Long-term intermittent versus short continuous heart rhythm monitoring for the detection of atrial fibrillation recurrences after catheter ablation
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Long-term intermittent versus short continuous heart rhythm monitoring for the detection of atrial fibrillation recurrences after catheter ablation. / Hermans, Astrid N.L.; Gawalko, Monika; Pluymaekers, Nikki A.H.A.; Dinh, Trang; Weijs, Bob; van Mourik, Manouk J.W.; Vorstermans, Bianca; den Uijl, Dennis W.; Opsteyn, Ludo; Snippe, Hilco; Vernooy, Kevin; Crijns, Harry J.G.M.; Linz, Dominik; Luermans, Justin G.L.M.
In: International Journal of Cardiology, Vol. 329, 2021, p. 105-112.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Long-term intermittent versus short continuous heart rhythm monitoring for the detection of atrial fibrillation recurrences after catheter ablation
AU - Hermans, Astrid N.L.
AU - Gawalko, Monika
AU - Pluymaekers, Nikki A.H.A.
AU - Dinh, Trang
AU - Weijs, Bob
AU - van Mourik, Manouk J.W.
AU - Vorstermans, Bianca
AU - den Uijl, Dennis W.
AU - Opsteyn, Ludo
AU - Snippe, Hilco
AU - Vernooy, Kevin
AU - Crijns, Harry J.G.M.
AU - Linz, Dominik
AU - Luermans, Justin G.L.M.
N1 - Publisher Copyright: © 2021 Elsevier B.V.
PY - 2021
Y1 - 2021
N2 - Background: The utility of long-term intermittent heart rhythm monitoring after atrial fibrillation (AF) ablation remains unclear. Therefore, we compared the efficacy and usability of long-term intermittent (AliveCor Kardia® (ACK)) versus short continuous (Holter) heart rhythm monitoring for the detection of AF recurrences after AF ablation and evaluated ACK accuracy to detect AF. Methods: Patients were provided with Holter (for ≥24 h) simultaneously with an ACK (4 weeks) used three times a day and in case of symptoms. The primary endpoint was the difference in proportion of patients diagnosed with recurrent AF by ACK as compared to Holter monitoring. Secondary endpoints were the usability (System Usability Scale and a four-item questionnaire) of ACK and Holter monitoring; and the accuracy of the ACK algorithm for AF detection. Results: Out of 126 post-ablation patients, 115 (91.3%; 35 females, median age 64.0 [58.0–68.0] years) transmitted overall 7838 ACK ECG recordings. ACK and Holter monitoring detected 29 (25.2%) and 17 (14.8%) patients with AF recurrences, respectively (p < 0.001). More than 2 weeks of ACK monitoring did not have additional diagnostic yield for detection of AF recurrences. Patients graded ACK higher than Holter monitoring and found ACK more convenient in daily usage than Holter (p < 0.001). Sensitivity and specificity of ACK for AF detection were 95.3% and 97.5%, respectively. Conclusions: Long-term intermittent monitoring by ACK more effectively detects AF recurrences after AF ablation and has a higher patients' usability than short continuous Holter monitoring. ACK showed a high accuracy to detect AF.
AB - Background: The utility of long-term intermittent heart rhythm monitoring after atrial fibrillation (AF) ablation remains unclear. Therefore, we compared the efficacy and usability of long-term intermittent (AliveCor Kardia® (ACK)) versus short continuous (Holter) heart rhythm monitoring for the detection of AF recurrences after AF ablation and evaluated ACK accuracy to detect AF. Methods: Patients were provided with Holter (for ≥24 h) simultaneously with an ACK (4 weeks) used three times a day and in case of symptoms. The primary endpoint was the difference in proportion of patients diagnosed with recurrent AF by ACK as compared to Holter monitoring. Secondary endpoints were the usability (System Usability Scale and a four-item questionnaire) of ACK and Holter monitoring; and the accuracy of the ACK algorithm for AF detection. Results: Out of 126 post-ablation patients, 115 (91.3%; 35 females, median age 64.0 [58.0–68.0] years) transmitted overall 7838 ACK ECG recordings. ACK and Holter monitoring detected 29 (25.2%) and 17 (14.8%) patients with AF recurrences, respectively (p < 0.001). More than 2 weeks of ACK monitoring did not have additional diagnostic yield for detection of AF recurrences. Patients graded ACK higher than Holter monitoring and found ACK more convenient in daily usage than Holter (p < 0.001). Sensitivity and specificity of ACK for AF detection were 95.3% and 97.5%, respectively. Conclusions: Long-term intermittent monitoring by ACK more effectively detects AF recurrences after AF ablation and has a higher patients' usability than short continuous Holter monitoring. ACK showed a high accuracy to detect AF.
KW - AliveCor
KW - Atrial fibrillation
KW - e-health
KW - Holter
KW - m-health
KW - Telemonitoring
U2 - 10.1016/j.ijcard.2020.12.077
DO - 10.1016/j.ijcard.2020.12.077
M3 - Journal article
C2 - 33412184
AN - SCOPUS:85099373104
VL - 329
SP - 105
EP - 112
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
ER -
ID: 280283806