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

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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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

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Item type

学内発行雑誌 / Departmental Bulletin Paper(1)

公開日

2015-12-15

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

eng

資源タイプ

departmental bulletin paper

著者

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

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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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.

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2023-05-15 12:41:01.083113

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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

× 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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