期刊论文详细信息
Sao Paulo Medical Journal
Relationship between silent atrial fibrillation and the maximum heart rate in the 24-hour Holter: cross-sectional study
Marcelo Lapa Kruse1  José Cláudio Lupi Kruse1  Tiago Luiz Luz Leiria1  Leonardo Martins Pires1  Caroline Saltz Gensas1  Daniel Garcia Gomes1  Douglas Boris1  Augusto Mantovani1  Gustavo Glotz De Lima1 
关键词: Atrial fibrillation;    Signs and symptoms;    Electrocardiography;    ambulatory;    Arrhythmias;    cardiac;    Electrophysiology;    Fibrilação atrial;    Sinais e sintomas;    Eletrocardiografia ambulatorial;    Arritmias cardíacas;    Eletrofisiologia;   
DOI  :  10.1590/1516-3180.2014.1326732
来源: SciELO
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【 摘 要 】

CONTEXT AND OBJECTIVE: Occurrences of asymptomatic atrial fibrillation (AF) are common. It is important to identify AF because it increases morbidity and mortality. 24-hour Holter has been used to detect paroxysmal AF (PAF). The objective of this study was to investigate the relationship between occurrence of PAF in 24-hour Holter and the symptoms of the population studied.DESIGN AND SETTING: Cross-sectional study conducted at a cardiology hospital.METHODS: 11,321 consecutive 24-hour Holter tests performed at a referral service were analyzed. Patients with pacemakers or with AF throughout the recording were excluded.RESULTS: There were 75 tests (0.67%) with PAF. The mean age was 67 ± 13 years and 45% were female. The heart rate (HR) over the 24 hours was a minimum of 45 ± 8 bpm, mean of 74 ± 17 bpm and maximum of 151 ± 32 bpm. Among the tests showing PAF, only 26% had symptoms. The only factor tested that showed a correlation with symptomatic AF was maximum HR (165 ± 34 versus 147 ± 30 bpm) (P = 0.03). Use of beta blockers had a protective effect against occurrence of PAF symptoms (odds ratio: 0.24, P = 0.031).CONCLUSIONS: PAF is a rare event in 24-hour Holter. The maximum HR during the 24 hours was the only factor correlated with symptomatic AF, and use of beta blockers had a protective effect against AF symptom occurrence.

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