Cited 11 times in
Prevalence and Predictors of Clinically Relevant Atrial High-Rate Episodes in Patients with Cardiac Implantable Electronic Devices
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김태훈 | - |
dc.contributor.author | 유희태 | - |
dc.contributor.author | 정보영 | - |
dc.date.accessioned | 2021-04-29T17:29:17Z | - |
dc.date.available | 2021-04-29T17:29:17Z | - |
dc.date.issued | 2021-03 | - |
dc.identifier.issn | 1738-5520 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/182363 | - |
dc.description.abstract | Background and objectives: Atrial high-rate episodes (AHREs) can be continuously detected by cardiovascular implantable electronic devices (CIEDs); however, the predictors of clinically relevant AHREs are unclear. Methods: This prospective multicenter study monitored 816 patients (median age 73 years, 40.4% male) without atrial fibrillation (AF) from September 2017 to July 2020. AHREs was defined as a programmed atrial detection rate >220 beats/min. The reference values of 6 minutes and 6 hours were set to analyze clinical implication of AHREs based on previously published data that the 6 minutes excluded most episodes of oversensing. Results: During a median follow-up of 18 months (interquartile interval 9-26 months), AHREs with the longest durations of >15 seconds, >6 minutes, and >6 hours and clinically documented AF by electrocardiography were noted in 246 (30.1%), 112 (13.7%), 49 (6.0%), and 24 (2.9%) patients, respectively. Among patients developing AHREs >6 minutes, 102 (91.1%) of 112 patients were identified at the 6-month visit. Patients with AHREs >6 minutes had higher proportions of sick sinus syndrome, subjects with atrial premature beat >1% on Holter monitoring, and larger left atrium (LA) size than patients with AHREs ≤6 minutes. Multivariable logistic regression analysis showed that LA diameter >41 mm (odds ratio [OR], 2.08; 95% confidence interval [95% CI], 1.25-3.45), and sick sinus syndrome (OR, 3.22; 95% CI, 1.91-5.43) were associated with AHREs >6 minutes. Conclusions: In patients with LA diameter >41 mm, and sick sinus syndrome before CIEDs implantation is associated with risk of developing AHREs >6 minutes. Trial registration: ClinicalTrials.gov Identifier: NCT03303872. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English, Korean | - |
dc.publisher | Korean Society of Circulation | - |
dc.relation.isPartOf | KOREAN CIRCULATION JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Prevalence and Predictors of Clinically Relevant Atrial High-Rate Episodes in Patients with Cardiac Implantable Electronic Devices | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Min Kim | - |
dc.contributor.googleauthor | Tae Hoon Kim | - |
dc.contributor.googleauthor | Hee Tae Yu | - |
dc.contributor.googleauthor | Eue Keun Choi | - |
dc.contributor.googleauthor | Hyung Seob Park | - |
dc.contributor.googleauthor | Junbeom Park | - |
dc.contributor.googleauthor | Young Soo Lee | - |
dc.contributor.googleauthor | Ki Woon Kang | - |
dc.contributor.googleauthor | Jaemin Shim | - |
dc.contributor.googleauthor | Jung Hoon Sung | - |
dc.contributor.googleauthor | Il Young Oh | - |
dc.contributor.googleauthor | Boyoung Joung | - |
dc.identifier.doi | 10.4070/kcj.2020.0393 | - |
dc.contributor.localId | A01085 | - |
dc.contributor.localId | A02535 | - |
dc.contributor.localId | A03609 | - |
dc.relation.journalcode | J01952 | - |
dc.identifier.eissn | 1738-5555 | - |
dc.identifier.pmid | 33655723 | - |
dc.subject.keyword | Arrhythmia | - |
dc.subject.keyword | Left atrium | - |
dc.subject.keyword | Pacemaker, artificial | - |
dc.subject.keyword | Sick sinus syndrome | - |
dc.contributor.alternativeName | Kim, Tae-Hoon | - |
dc.contributor.affiliatedAuthor | 김태훈 | - |
dc.contributor.affiliatedAuthor | 유희태 | - |
dc.contributor.affiliatedAuthor | 정보영 | - |
dc.citation.volume | 51 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 235 | - |
dc.citation.endPage | 247 | - |
dc.identifier.bibliographicCitation | KOREAN CIRCULATION JOURNAL, Vol.51(3) : 235-247, 2021-03 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.