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Incidental Arrhythmias During Atrial Fibrillation Screening With Repeat 7-Day Holter ECGs in a Hospital-Based Patient Population.
Goulouti, Eleni; Lam, Anna; Nozica, Nikolas; Elchinova, Elena; Dernektsi, Chrisoula; Neugebauer, Felix; Branca, Mattia; Servatius, Helge; Noti, Fabian; Haeberlin, Andreas; Thalmann, Gregor; Kozhuharov, Nikola Asenov; Madaffari, Antonio; Tanner, Hildegard; Reichlin, Tobias; Roten, Laurent.
Afiliación
  • Goulouti E; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Lam A; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Nozica N; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Elchinova E; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Dernektsi C; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Neugebauer F; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Branca M; Clinical Trials Unit University of Bern Switzerland.
  • Servatius H; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Noti F; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Haeberlin A; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Thalmann G; Sitem Center for Translational Medicine and Biomedical Entrepreneurship University of Bern Switzerland.
  • Kozhuharov NA; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Madaffari A; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Tanner H; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Reichlin T; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Roten L; Department of Cardiology Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
J Am Heart Assoc ; 13(4): e032223, 2024 Feb 20.
Article en En | MEDLINE | ID: mdl-38348803
ABSTRACT

BACKGROUND:

Screening for atrial fibrillation (AF) may reveal incidental arrhythmias of relevance. The aim of this study was to describe incidental arrhythmias detected during screening for AF in the STAR-FIB (Predicting SilenT AtRial FIBrillation in Patients at High Thrombembolic Risk) cohort study. METHODS AND

RESULTS:

In the STAR-FIB cohort study, we screened hospitalized patients for AF with 3 repeat 7-day Holter ECGs. We analyzed all Holter ECGs for the presence of the following incidental arrhythmias (1) sinus node dysfunction, defined as sinus pause of ≥3 seconds' duration; (2) second-degree (including Wenckebach) or higher-degree atrioventricular block (AVB); (3) sustained supraventricular tachycardia of ≥30 seconds' duration; and (4) sustained ventricular tachycardia of ≥30 seconds' duration. We furthermore report treatment decisions because of incidental arrhythmias. A total of 2077 Holter ECGs were performed in 794 patients (mean age, 74.7 years; 49% women), resulting in a mean cumulative duration of analyzable ECG signal of 414±136 hours/patient. We found incidental arrhythmias in 94 patients (11.8%). Among these were sinus node dysfunction in 14 patients (1.8%), AVB in 41 (5.2%), supraventricular tachycardia in 42 (5.3%), and ventricular tachycardia in 2 (0.3%). Second-degree AVB was found in 23 patients (2.9%), 21 AVB in 10 (1.3%), and complete AVB in 8 (1%). Subsequently, 8 patients underwent pacemaker implantation, 1 for sinus node dysfunction (post-AF conversion pause of 9 seconds) and 7 for advanced AVB. One patient had an implantable cardioverter-defibrillator implanted for syncopal ventricular tachycardia.

CONCLUSIONS:

Incidental arrhythmias were frequently detected during screening for AF in the STAR-FIB study and resulted in device therapy in 1.1% of our cohort patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Taquicardia Supraventricular / Taquicardia Ventricular / Desfibriladores Implantables / Bloqueo Atrioventricular Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: J Am Heart Assoc Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Taquicardia Supraventricular / Taquicardia Ventricular / Desfibriladores Implantables / Bloqueo Atrioventricular Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: J Am Heart Assoc Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido