keyword
https://read.qxmd.com/read/34687805/screening-for-paroxysmal-atrial-fibrillation-in-primary-care-using-holter-monitoring-and-intermittent-ambulatory-single-lead-electrocardiography
#21
JOURNAL ARTICLE
Evert P M Karregat, Nicole Verbiest-van Gurp, Anne C Bouwman, Steven B Uittenbogaart, Jelle C L Himmelreich, Wim A M Lucassen, Sébastien P J Krul, Henri A M van Kesteren, Justin G L M Luermans, Henk C P M van Weert, Henri E J H Stoffers
BACKGROUND: Timely detection of atrial fibrillation (AF) is important because of its increased risk of thrombo-embolic events. Single time point screening interventions fall short in detection of paroxysmal AF, which requires prolonged electrocardiographic monitoring, usually using a Holter. However, traditional 24-48 h Holter monitoring is less appropriate for screening purposes because of its low diagnostic yield. Intermittent, ambulatory screening using a single-lead electrocardiogram (1 L-ECG) device can offer a more efficient alternative...
December 15, 2021: International Journal of Cardiology
https://read.qxmd.com/read/34663747/long-term-follow-up-and-sex-differences-in-adults-operated-for-tetralogy-of-fallot
#22
JOURNAL ARTICLE
Alessia Quattrone, Oyvind H Lie, Eirik Nestaas, Charlotte de Lange, Kirsti Try, Harald L Lindberg, Helge Skulstad, Gunnar Erikssen, Thor Edvardsen, Kristina Haugaa, Mette E Estensen
OBJECTIVE: Adults operated for tetralogy of Fallot (TOF) have high risk of ventricular arrhythmias (VA). QRS duration >180 ms is an established risk factor for VA. We aimed to investigate heart function, prevalence of arrhythmias and sex differences in patients with TOF at long-term follow-up. METHODS: We included TOF-operated patients≥18 years from our centre's registry. We reviewed medical records and the most recent echocardiographic exam. VA was recorded on ECGs, 24-hour Holter registrations and from implantable cardioverter defibrillator...
October 2021: Open Heart
https://read.qxmd.com/read/34643025/factors-associated-with-non-completion-of-and-scores-on-physical-capability-tests-in-health-surveys-the-north-health-in-intellectual-disability-study
#23
JOURNAL ARTICLE
Monica Isabel Olsen, Marianne Berg Halvorsen, Erik Søndenaa, Bjørn Heine Strand, Ellen Melbye Langballe, Anders Årnes, Henriette Michalsen, Frode Kibsgaard Larsen, Wenche Gamst, Erik Bautz-Holter, Audny Anke
BACKGROUND: This study investigated the completion rates, scores and factors associated with non-completion and low scores on physical capability tests in a health survey administered to adults with intellectual disabilities. METHOD: Assessment comprised body mass index (BMI), the Short Physical Performance Battery (SPPB), the timed up-and-go (TUG) test, the one-legged stance (OLS) test; and gross motor, communication and behavioural functioning tests. RESULTS: The completion rates among 93 participants (aged 17-78) were 46% for the SPPB, 42% for the TUG, and 31% for the OLS...
October 12, 2021: Journal of Applied Research in Intellectual Disabilities: JARID
https://read.qxmd.com/read/34236476/autonomic-dysfunction-and-heart-rate-variability-with-holter-monitoring-a-diagnostic-look-at-autonomic-regulation
#24
REVIEW
Beatrice De Maria, Laura Adelaide Dalla Vecchia, Alberto Porta, Maria Teresa La Rovere
Heart rate variability (HRV) refers to the beat-to-beat variation of the cardiac cycle. Since heart rate is modulated on a beat-to-beat basis by the combined influence of the sympathetic and parasympathetic nervous system at the sinus node level, HRV has been considered an indirect biomarker of cardiac autonomic control and widely exploited for the assessment of autonomic function in many pathological subjects. This focus article summarizes the main findings derived from HRV analysis applied to 24‑h Holter monitoring in both cardiac and non-cardiac diseases as well as in physiological conditions in the healthy population...
