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Recurrence of Atrial Fibrillation within Three Months after Pulmonary Vein Isolation in Patients with Paroxysmal Atrial Fibrillation : Analysis Using an External Loop Recorder with Auto-trigger Function
https://showa.repo.nii.ac.jp/records/610
https://showa.repo.nii.ac.jp/records/6101468657d-047f-49d6-9d7e-348ee5af422e
名前 / ファイル | ライセンス | アクション |
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S26_109.pdf (327.8 kB)
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Item type | 学内発行雑誌 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2015-12-15 | |||||
タイトル | ||||||
タイトル | Recurrence of Atrial Fibrillation within Three Months after Pulmonary Vein Isolation in Patients with Paroxysmal Atrial Fibrillation : Analysis Using an External Loop Recorder with Auto-trigger Function | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ | departmental bulletin paper | |||||
著者 |
KAWASAKI, Shiro
× KAWASAKI, Shiro× TANNO, Kaoru× OCHI, Akinori× INOKUCHI, Koichiro× CHIBA, Yuta× ONISHI, Yoshimi× ONUMA, Yoshimasa× MUNETSUGU, Yumi× KIKUCHI, Miwa× ITO, Hiroyuki× ONUKI, Tatsuya× MIYOSHI, Fumito× MINOURA, Yoshino× WATANABE, Norikazu× ADACHI, Taro× ASANO, Taku× KOBAYASHI, Youichi |
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書誌情報 |
The Showa University journal of medical sciences 巻 26, 号 2, p. 109-119, 発行日 2014-06 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Pulmonary vein isolation (PVI) via catheter ablation has been shown to be a highly effective option for patients with symptomatic paroxysmal atrial brillation (AF). The recurrence of AF within 3 months after PVI is not considered a failure of the ablation procedure because early recurrence of AF is not always associated with late recurrence. We examined the usefulness of an external loop recorder with auto-trigger function (ELR-AUTO) to detect AF following PVI to characterize early recurrence and determine the implication of AF within 3 months after PVI. The study included 53 consecutive patients with symptomatic paroxysmal AF (age, 61.6 ± 12.6 years ; 77% male) who underwent PVI, and were fitted with an ELR-AUTO for 7 ± 2 days within 3 months after PVI. Of the 33 patients(62.2%) who did not have AF within the 3-month period, only 1 patient had AF recurrence at 12 months. Seven of 20 patients (35%) who experienced AF within 3 months had symptomatic AF recurrence at 12 months. The sensitivity, specificity, positive predictive value, and negative predictive value of early AF recurrence for late recurrence was 87.5%, 71.1%, 35.0%, and 96.9%, respectively. Thus, AF recurrence detected by ELR-AUTO within 3 months after PVI can predict late AF recurrence. Freedom from AF in the firrst 3 months following ablation significantly predicts long-term freedom from AF. An ELR-AUTO is useful for detecting symptomatic and asymptomatic AF. | |||||
DOI | ||||||
関連識別子 | 10.15369/sujms.26.109 | |||||
出版者 | ||||||
出版者 | Showa University Society | |||||
ISSN | ||||||
収録物識別子 | 0915-6380 | |||||
著者版フラグ | ||||||
出版タイプ | VoR |