Very-early detection of atrial fibrillation after ablation evaluated by a wearable ECG-patch predicts late blanking period recurrence: preliminary data from a prospective registry

Detalhes bibliográficos
Autor(a) principal: Marques Antunes, Miguel
Data de Publicação: 2024
Outros Autores: Cunha, Pedro, Lacerda Teixeira, Bárbara, Portugal, Guilherme, Valente, Bruno, Lousinha, Ana, Delgado, Ana Sofia, Alves, Sandra, Guerra, Cátia, Ferreira, Rui Cruz, Oliveira, Mario
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/63237
Resumo: © 2024 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
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spelling Very-early detection of atrial fibrillation after ablation evaluated by a wearable ECG-patch predicts late blanking period recurrence: preliminary data from a prospective registryAblationArrythmiaAtrial fibrillationBlanking periodExternal loop recorderRecurrence© 2024 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)Introduction: Atrial fibrillation (AF) ablation represents a safe and effective procedure to restore sinus rhythm. The idea that post-procedural AF episodes - during the blanking period - are not considered treatment failure has been increasingly challenged. The E-Patch, a single-use adhesive electrode, facilitates extended continuous ECG monitoring for 120 h. This pilot study aims to assess the effectiveness of this ambulatory monitoring device and investigate whether very-early AF recurrence correlates with delayed blanking period ablation outcomes. Methods: We conducted a single-center, prospective, longitudinal study, including consecutive post-ablation patients monitored with the E-patch. The ability of the device to continuously record was analyzed, as well as the occurrence of AF episodes during external 7-day loop-recorder in the 2nd-month post-ablation. Results: We included 40 patients, median age 62 years (IQR 56-70). E-Patch monitoring was obtained for a median of 118 h (IQR 112-120), with no discomfort nor interpretation artefacts. Very-early AF recurrence was detected in 11 (27.5 %) patients, with a median AF burden of 7 % (IQR 6 %-33 %). Late-blanking period AF was detected in 13 (33 %) of the external 7-day loop recordings. Of the 11 patients that had very-early AF recurrence, 10 (91 %) had late-blanking AF. Very-early AF detection showed 77 % (95 % CI 64 %-90 %) sensitivity and 96 % (95 % CI 90-100 %) specificity in predicting late-blanking AF, with a non-parametric ROC curve AUC of 0.903 (95 % 0.797--1.0). Conclusion: The E-Patch was able to detect very-early AF during an extended period. Very-early AF detection emerges as a predictor of AF recurrence during the late blanking period post-ablation.ElsevierRepositório da Universidade de LisboaMarques Antunes, MiguelCunha, PedroLacerda Teixeira, BárbaraPortugal, GuilhermeValente, BrunoLousinha, AnaDelgado, Ana SofiaAlves, SandraGuerra, CátiaFerreira, Rui CruzOliveira, Mario2024-03-07T14:15:35Z20242024-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/63237engInt J Cardiol Heart Vasc. 2024 Feb 21:51:10136910.1016/j.ijcha.2024.1013692352-9067info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T01:20:17Zoai:repositorio.ul.pt:10451/63237Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:14:31.769874Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Very-early detection of atrial fibrillation after ablation evaluated by a wearable ECG-patch predicts late blanking period recurrence: preliminary data from a prospective registry
title Very-early detection of atrial fibrillation after ablation evaluated by a wearable ECG-patch predicts late blanking period recurrence: preliminary data from a prospective registry
spellingShingle Very-early detection of atrial fibrillation after ablation evaluated by a wearable ECG-patch predicts late blanking period recurrence: preliminary data from a prospective registry
Marques Antunes, Miguel
Ablation
Arrythmia
Atrial fibrillation
Blanking period
External loop recorder
Recurrence
title_short Very-early detection of atrial fibrillation after ablation evaluated by a wearable ECG-patch predicts late blanking period recurrence: preliminary data from a prospective registry
title_full Very-early detection of atrial fibrillation after ablation evaluated by a wearable ECG-patch predicts late blanking period recurrence: preliminary data from a prospective registry
title_fullStr Very-early detection of atrial fibrillation after ablation evaluated by a wearable ECG-patch predicts late blanking period recurrence: preliminary data from a prospective registry
title_full_unstemmed Very-early detection of atrial fibrillation after ablation evaluated by a wearable ECG-patch predicts late blanking period recurrence: preliminary data from a prospective registry
title_sort Very-early detection of atrial fibrillation after ablation evaluated by a wearable ECG-patch predicts late blanking period recurrence: preliminary data from a prospective registry
author Marques Antunes, Miguel
author_facet Marques Antunes, Miguel
Cunha, Pedro
Lacerda Teixeira, Bárbara
Portugal, Guilherme
Valente, Bruno
Lousinha, Ana
Delgado, Ana Sofia
Alves, Sandra
Guerra, Cátia
Ferreira, Rui Cruz
Oliveira, Mario
author_role author
author2 Cunha, Pedro
Lacerda Teixeira, Bárbara
Portugal, Guilherme
Valente, Bruno
Lousinha, Ana
Delgado, Ana Sofia
Alves, Sandra
Guerra, Cátia
Ferreira, Rui Cruz
Oliveira, Mario
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Marques Antunes, Miguel
Cunha, Pedro
Lacerda Teixeira, Bárbara
Portugal, Guilherme
Valente, Bruno
Lousinha, Ana
Delgado, Ana Sofia
Alves, Sandra
Guerra, Cátia
Ferreira, Rui Cruz
Oliveira, Mario
dc.subject.por.fl_str_mv Ablation
Arrythmia
Atrial fibrillation
Blanking period
External loop recorder
Recurrence
topic Ablation
Arrythmia
Atrial fibrillation
Blanking period
External loop recorder
Recurrence
description © 2024 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
publishDate 2024
dc.date.none.fl_str_mv 2024-03-07T14:15:35Z
2024
2024-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/63237
url http://hdl.handle.net/10451/63237
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Int J Cardiol Heart Vasc. 2024 Feb 21:51:101369
10.1016/j.ijcha.2024.101369
2352-9067
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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