scholarly journals 2018 Korean Heart Rhythm Society Guidelines for Detection and Management of Risk Factors and Concomitant Cardiovascular Diseases in Korean Patients with Atrial Fibrillation

2018 ◽  
Vol 93 (4) ◽  
pp. 324-335 ◽  
Author(s):  
So-Ryoung Lee ◽  
Young Soo Lee ◽  
Woo-Hyung Lim ◽  
Tae-Hoon Kim ◽  
Myung-Jin Cha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Cardiovascular Diseases ◽  
Heart Rhythm ◽  
Korean Patients ◽  
Management Of Risk

scholarly journals Kardia Mobile and ISTEL HR applicability in clinical practice: A comparison of Kardia Mobile, ISTEL HR and standard 12-lead electrocardiogram records in 98 consecutive patients of a tertiary cardiovascular care centre

2021 ◽  
Author(s):  
Bartosz Krzowski ◽  
Kamila Skoczylas ◽  
Gabriela Osak ◽  
Natalia Żurawska ◽  
Michał Peller ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Clinical Practice ◽  
Cardiovascular Diseases ◽  
Sinus Rhythm ◽  
Sensitivity And Specificity ◽  
Heart Rhythm ◽  
Everyday Practice ◽  
Portable Devices ◽  
Care Centre ◽  
Cardiovascular Care

Abstract Aims Mobile, portable ECG-recorders allow the assessment of heart rhythm in out-of-hospital conditions and may prove useful for monitoring patients with cardiovascular diseases. However, the effectiveness of these portable devices has not been tested in everyday practice. Methods and results A group of 98 consecutive cardiology patients (62 males [63%], mean age 69 ± 12.9 years) were included in an academic care centre. For each patient, a standard 12-lead electrocardiogram (SE), as well as a Kardia Mobile 6L (KM) and Istel (IS) HR-2000 ECG were performed. Two groups of experienced physycians analyzed obtained recordings. After analyzing ECG tracings from SE, KM, and IS, quality was marked as good in 82%, 80%, and 72% of patients, respectively (p < 0.001). There were no significant differences between devices in terms of detecting sinus rhythm (SE [60%, n = 59], KM [58%, n = 56], and IS [61%, n = 60]; SE vs KM p = 0.53; SE vs IS p = 0.76) and atrial fibrillation (SE [22%, n = 22], KM [22%, n = 21], and IS [18%, n = 18]; (SE vs KM p = 0.65; SE vs IS = 0.1). KM had a sensitivity of 88.1% and a specificity of 89.7% for diagnosing sinus rhythm. IS showed 91.5% and 84.6% sensitivity and specificity, respectively. The sensitivity of KM in detecting atrial fibrillation was higher than IS (86.4% vs. 77.3%), but their specificity was comparable (97.4% vs. 98.7%). Conclusion Novel, portable devices are useful in showing sinus rhythm and detecting atrial fibrillation in clinical practice. However, ECG measurements concerning conduction and repolarisation should be clarified with a standard 12-lead electrocardiogram.

Prevention of atrial fibrillation – non-modifiable and modifiable risk factors for AF

2020 ◽  
Vol 2 (55) ◽  
pp. 14-19
Author(s):  
Agnieszka Wojdyła-Hordyńska ◽  
Grzegorz Hordyński
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Atrial Fibrillation ◽  
Cardiovascular Disease ◽  
Cardiovascular Diseases ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Combined Treatment ◽  
Lifestyle Changes ◽  
Modifiable Risk Factors

Atrial fibrillation is one of the most common arrhythmias, with a significant increase in incidence in recent years. AF is a major cause of stroke, heart failure, sudden cardiac death, and cardiovascular disease. Timely intervention and modification of risk factors increase chance to stop the disease. Aggressive, multilevel prevention tactics are a component of combined treatment, including – in addition to lifestyle changes, anticoagulant therapy, pharmacotherapy and invasive anti-arrhythmic treatment – prevention of cardiovascular diseases, hypertension, ischemia, valvular disease and heart failure.

scholarly journals Atrial fibrillation and other cardiovascular diseases as risk factors for stroke

