Atrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: A prospective study
| العنوان: | Atrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: A prospective study |
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| المؤلفون: | Caroline Arquizan, Pierre Robert, François Roubille, Grégory Marin, Mariama Akodad, Laurence Pages, Jean Christophe Macia, Florence Leclercq, Guillaume Cayla, Delphine Delseny, Xavier Odorico, Audrey Agullo, Benoit Lattuca, Nicolas Gaillard |
| المساهمون: | Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Centre d’Ecologie Fonctionnelle et Evolutive (CEFE), Université Paul-Valéry - Montpellier 3 (UPVM)-École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD [France-Sud])-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Institut Agro - Montpellier SupAgro, Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] (PhyMedExp), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Institut de Génomique Fonctionnelle (IGF), Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro), Herrada, Anthony, CHU Montpellier, Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Université Paul-Valéry - Montpellier 3 (UPVM)-École Pratique des Hautes Études (EPHE) |
| المصدر: | International Journal of Cardiology. Heart & Vasculature International Journal of Cardiology. Heart & Vasculature, Elsevier, 2021, 37, pp.100919. ⟨10.1016/j.ijcha.2021.100919⟩ International Journal of Cardiology. Heart & Vasculature, 2021, 37, pp.100919. ⟨10.1016/j.ijcha.2021.100919⟩ IJC Heart & Vasculature IJC Heart & Vasculature, 2021, 37, pp.100919. ⟨10.1016/j.ijcha.2021.100919⟩ International Journal of Cardiology: Heart & Vasculature, Vol 37, Iss, Pp 100919-(2021) |
| بيانات النشر: | HAL CCSD, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Percutaneous, ASA, atrial septum aneurysm, Transthoracic echocardiography, [SDV]Life Sciences [q-bio], 030204 cardiovascular system & hematology, DSC, 0302 clinical medicine, Ambulatory electrocardiogram, PFO, Palpitations, Clinical endpoint, Prospective cohort study, Transient ischemic attack, Transesophageal echocardiography, Incidence (epidemiology), AIS, acute ischemic stroke, AIS, Atrial fibrillation, TEE, transesophageal echocardiography, 3. Good health, [SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, TTE, transthoracic echocardiography, Cardiology, cardiovascular system, TTE, medicine.symptom, Cardiology and Cardiovascular Medicine, medicine.medical_specialty, TIA, transient ischemic attack, ASA, AF, atrial fibrillation, PFO, patent foramen ovale, Acute ischemic stroke, Asymptomatic, 03 medical and health sciences, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, Internal medicine, AECG, ambulatory electrocardiogram, medicine, Diseases of the circulatory (Cardiovascular) system, DSC, decompression sickness, Holter Monitoring, Original Paper, AECG, Decompression sickness, business.industry, TIA, Percutaneous closure, AF, medicine.disease, Patent foramen ovale, TEE, RC666-701, Atrial septum aneurysm, business, 030217 neurology & neurosurgery |
| الوصف: | Highlights • Incidence of atrial fibrillation (AF) following patent foramen ovale (PFO) closure is low ( Background Increased risk of new-onset atrial fibrillation (AF) after patent foramen ovale (PFO) closure was observed in randomized trials without however systematic AF screening. We aimed to evaluate the incidence of AF within 6-month following PFO closure with serial 24-hour ambulatory electrocardiogram (AECG) monitoring. Methods All patients undergoing PFO closure were prospectively included in 2 centers. AF was defined as irregular rhythm without discernible P waves > 30 s on AECG at day 0, 1-month and 6-month follow-up. Primary endpoint was the incidence of AF within the study period. Secondary endpoints evaluated clinical outcomes within 6-month follow-up. Results Between February 2018 and March 2019, 62 patients underwent PFO closure including 40 male (64.5%) with a mean age of 48 ± 9.5. Atrial septal aneurysm was observed in 37 patients (64.9%), 57 patients (91.9%) received an Amplatzer Occluder device (Abbott Vascular) and 5 (8.1%) an Occlutech device (Occlutech). After a mean follow-up of 7.7 ± 2.8 months, new-onset AF occurred in 3 patients (4.8%), all within the first month following PFO closure, including one per-procedural, all were asymptomatic and paroxysmal. Two patients with AF (3.2%) required chronic oral anticoagulant therapy. No adverse outcomes occurred at follow-up. No predictive factors of AF were highlighted. A total of 16 patients (25.8%) reported palpitations without AF on the AECGs. Conclusion In highly selected patients, incidence of AF, evaluated with 3 systematic 24-hour AECG within 6-month following PFO closure, was low ( |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2352-9067 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e65bb9d4d76dddbbc9bb168aa710e5b9Test https://hal.archives-ouvertes.fr/hal-03470879Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e65bb9d4d76dddbbc9bb168aa710e5b9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23529067 |
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