Characteristics of patients with atrial high rate episodes detected by implanted defibrillator and resynchronisation devices
| العنوان: | Characteristics of patients with atrial high rate episodes detected by implanted defibrillator and resynchronisation devices |
|---|---|
| المؤلفون: | Wassim K Choucair, David Martin, Kazuo Miyazawa, Jonathan L. Halperin, Daniele Pastori, Gregory Y.H. Lip, Impact Study Investigators |
| المصدر: | Miyazawa, K, Pastori, D, Martin, D T, Choucair, W K, Halperin, J L, Lip, G Y H & IMPACT Study Investigators 2022, ' Characteristics of patients with atrial high rate episodes detected by implanted defibrillator and resynchronization devices ', Europace, vol. 24, no. 3, pp. 375-383 . https://doi.org/10.1093/europace/euab186 |
| بيانات النشر: | Oxford University Press (OUP), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Atrial high rate episode, medicine.medical_specialty, Clinical profile, cardiac implantable electronic device, Physiology (medical), Thromboembolism, Internal medicine, defibrillators, risk factors, Medicine, atrial fibrillation, In patient, humans, Stroke, atrial high rate episode, clinical profile, stroke, thromboembolism, aged, heart atria, High rate, Proportional hazards model, business.industry, Cardiac implantable electronic device, Hazard ratio, Atrial fibrillation, medicine.disease, Confidence interval, Cardiology, Cardiology and Cardiovascular Medicine, business, Atrial flutter |
| الوصف: | Aims Atrial high rate episodes (AHRE) are associated with increased risks of thromboembolism and cardiovascular mortality. However, the clinical characteristics of patients developing AHRE of various durations are not well studied. Methods This was an ancillary analysis of the multicenter, randomized IMPACT trial. In the present analysis, we classified patients according to duration of AHRE ≤6 minutes, >6 minutes to ≤6 hours, >6 hours to ≤24 hours and >24 hours, and investigated the association between clinical factors and the development of each duration of AHRE. Results Of 2,718 patients included in the trial, 945 (34.8%) developed AHRE. The incidence rates of each AHRE duration category were 10.7, 24.0, 0.14, and 0.07%, respectively. Using Cox regression analysis, heart failure was inversely associated with AHRE 6 minutes. Female gender was inversely associated with AHRE >6 minutes to ≤6 hours (HR 0.72, 95% CI 0.54–0.96, p=0.027) and >6 hours to ≤24 hours (HR 0.70, 95% CI 0.49–1.02, p=0.061). Hypertension was associated with AHRE >24 hours (HR 2.13, 95% CI 1.24–3.65, p=0.006). Conclusion AHRE >6 minutes to ≤6 hours were most prevalent among all AHRE duration categories. Age and history of AF/AFL were risk factors for AHRE >6 minutes. Women were at lower risk for AHRE >6 minutes to ≤24 hours, while hypertension was associated with AHRE >24 hours. Funding Acknowledgement Type of funding sources: None. Cumulative incidence of each AHRE burden |
| وصف الملف: | application/pdf |
| تدمد: | 1522-9645 0195-668X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5344603e83dbd97b726d9eab8e875748 https://doi.org/10.1093/eurheartj/ehab724.0463 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....5344603e83dbd97b726d9eab8e875748 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15229645 0195668X |
|---|