September 2021: Herzschrittmachertherapie & Elektrophysiologie
https://read.qxmd.com/read/33931293/performance-insights-of-endobronchial-ultrasonography-ebus-and-mediastinoscopy-for-mediastinal-lymph-node-staging-in-lung-cancer
#25
JOURNAL ARTICLE
M P J Visser, I van Grimbergen, J Hölters, W B Barendregt, L C Vermeer, W Vreuls, J Janssen
INTRODUCTION: Endobronchial Ultrasonography (EBUS) and mediastinoscopy are used for mediastinal lymph node staging in patients with suspected non-small cell lung carcinoma (NSCLC). In our hospital, confirmatory mediastinoscopy has been largely abandoned, which may reduce the number of surgical interventions and health care costs. This study provides insight into EBUS and mediastinoscopy performance in patients with proven NSCLC from January 2007 until January 2019. METHODS: This is a single-centre, retrospective study, evaluating unforeseen N2 rates, negative predictive value and survival, providing insight into the diagnostic yield of EBUS and mediastinoscopy...
June 2021: Lung Cancer: Journal of the International Association for the Study of Lung Cancer
https://read.qxmd.com/read/33655723/prevalence-and-predictors-of-clinically-relevant-atrial-high-rate-episodes-in-patients-with-cardiac-implantable-electronic-devices
#26
JOURNAL ARTICLE
Min Kim, Tae Hoon Kim, Hee Tae Yu, Eue Keun Choi, Hyung Seob Park, Junbeom Park, Young Soo Lee, Ki Woon Kang, Jaemin Shim, Jung Hoon Sung, Il Young Oh, Boyoung Joung
BACKGROUND AND OBJECTIVES: Atrial high-rate episodes (AHREs) can be continuously detected by cardiovascular implantable electronic devices (CIEDs); however, the predictors of clinically relevant AHREs are unclear. METHODS: This prospective multicenter study monitored 816 patients (median age 73 years, 40.4% male) without atrial fibrillation (AF) from September 2017 to July 2020. AHREs was defined as a programmed atrial detection rate >220 beats/min. The reference values of 6 minutes and 6 hours were set to analyze clinical implication of AHREs based on previously published data that the 6 minutes excluded most episodes of oversensing...
March 2021: Korean Circulation Journal
https://read.qxmd.com/read/33167574/evolution-of-heart-rate-variability-and-heart-rate-turbulence-in-patients-with-depressive-illness-treated-with-selective-serotonin-reuptake-inhibitors
#27
JOURNAL ARTICLE
Catalina Giurgi-Oncu, Cristina Tudoran, Virgil Radu Enatescu, Mariana Tudoran, Gheorghe Nicusor Pop, Cristina Bredicean
Background and objectives : Major depressive disorder (MDD) and cardiovascular diseases (CVDs) represent serious and prevalent medical conditions. Autonomic nervous system (ANS) dysfunctions, expressed by parameters of heart rate variability (HRV) and heart rate turbulence (HRT), have been repeatedly associated with depression. The aim of our study was to identify potential HRV and HRT alterations in patients with MDD, before and after selective serotonin reuptake inhibitor (SSRI) therapy, and to observe any correlations between these parameters and the severity of depressive symptoms...
November 5, 2020: Medicina
https://read.qxmd.com/read/33150136/age-and-sex-differences-in-heart-rate-variability-and-vagal-specific-patterns-baependi-heart-study
#28
JOURNAL ARTICLE
Glaucylara Reis Geovanini, Enio Rodrigues Vasques, Rafael de Oliveira Alvim, José Geraldo Mill, Rodrigo Varejão Andreão, Bruna Kim Vasques, Alexandre Costa Pereira, Jose Eduardo Krieger
Background: Heart rate variability (HRV) is a noninvasive method for assessing autonomic function. Age, sex, and chronic conditions influence HRV. Objectives: Our aim was to evaluate HRV measures exploring differences by age, sex, and race in a sample from a rural area. Methods: Analytical sample (n = 1,287) included participants from the 2010 to 2016 evaluation period of the Baependi Heart Study, a family-based cohort in Brazil. Participants underwent 24-hour Holter-ECG (Holter) monitoring...
