机构:[1]Department of Cardiology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, P.R. China内科科室心脏内科昆明医科大学附属第一医院[2]Department of Biomedical Engineering, University of Illinois at Chicago, Chicago, IL, U.S.A.
Background: The aim of this study was to evaluate the value of the implantable loop recorder (ILR) in diagnosing atrial fibrillation (AF) and assessing the postoperative efficacy of radiofrequency catheter ablation (RFCA). Material/Methods: A total of 32 patients who successfully underwent RFCA were selected. These patients discontinued antiarrhythmic medication with no AF recurrence for more than 3 months after RFCA, and underwent ILR placement by a conventional method. The clinical manifestations and information on arrhythmias recorded by the ILR were followed up to assess the efficacy of AF RFCA. Results: The mean follow-up period was 24.7 +/- 12.5 months. Of 32 patients with ILR information, 27 had successful RFCA and 5 had recurrent AF. The follow-up results obtained by traditional methods showed 29 patients with successful RFCA and 3 with recurrent AF (P<0.05). Among the 18 patients with clinical symptoms, 13 had recorded cardiac arrhythmic events (72.2%) and 5 showed sinus rhythm (27.8%). The ILRs recorded 18 patients with arrhythmic events (56.3%), including 12 cases of atrial arrhythmias, among whom 5 recurred at 9, 12, 16, 17, and 32 months after AF RFCA; there were also 2 patients with ventricular tachycardia (VT) and 4 with bradycardia. Conclusions: The value of ILR in assessing the efficacy of AF RFCA was superior to that of traditional methods. ILR can promptly detect asymptomatic AF, and can monitor electrocardiogram features after RFCA, thus providing objective evidence of efficacy.
第一作者机构:[1]Department of Cardiology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, P.R. China
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推荐引用方式(GB/T 7714):
Yang Ping,Pu Lijin,Yang Liuqing,et al.Value of Implantable Loop Recorders in Monitoring Efficacy of Radiofrequency Catheter Ablation in Atrial Fibrillation[J].MEDICAL SCIENCE MONITOR.2016,22:2846-2851.doi:10.12659/MSM.897333.
APA:
Yang, Ping,Pu, Lijin,Yang, Liuqing,Li, Fang,Luo, Zhiling...&Li, Shumin.(2016).Value of Implantable Loop Recorders in Monitoring Efficacy of Radiofrequency Catheter Ablation in Atrial Fibrillation.MEDICAL SCIENCE MONITOR,22,
MLA:
Yang, Ping,et al."Value of Implantable Loop Recorders in Monitoring Efficacy of Radiofrequency Catheter Ablation in Atrial Fibrillation".MEDICAL SCIENCE MONITOR 22.(2016):2846-2851