Atrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: A prospective study

Background: Increased risk of new-onset atrial fibrillation (AF) after patent foramen ovale (PFO) closure was observed in randomized trials without however systematic AF screening. We aimed to evaluate the incidence of AF within 6-month following PFO closure with serial 24-hour ambulatory electrocar...

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Autores principales:	Florence Leclercq, Xavier Odorico, Gregory Marin, Jean Christophe Macia, Delphine Delseny, Audrey Agullo, Laurence Pages, Pierre Robert, Benoit Lattuca, Guillaume Cayla, François Roubille, Nicolas Gaillard, Caroline Arquizan, Mariama Akodad
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Atrial Fibrillation Holter Monitoring Patent foramen ovale Percutaneous closure Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/caacee63836941cdb5f9a2b5f281adf0
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spelling	oai:doaj.org-article:caacee63836941cdb5f9a2b5f281adf02021-11-22T04:27:19ZAtrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: A prospective study2352-906710.1016/j.ijcha.2021.100919https://doaj.org/article/caacee63836941cdb5f9a2b5f281adf02021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352906721002074https://doaj.org/toc/2352-9067Background: Increased risk of new-onset atrial fibrillation (AF) after patent foramen ovale (PFO) closure was observed in randomized trials without however systematic AF screening. We aimed to evaluate the incidence of AF within 6-month following PFO closure with serial 24-hour ambulatory electrocardiogram (AECG) monitoring. Methods: All patients undergoing PFO closure were prospectively included in 2 centers. AF was defined as irregular rhythm without discernible P waves > 30 s on AECG at day 0, 1-month and 6-month follow-up. Primary endpoint was the incidence of AF within the study period. Secondary endpoints evaluated clinical outcomes within 6-month follow-up. Results: Between February 2018 and March 2019, 62 patients underwent PFO closure including 40 male (64.5%) with a mean age of 48 ± 9.5. Atrial septal aneurysm was observed in 37 patients (64.9%), 57 patients (91.9%) received an Amplatzer Occluder device (Abbott Vascular) and 5 (8.1%) an Occlutech device (Occlutech). After a mean follow-up of 7.7 ± 2.8 months, new-onset AF occurred in 3 patients (4.8%), all within the first month following PFO closure, including one per-procedural, all were asymptomatic and paroxysmal. Two patients with AF (3.2%) required chronic oral anticoagulant therapy. No adverse outcomes occurred at follow-up. No predictive factors of AF were highlighted. A total of 16 patients (25.8%) reported palpitations without AF on the AECGs. Conclusion: In highly selected patients, incidence of AF, evaluated with 3 systematic 24-hour AECG within 6-month following PFO closure, was low (<5%). Always paroxysmal, AF occurred within the first month after the procedure and was not associated with adverse outcomes.Florence LeclercqXavier OdoricoGregory MarinJean Christophe MaciaDelphine DelsenyAudrey AgulloLaurence PagesPierre RobertBenoit LattucaGuillaume CaylaFrançois RoubilleNicolas GaillardCaroline ArquizanMariama AkodadElsevierarticleAtrial FibrillationHolter MonitoringPatent foramen ovalePercutaneous closureDiseases of the circulatory (Cardiovascular) systemRC666-701ENInternational Journal of Cardiology: Heart & Vasculature, Vol 37, Iss , Pp 100919- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Atrial Fibrillation Holter Monitoring Patent foramen ovale Percutaneous closure Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Atrial Fibrillation Holter Monitoring Patent foramen ovale Percutaneous closure Diseases of the circulatory (Cardiovascular) system RC666-701 Florence Leclercq Xavier Odorico Gregory Marin Jean Christophe Macia Delphine Delseny Audrey Agullo Laurence Pages Pierre Robert Benoit Lattuca Guillaume Cayla François Roubille Nicolas Gaillard Caroline Arquizan Mariama Akodad Atrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: A prospective study
description	Background: Increased risk of new-onset atrial fibrillation (AF) after patent foramen ovale (PFO) closure was observed in randomized trials without however systematic AF screening. We aimed to evaluate the incidence of AF within 6-month following PFO closure with serial 24-hour ambulatory electrocardiogram (AECG) monitoring. Methods: All patients undergoing PFO closure were prospectively included in 2 centers. AF was defined as irregular rhythm without discernible P waves > 30 s on AECG at day 0, 1-month and 6-month follow-up. Primary endpoint was the incidence of AF within the study period. Secondary endpoints evaluated clinical outcomes within 6-month follow-up. Results: Between February 2018 and March 2019, 62 patients underwent PFO closure including 40 male (64.5%) with a mean age of 48 ± 9.5. Atrial septal aneurysm was observed in 37 patients (64.9%), 57 patients (91.9%) received an Amplatzer Occluder device (Abbott Vascular) and 5 (8.1%) an Occlutech device (Occlutech). After a mean follow-up of 7.7 ± 2.8 months, new-onset AF occurred in 3 patients (4.8%), all within the first month following PFO closure, including one per-procedural, all were asymptomatic and paroxysmal. Two patients with AF (3.2%) required chronic oral anticoagulant therapy. No adverse outcomes occurred at follow-up. No predictive factors of AF were highlighted. A total of 16 patients (25.8%) reported palpitations without AF on the AECGs. Conclusion: In highly selected patients, incidence of AF, evaluated with 3 systematic 24-hour AECG within 6-month following PFO closure, was low (<5%). Always paroxysmal, AF occurred within the first month after the procedure and was not associated with adverse outcomes.
format	article
author	Florence Leclercq Xavier Odorico Gregory Marin Jean Christophe Macia Delphine Delseny Audrey Agullo Laurence Pages Pierre Robert Benoit Lattuca Guillaume Cayla François Roubille Nicolas Gaillard Caroline Arquizan Mariama Akodad
author_facet	Florence Leclercq Xavier Odorico Gregory Marin Jean Christophe Macia Delphine Delseny Audrey Agullo Laurence Pages Pierre Robert Benoit Lattuca Guillaume Cayla François Roubille Nicolas Gaillard Caroline Arquizan Mariama Akodad
author_sort	Florence Leclercq
title	Atrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: A prospective study
title_short	Atrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: A prospective study
title_full	Atrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: A prospective study
title_fullStr	Atrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: A prospective study
title_full_unstemmed	Atrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: A prospective study
title_sort	atrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: a prospective study
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/caacee63836941cdb5f9a2b5f281adf0
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Atrial fibrillation screening on systematic ambulatory electrocardiogram monitoring after percutaneous patent foramen ovale closure: A prospective study

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