Yield of atrial fibrillation detection with Textile Wearable Holter from the acute phase of stroke: Pilot study of Crypto-AF registry

被引：44

作者：

Pagola, Jorge ^{[1
]}

Juega, Jesus ^{[1
]}

Francisco-Pascual, Jaume ^{[2
]}

Moya, Angel ^{[2
]}

Sanchis, Mireia ^{[1
]}

Bustamante, Alejandro ^{[3
]}

Penalba, Anna ^{[3
]}

Usero, Maria ^{[4
]}

Cortijo, Elisa ^{[4
]}

Arenillas, Juan F. ^{[4
]}

Calleja, Ana I. ^{[4
]}

Sandin-Fuentes, Maria ^{[5
]}

Rubio, Jeronimo ^{[5
]}

Mancha, Fernando ^{[6
]}

Escudero-Martinez, Irene ^{[6
]}

Moniche, Francisco ^{[6
]}

de Torres, Reyes ^{[6
]}

Perez-Sanchez, Soledad ^{[6
]}

Gonzalez-Matos, Carlos E. ^{[6
]}

Vega, Angela ^{[6
]}

Pedrote, Alonso A. ^{[7
]}

Arana-Rueda, Eduardo ^{[7
]}

Montaner, Joan ^{[6
]}

Molina, Carlos A. ^{[1
]}

机构：

[1] Vall dHebron Hosp, Stroke Unit, Barcelona, Spain

[2] Vall dHebron Hosp, Arrhythmia Unit, Cardiol Dept, Barcelona, Spain

[3] Vall dHebron Res Inst, Neurovasc Res Lab, Barcelona, Spain

[4] Univ Hosp Valladolid, Stroke Unit, Valladolid, Spain

[5] Univ Hosp Valladolid, Arrhythmia Unit, Valladolid, Spain

[6] Univ Hosp Virgen Macaren Virgen del Rocio, Stroke Unit, Seville, Spain

[7] Univ Hosp Virgen Macaren Virgen del Rocio, Arrhythmia Unit, Seville, Spain

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2018年 / 251卷

关键词：

Atrial fibrillation; Holter; Cryptogenic stroke; Textile Wearable Holter; External loop recorder; CARDIAC OUTPATIENT TELEMETRY; ISCHEMIC-STROKE; MANAGEMENT; ECG;

D O I：

10.1016/j.ijcard.2017.10.063

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: We describe the feasibility of monitoring with a Textile Wearable Holter (TWH) in patients included in Crypto AF registry. Methods: We monitored cryptogenic stroke patients from stroke onset (<3 days) continuously during 28 days. We employed a TWH composed by a garment and a recorder. We compared two garments (Lead and Vest) to assess rate of undiagnosed Atrial Fibrillation (AF) detection, monitoring compliance, comfortability (1 to 5 points), skin lesions, and time analyzed. We describe the timing of AF detection in three periods (0-3, 4-15 and 16-28 days). Results: The rate of undiagnosed AF detection with TWH was 21.9% (32 out of 146 patients who completed the monitoring). Global time compliance was 90% of the time expected (583/644 h). The level of comfortability was 4 points (IQR 3-5). We detected reversible skin lesions in 5.47% (8/146). The comfortability was similar but time compliance (in hours) was longer in Vest group 591 (IQR [521-639]) vs. Lead 566 (IQR [397-620]) (p = 0.025). Also, time analyzed was more prolonged in Vest group 497 (IQR [419-557]) vs. Lead (336 h (IQR [140-520]) (p = 0.001)). The incidence of AF increases from 5.6% (at 3 days) to 17.5% (at 15th day) and up to 20.9% (at 28th day). The percentage of AF episodes detected only in each period was 12.5% (0-3 days); 21.7% (4-15 days) and 19% (16-28 days). Conclusions: 28 days Holter monitoring from the acute phase of the stroke was feasible with TWH. Following our protocol, only five patients were needed to screen to detected one case of AF. (C) 2017 Elsevier B.V. All rights reserved.

引用

页码：45 / 50

页数：6

共 25 条

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