 991406 - Multilevel atrioventricular block. 8946456 - The importance of different atrioventricular delay for left ventricular filling in sequ... 12914626 - Pacemaker lead infection in young patients. 11510016 - Cerebral blood flow velocity increases during a single treatment with the molecular ads... 18333226 - The role of technetium-labelled hepato imino diacetic acid (hida) scan in the managemen... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Telemedicine journal and e-health : the official journal of the American Telemedicine Association Volume: 16 ISSN: 1556-3669 ISO Abbreviation: Telemed J E Health Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-09-06 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100959949 Medline TA: Telemed J E Health Country: United States |
Other Details:
|
Languages: eng Pagination: 792-8 Citation Subset: IM |
Affiliation:
|
First Cardiology Department, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece. vvassil@med.auth.gr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Arrhythmias, Cardiac
/
diagnosis,
prevention & control,
surgery* Atrial Fibrillation / diagnosis, surgery Atrial Flutter / diagnosis, surgery Catheter Ablation / instrumentation, methods* Electrocardiography / instrumentation* Female Humans Male Middle Aged Prospective Studies Recurrence Risk Factors Tachycardia, Atrioventricular Nodal Reentry / diagnosis, surgery Tachycardia, Supraventricular / diagnosis, surgery Tachycardia, Ventricular / diagnosis, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: E-health applications and services for patient empowerment: directions for best practices in The Net...
Next Document: Evaluation of data display for patient-oriented electronic record of anticoagulant therapy.