October 21, 2020: Global Heart
https://read.qxmd.com/read/32999874/the-role-of-heart-rate-variability-and-fragmented-qrs-for-determination-of-subclinical-cardiac-involvement-in-beta-thalassemia-major
#29
JOURNAL ARTICLE
Mozhgan Parsaee, Amir Farjam Fazelifar, Elham Ansaripour, Azita Azarkeyvan, Behshid Ghadrdoost, Ashraf Charmizadeh, Mohaddeseh Behjati
Background: Iron accumulation leads to increased susceptibility to cardiovascular diseases in thalassemia major (TM) patients. Depressed heart rate variability (HRV) and development of arrhythmia are among the manifestations of subclinical cardiac involvement in TM cases. Determination of subclinical cardiac involvement is essential for preventive measures. Thus, we aimed to evaluate the best method for identification of subclinical cardiac dysfunction in TM cases. Materials and Methods: In this prospective study, 45 TM and 45 non-TM cases, who were referred for cardiac evaluation, were enrolled...
August 2020: Pulse (Basel, Switzerland)
https://read.qxmd.com/read/32932022/is-there-heart-disease-in-cases-of-neurodegeneration-associated-with-mutations-in-c19orf12
#30
JOURNAL ARTICLE
Marta Skowronska, Malgorzata Buksinska-Lisik, Tomasz Kmiec, Tomasz Litwin, Iwona Kurkowska-Jastrzębska, Anna Czlonkowska
INTRODUCTION: In mitochondrial membrane protein-associated neurodegeneration (MPAN), a subtype of neurodegeneration with brain iron accumulation (NBIA), patients suffer from optic nerve atrophy and dementia, which are also typical for another group of diseases, the mitochondrial diseases (MD). Around 30% of patients with MD have heart disease, commonly cardiomyopathy and arrhythmias, and 10% experience a major adverse cardiovascular event. The aim of this study was to assess cardiac involvement in MPAN...
September 8, 2020: Parkinsonism & related Disorders
https://read.qxmd.com/read/32820647/recruitment-retention-and-adherence-in-a-clinical-trial-the-pediatric-heart-network-s-marfan-trial-experience
#31
JOURNAL ARTICLE
Michelle S Hamstra, Victoria L Pemberton, Nicholas Dagincourt, Danielle Hollenbeck-Pringle, Felicia L Trachtenberg, James F Cnota, Andrew M Atz, Elizabeth Cappella, Sylvia De Nobele, Josephine Grima, Martha King, Rosalind Korsin, Linda M Lambert, Meghan K MacNeal, Larry W Markham, Gretchen MacCarrick, Donna M Sylvester, Patricia Walter, Mingfen Xu, Ronald V Lacro
BACKGROUND/AIMS: The Pediatric Heart Network Marfan Trial was a randomized trial comparing atenolol versus losartan on aortic root dilation in 608 children and young adults with Marfan syndrome. Barriers to enrollment included a limited pool of eligible participants, restrictive entry criteria, and a diverse age range that required pediatric and adult expertise. Retention was complicated by a 3-year commitment to a complex study and medication regimen. The Network partnered with the Marfan Foundation, bridging the community with the research...
August 21, 2020: Clinical Trials: Journal of the Society for Clinical Trials
https://read.qxmd.com/read/32643892/autonomic-dysfunction-in-a-group-of-lower-extremities-arterial-disease-outpatients
#32
JOURNAL ARTICLE
Carmelo Buttà, Antonino Tuttolomondo, Alessandra Casuccio, Domenico Di Raimondo, Giuseppe Miceli, Francesco Cuttitta, Valentina Zappulla, Francesca Corpora, Antonio Pinto
BACKGROUND: The understanding of the specific role of sympathetic neural control and dysregulation in lower extremities arterial disease (LEAD) is still very limited. Aim of our study was to investigate the autonomic profile in LEAD patients and to evaluate if the eventual autonomic alterations were more severe in patients with advanced disease. METHODS: We enrolled all consecutive outpatients with LEAD referred to our Departments between July 2012 and September 2014...
