Recurrence rate of atrial fibrillation after the first clinical episode: A prospective evaluation using continuous cardiac rhythm monitoring

Clinical Cardiology
E N SimantirakisP E Vardas

Abstract

Decision making regarding a patient who has experienced a first clinical episode of atrial fibrillation (AF) is challenging, and the AF recurrences should be a significant consideration. Continuous long-term rhythm monitoring via implantable loop recorders (ILRs) has enabled us to evaluate the AF recurrence profile after the first clinical episode and to investigate clinical parameters associated with the course of the arrhythmia. Continuous rhythm monitoring via ILRs in AF patients after the first clinical episode is of clinical significance and precisely evaluate the AF recurrence profile. Thirty consecutive patients with paroxysmal AF received an ILR after their first symptomatic episode. We evaluated the maximum duration of episodes and the recurrence rate of the arrhythmia during a follow-up period of 3 years. Three patients (10%) had no AF recurrence, whereas 4 patients (13.3%) presented only 1 episode. Almost half of the patients (46.7%) had a low recurrence rate (<5 episodes/year), whereas the majority of patients (19/30) suffered from episodes with maximum duration ≤24 hours. Eleven patients (36.7%) presented either no episode or a low recurrence rate with episodes lasting ≤24 hours. The use of statins was greater in p...Continue Reading

Associated Clinical Trials

Aug 13, 2019·Konstantinos Tsioufis

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Citations

Oct 14, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Samuel LévySanjeev Saksena
Nov 17, 2020·The New England Journal of Medicine·Jason G AndradeUNKNOWN EARLY-AF Investigators
Aug 28, 2021·Journal of the American College of Cardiology·Jason G AndradeRicky D Turgeon
Nov 9, 2021·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Nakulan Nantha KumarKamalan Jeevaratnam
Jan 15, 2022·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Yanhong LiuGuangping Li

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