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Prevalence and Predictors of Clinically Relevant Atrial High-Rate Episodes in Patients with Cardiac Implantable Electronic Devices

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dc.contributor.author김태훈-
dc.contributor.author유희태-
dc.contributor.author정보영-
dc.date.accessioned2021-04-29T17:29:17Z-
dc.date.available2021-04-29T17:29:17Z-
dc.date.issued2021-03-
dc.identifier.issn1738-5520-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/182363-
dc.description.abstractBackground 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.statementOfResponsibilityopen-
dc.languageEnglish, Korean-
dc.publisherKorean Society of Circulation-
dc.relation.isPartOfKOREAN CIRCULATION JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titlePrevalence and Predictors of Clinically Relevant Atrial High-Rate Episodes in Patients with Cardiac Implantable Electronic Devices-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorMin Kim-
dc.contributor.googleauthorTae Hoon Kim-
dc.contributor.googleauthorHee Tae Yu-
dc.contributor.googleauthorEue Keun Choi-
dc.contributor.googleauthorHyung Seob Park-
dc.contributor.googleauthorJunbeom Park-
dc.contributor.googleauthorYoung Soo Lee-
dc.contributor.googleauthorKi Woon Kang-
dc.contributor.googleauthorJaemin Shim-
dc.contributor.googleauthorJung Hoon Sung-
dc.contributor.googleauthorIl Young Oh-
dc.contributor.googleauthorBoyoung Joung-
dc.identifier.doi10.4070/kcj.2020.0393-
dc.contributor.localIdA01085-
dc.contributor.localIdA02535-
dc.contributor.localIdA03609-
dc.relation.journalcodeJ01952-
dc.identifier.eissn1738-5555-
dc.identifier.pmid33655723-
dc.subject.keywordArrhythmia-
dc.subject.keywordLeft atrium-
dc.subject.keywordPacemaker, artificial-
dc.subject.keywordSick sinus syndrome-
dc.contributor.alternativeNameKim, Tae-Hoon-
dc.contributor.affiliatedAuthor김태훈-
dc.contributor.affiliatedAuthor유희태-
dc.contributor.affiliatedAuthor정보영-
dc.citation.volume51-
dc.citation.number3-
dc.citation.startPage235-
dc.citation.endPage247-
dc.identifier.bibliographicCitationKOREAN CIRCULATION JOURNAL, Vol.51(3) : 235-247, 2021-03-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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