July 8, 2020: Minerva Cardioangiologica
https://read.qxmd.com/read/32279383/automatic-holter-electrocardiogram-analysis-in-ischaemic-stroke-patients-to-detect-paroxysmal-atrial-fibrillation-ready-to-replace-physicians
#33
JOURNAL ARTICLE
S Gröschel, B Lange, M Grond, M Jauss, P Kirchhof, T Rostock, R Wachter, K Gröschel, T Uphaus
BACKGROUND AND PURPOSE: The detection of paroxysmal atrial fibrillation (pAF) in patients presenting with ischaemic stroke shifts secondary stroke prevention to oral anticoagulation. In order to deal with the time- and resource-consuming manual analysis of prolonged electrocardiogram (ECG)-monitoring data, we investigated the effectiveness of pAF detection with an automated algorithm (AA) in comparison to a manual analysis with software support within the IDEAS study [study analysis (SA)]...
July 2020: European Journal of Neurology
https://read.qxmd.com/read/31787389/accuracy-of-wrist-worn-heart-rate-monitors-for-rate-control-assessment-in-atrial-fibrillation
#34
JOURNAL ARTICLE
Ahmed M Al-Kaisey, Anoop N Koshy, Francis J Ha, Ryan Spencer, Liam Toner, Jithin K Sajeev, Andrew W Teh, Omar Farouque, Han S Lim
BACKGROUND: Wrist-worn heart rate (HR) monitors are increasingly popular. A paucity of data exists on their accuracy in atrial fibrillation (AF) in ambulatory patients. We sought to assess the HR accuracy of two commercially available smart watches [SW] (Fitbit Charge HR [FB] and Apple Watch Series 3 [AW]) compared with Holter monitoring in an ambulant patient cohort. METHODS: Thirty-two participants ≥18 years referred for 24-hour Holter monitoring were prospectively recruited...
February 1, 2020: International Journal of Cardiology
https://read.qxmd.com/read/31727603/assessment-of-ventricular-tachyarrhythmia-in-patients-with-hypertrophic-cardiomyopathy-with-machine-learning-based-texture-analysis-of-late-gadolinium-enhancement-cardiac-mri
#35
JOURNAL ARTICLE
D Alis, A Guler, M Yergin, O Asmakutlu
OBJECTIVE: To assess the diagnostic value of machine learning-based texture feature analysis of late gadolinium enhancement images on cardiac magnetic resonance imaging (MRI) for assessing the presence of ventricular tachyarrhythmia (VT) in patients with hypertrophic cardiomyopathy. MATERIALS AND METHODS: This retrospective study included 64 patients with hypertrophic cardiomyopathy who underwent cardiac MRI and 24-hour Holter monitoring within 1 year before cardiac MRI...
March 2020: Diagnostic and Interventional Imaging
https://read.qxmd.com/read/31599347/qt-prolongation-after-minor-head-trauma-in-a-pediatric-patient
#36
JOURNAL ARTICLE
Lamya Mubayed, Angela Romme, Hoang H Nguyen
We report a case of QTc prolongation associated with mild concussion in a pediatric patient. An 11-year-old male presented to the emergency department after sustaining a head injury during football practice. He complained of headache and blurry vision. Physical examination was within normal apart from an irregular heart rhythm. Electrocardiogram (ECG) showed normal sinus rhythm with QTc (Bazett formula) 460 ms. The patient was diagnosed with concussion and referred for cardiology follow-up of the QTc. ECG the next day showed QTc 462 ms (heart rate 105 bpm) supine and 494 ms after suddenly standing up (heart rate 120 bpm)...
