Prevalence and Predictors of Clinically Relevant Atrial High-Rate Episodes in Patients with Cardiac Implantable Electronic Devices
DC Field | Value | Language |
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dc.contributor.author | Kim, Min | - |
dc.contributor.author | Kim, Tae-Hoon | - |
dc.contributor.author | Yu, Hee Tae | - |
dc.contributor.author | Choi, Eue-Keun | - |
dc.contributor.author | Park, Hyung-Seob | - |
dc.contributor.author | Park, Junbeom | - |
dc.contributor.author | Lee, Young Soo | - |
dc.contributor.author | Kang, Ki-Woon | - |
dc.contributor.author | Shim, Jaemin | - |
dc.contributor.author | Sung, Jung-Hoon | - |
dc.contributor.author | Oh, Il-Young | - |
dc.contributor.author | Joung, Boyoung | - |
dc.date.accessioned | 2022-03-04T17:41:21Z | - |
dc.date.available | 2022-03-04T17:41:21Z | - |
dc.date.created | 2021-12-07 | - |
dc.date.issued | 2021-03 | - |
dc.identifier.issn | 1738-5520 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/137768 | - |
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. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | KOREAN SOC CARDIOLOGY | - |
dc.subject | FIBRILLATION | - |
dc.subject | PACEMAKER | - |
dc.subject | DURATION | - |
dc.subject | STROKE | - |
dc.subject | RISK | - |
dc.subject | OUTCOMES | - |
dc.title | Prevalence and Predictors of Clinically Relevant Atrial High-Rate Episodes in Patients with Cardiac Implantable Electronic Devices | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Shim, Jaemin | - |
dc.identifier.doi | 10.4070/kcj.2020.0393 | - |
dc.identifier.wosid | 000624292700005 | - |
dc.identifier.bibliographicCitation | KOREAN CIRCULATION JOURNAL, v.51, no.3, pp.235 - 247 | - |
dc.relation.isPartOf | KOREAN CIRCULATION JOURNAL | - |
dc.citation.title | KOREAN CIRCULATION JOURNAL | - |
dc.citation.volume | 51 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 235 | - |
dc.citation.endPage | 247 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002686668 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | DURATION | - |
dc.subject.keywordPlus | FIBRILLATION | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | PACEMAKER | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | STROKE | - |
dc.subject.keywordAuthor | Arrhythmia | - |
dc.subject.keywordAuthor | Left atrium | - |
dc.subject.keywordAuthor | Pacemaker | - |
dc.subject.keywordAuthor | Sick sinus syndrome | - |
dc.subject.keywordAuthor | artificial | - |
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