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November 20, 2013Chinese Medical JournalOpen Access

Early AF detection via daily Home Monitoring in pacemaker recipients was associated with a significant decrease in mean AF burden over 180 days (e.g., 12.0% to 2.5% in dual-chamber devices; P<0.05).

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Why the study?

Does automatic daily Home Monitoring reduce AF burden in pacemaker patients?

Population

n=701 pacemaker patients recruited at 97 clinical centers in China.

Design

Cohort

Follow-up

6 months

Key result

Early AF detection via daily Home Monitoring in pacemaker recipients was associated with a significant decrease in mean AF burden over 180 days (e.g., 12.0% to 2.5% in dual-chamber devices; P<0.05).

Authors

KCKeping ChenYDYan DaiWHWei Hua

Discussion

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Overview

May support home monitoring for early AF detection in pacemakers; hypothesis-generating, needs RCTs before practice change.

Study Design

Type

Observational (n=701)

Multicenter

Yes

Structured PICO

Does automatic daily Home Monitoring reduce AF burden in pacemaker patients?

P
Population
701 patients treated with dual-chamber or biventricular pacemakers equipped with automatic, daily Home Monitoring function, followed for 6 months.
E
Exposure
Pacemakers equipped with automatic, daily Home Monitoring function for early atrial fibrillation (AF) detection.
O
Outcome
Trends in AF burden over 180 days following first AF detection.surrogate

Main Result

p-value: p=<0.05

Automatic daily home monitoring in pacemaker patients enables early detection of atrial fibrillation, which is associated with a significant reduction in subsequent AF burden.

Cite This Study

Chen et al. (2013) conducted an observational in Atrial fibrillation in pacemaker patients (n=701). Automatic, daily Home Monitoring was evaluated on AF burden over 180 days following first AF detection (p=<0.05). Early AF detection via daily Home Monitoring in pacemaker recipients was associated with a significant decrease in mean AF burden over 180 days (e.g., 12.0% to 2.5% in dual-chamber devices; P<0.05).

synapsesocial.com/papers/6a8db63f0b453ccb7788e802https://doi.org/10.3760/cma.j.issn.0366-6999.20130106
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Remote control of implanted devices through Home MonitoringTM technology improves detection and clinical management of atrial fibrillation2008 · 172 citations
  2. 2Disease management: atrial fibrillation and Home Monitoring2013 · 26 citations
  3. 3Atrial Fibrillation Burden Detected by Dual-Chamber Pacemakers as a Predictor for Cardiac Outcomes: A Retrospective Single-Center Cohort Study2021 · 7 citations
  4. 4Incidence and Clinical Predictors of Atrial Fibrillation in Patients with Dual-Chamber Pacemakers: A Retrospective Analysis2024
  5. 5Home Monitoring in Patients with Implantable Cardiac Devices: Is There a Potential Reduction of Stroke Risk? Results from a Computer Model Tested Through Monte Carlo Simulations2009 · 72 citations