February 2020: Pediatric Cardiology
https://read.qxmd.com/read/31122685/conventional-and-holter-electrocardiographic-assessment-of-dogs-infected-naturally-with-acute-canine-monocytic-ehrlichiosis
#37
JOURNAL ARTICLE
Mayra de Castro Ferreira Lima, Juliana Bornhousen Cardoso de Araújo, Antonio Carlos Paes, Mauricio Gianfrancesco Filippi, Amanda Sarita Cruz-Aleixo, Regina Kiomi Takahira, Maria Lucia Gomes Lourenço
Canine Monocytic Ehrlichiosis (CME) is a disease of worldwide distribution caused by the bacteria Ehrlichia canis, appearing primarily in hot climates due to the massive prevalence of its vector, the tick Rhipicephalus sanguineus. Previous studies have shown that dogs afflicted by CME in the chronic phase can develop infectious myocarditis, arrhythmias, and alterations in heart rate variability (HRV), but there are few studies correlating cardiac diseases with the acute phase of CME. This study aims at assessing electric cardiac alterations and HRV in the time and frequency domains during the acute phase of CME...
June 2019: Topics in Companion Animal Medicine
https://read.qxmd.com/read/30993943/patients-with-isolated-focal-right-ventricular-dyskinetic-segments-toward-a-better-understanding-of-this-cohort
#38
JOURNAL ARTICLE
Mohamad Jihad Mansour, Omar Hamoui, Joseph Asmar, Elie Chammas, Wadih Ayoub, Jihad Daher, Wael A AlJaroudi
BACKGROUND: The 2010 revised Task Force criteria for the diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC) provided guidance for the classification of patients as definitive, borderline or possible ARVC. However, many patients with clinical suspicion for ARVC have isolated RV dyskinetic segments only and partly meet cardiac magnetic resonance (CMR) imaging criteria. This subgroup of patients and the implication of this imaging finding remain not well defined. METHODS: There were 65 consecutive patients with clinical suspicion for ARVC who were referred for CMR between 2015 and 2017...
April 2019: Journal of Cardiovascular Imaging
https://read.qxmd.com/read/30964570/premature-ventricular-contraction-diurnal-profiles-predict-distinct-clinical-characteristics-and-beta-blocker-responses
#39
COMPARATIVE STUDY
David Hamon, Mohammed Amer Swid, Pradeep S Rajendran, Albert Liu, Noel G Boyle, Kalyanam Shivkumar, Jason S Bradfield
INTRODUCTION: Frequent premature ventricular complexes (PVCs) can lead to symptoms, such as cardiomyopathy and increased mortality. Beta-blockers are recommended as first-line therapy to reduce PVC burden; however, the response is unpredictable. The objective of this study is to determine whether PVC diurnal-variability patterns are associated with different clinical profiles and predict drug response. METHODS: Consecutive patients with frequent PVCs (burden ≥ 1%), referred for Holter monitoring between 2014 and 2016, were included...
June 2019: Journal of Cardiovascular Electrophysiology
https://read.qxmd.com/read/30383155/incidence-of-atrial-fibrillation-in-elite-athletes
#40
JOURNAL ARTICLE
Araceli Boraita, Alejandro Santos-Lozano, María E Heras, Florencia González-Amigo, Susana López-Ortiz, Julián P Villacastín, Alejandro Lucia
Importance: Vigorous exercise (particularly endurance sports) might increase the risk of atrial fibrillation (AF), but there is variability in the reported frequency of this condition among elite athletes. The underlying pathophysiologic source remains unclear. Objective: To determine AF incidence in a large cohort of elite athletes and its association with potential risk factors. Design, Setting, and Participants: Retrospective observational cohort of all Spanish athletes (N = 6813) referred to a single center was used to determine AF incidence from January 1, 1997, to December 31, 2017, and cross-sectional analysis was conducted to compare athletes with and without reported AF...
December 1, 2018: JAMA Cardiology
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