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Digital devices for heart rhythm monitoring in atrial fibrillation patients scheduled for elective electrical cardioversion. / Dispositivos digitales para la monitorización del ritmo cardiaco en pacientes con fibrilación auricular programados para cardioversión eléctrica ambulatoria.
Benezet-Mazuecos, Juan; Alonso, Pau; Lozano, José Miguel; Salas, Jefferson; González Lorenzo, Oscar; Rodríguez-Mañero, Moisés; Narváez, Irene; Lozano, Álvaro; Miracle, Ángel; Crosa, Julián; Barrio, Isabel.
Afiliación
  • Benezet-Mazuecos J; Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario La Luz, Madrid, España. Electronic address: jbenezet@quironsalud.es.
  • Alonso P; Unidad de Arritmias, Servicio de Cardiología, Hospital de Manises, Manises, Valencia, España.
  • Lozano JM; Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario San Cecilio, Granada, España.
  • Salas J; Servicio de Cardiología, Hospital Sur Alcorcón, Alcorcón, Madrid, España.
  • González Lorenzo O; Servicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz, Madrid, España.
  • Rodríguez-Mañero M; Unidad de Arritmias, Complejo Hospitalario Universitario de Santiago de Compostela (CHUS), Santiago de Compostela, A Coruña, España.
  • Narváez I; Servicio de Cardiología, Hospital Quirónsalud Toledo, Toledo, España.
  • Lozano Á; Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario La Luz, Madrid, España.
  • Miracle Á; Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario La Luz, Madrid, España.
  • Crosa J; Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario La Luz, Madrid, España.
  • Barrio I; Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario La Luz, Madrid, España.
Med Clin (Barc) ; 2024 Aug 26.
Article en En, Es | MEDLINE | ID: mdl-39191551
ABSTRACT
INTRODUCTION AND

OBJECTIVES:

Management in recent-onset atrial fibrillation (AF) is to achieve sinus rhythm (SR) by cardioversion (CV). However, frequently SR is spontaneously restored, making scheduled admission unnecessary and causing misutilization of healthcare resources. Emerging medical technology allows accurate heart rhythm monitoring. This study evaluated this technology in these patients, preventing unnecessary admission and providing an earlier management.

METHODS:

A multicenter study was designed including patients with AF scheduled for elective electrical CV. Patients submitted ECG recordings to a central CoreLab daily, twice a day and whenever they present symptoms, until CV (spontaneous or scheduled) and a week afterwards. Whenever a spontaneous conversion to SR was detected, investigators were contacted to confirm SR and abort admission. Patients' satisfaction was evaluated using a test for perceived utility, convenience, and accessibility.

RESULTS:

74 patients were enrolled (age 62±10 years). Twenty-two patients (30%) showed spontaneous conversion to SR. A total of 22 admissions and 16 transesophageal echocardiograms were prevented. Among 52 patients admitted for CV, 45 (88%) were discharged in SR. During follow-up after conversion to SR (spontaneous or electrical), recurrences of AF occurred in 24 patients (34%). At the end of the follow-up 51 patients (69%) remained in SR. The CoreLab received 93% of the expected ECG transmissions. Patient's overall satisfaction score was 9.1 over 10.

CONCLUSION:

Digital devices for heart rhythm monitoring can optimize the management of AF patients scheduled for elective CV, preventing unnecessary admissions and providing a more rational use of healthcare resources.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En / Es Revista: Med Clin (Barc) Año: 2024 Tipo del documento: Article Pais de publicación: España
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En / Es Revista: Med Clin (Barc) Año: 2024 Tipo del documento: Article Pais de publicación: España