2014 ◽  
Vol 9 (9-10) ◽  
pp. 366-366
Author(s):  
Alma Sijamija ◽  
Mustafa Strukar ◽  
Alma Agacevic ◽  
Lejla Granov
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Cardiovascular Diseases

Cryptogenic Stroke and Embolic Stroke of Undetermined Source: Risk Factors and Approaches for Detection of Atrial Fibrillation

2021 ◽  
Vol 18 ◽  
Author(s):  
Idaliya Rakhimova ◽  
Yuliya Semenova ◽  
Talgat Khaibullin ◽  
Anargul Kuanysheva ◽  
Vitalii Kovalchuk ◽  
...  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Heart Rate ◽  
Ischemic Stroke ◽  
Cryptogenic Stroke ◽  
Heart Rhythm ◽  
Antiplatelet Agents ◽  
Embolic Stroke ◽  
Optimal Method ◽  
Undetermined Etiology

Background: Stroke is a problem worldwide because of its high mortality and disability rates. Almost 90% of strokes are ischemic, and more than half of the deaths are caused by an ischemic stroke. Most risk factors for stroke are manageable so that it can be avoided with proper prevention. Despite the success in determining the causes of stroke in recent years, selectively, the "culprit" causing stroke remains unsolved. In such cases, a diagnosis of undetermined etiology (cryptogenic stroke) or embolic stroke of undetermined source (ESUS) is generated, resulting the prevention of a recurrent cerebrovascular occurrence impossible. Atrial fibrillation (AF) can be a cause of stroke by causing blood clots in the chambers of the heart. Purpose: The aim was to determine the optimal method of heart rate monitoring in patients with ischemic stroke, as methods and approaches for detecting AF are very diverse, but there is still no single opinion, which would be universal. Procedures: In our review, we consider epidemiology, risk factors for the stroke of undetermined etiology, as well as analytical methods for detecting heart rhythm disturbances in this category of patients. Findings: Atrial fibrillation (AF) is detected by thorough monitoring of heart rate of patients with cryptogenic stroke and ESUS can be diagnosed in up to 46% of patients. Conclusion. After AF detection, consideration should be given to prescribing anticoagulants, instead of antiplatelet agents, for the secondary prevention of stroke.

scholarly journals Modifiable risk factors, symptoms, wellbeing and treatment expectations in patients with atrial fibrillation

2021 ◽  
Vol 16 (9) ◽  
pp. 1-12
Author(s):  
Maria Lachonius ◽  
Charlotte Widell ◽  
Lennart Bergfeldt ◽  
Annika Odell
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Symptom Burden ◽  
Heart Rhythm ◽  
Modifiable Risk Factors ◽  
Causative Role ◽  
Lifestyle Interventions ◽  
Future Health ◽  
Treatment Expectations ◽  
Obstructive Sleep

Background/Aims Atrial fibrillation is the most common heart rhythm disorder, which increases the risk for stroke and heart failure, and commonly impairs quality of life. Increasing evidence has shown the causative role of several risk factors and suggested that aggressive lifestyle interventions might reduce atrial fibrillation incidence and effects. The size of the problem and how to provide optimal multidisciplinary management is less well known. This study aimed screened patients with atrial fibrillation for potentially modifiable risk factors and describe patients' symptom burden, wellbeing and treatment expectations. Methods The atrial fibrillation risk profile, symptom burden, wellbeing and expectations of future treatment were studied in 352 patients. Various questionnaires and instruments were used, in addition to medical history assessment. Results In total, 69% of patients had 1–5 possibly modifiable risk factors for atrial fibrillation: 50% were overweight/obese, 39% had a blood pressure of >140/90 mmHg, 28% had symptoms of obstructive sleep apnoea and 25% reported no physical exercise. Most patients had high expectations for their upcoming atrial fibrillation treatment, but men expected full recovery more often than women. Worries about future health and reduced survival were present in approximately 28% of patients. Conclusions Most patients with paroxysmal/persistent atrial fibrillation had potentially modifiable risk factors for atrial fibrillation and other cardiovascular events suitable for lifestyle interventions. Several patients experienced limitations in daily life, anxiety related to atrial fibrillation, and worry about their future health and survival. The results of this study might help identify relevant components for risk management and plan an individualised programme for atrial fibrillation patients.

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