The impact of stored atrial rhythm diagnostics in permanent pacemakers and the management of atrial fibrillation: the Vitatron Selection AFm Registry study
Introduction The Selection AFm Registry investigated the impact of pacemaker diagnostic data on the clinical management of patients with atrial arrhythmias, specifically atrial fibrillation (AF) through the use of advanced atrial arrhythmia monitoring features. Very few data on the clinical impact o...
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| Veröffentlicht in: | Journal of interventional cardiac electrophysiology 2010-09, Vol.28 (3), p.227-234 |
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| creator | Kim, Michael H. Reiter, Michael J. Canby, Robert Navone, Anthony Lung, Te-Hsin Pfeiffer, Julie |
| description | Introduction
The Selection AFm Registry investigated the impact of pacemaker diagnostic data on the clinical management of patients with atrial arrhythmias, specifically atrial fibrillation (AF) through the use of advanced atrial arrhythmia monitoring features. Very few data on the clinical impact of such data has been reported in a real world setting.
Methods
Patients with known or suspected AF with a Class I or Class II indication for a dual-chamber pacemaker received the Selection AFm pacemaker. These patients were prospectively followed at pacemaker follow-up visits, and data were collected on medications and device programming. Physicians identified which therapy changes were based upon the stored data within the pacemaker.
Results
Two hundred eighty-two patients were enrolled. A total of 119 patients had 311 changes made to either their medications or device programming after review of diagnostic pacemaker data. Changes involved rate and rhythm control, warfarin anticoagulation, and pacemaker programmed settings. Significantly, more changes were made in patients with documented atrial arrhythmias at follow-up.
Conclusions
The atrial arrhythmia recording features were used by clinicians to guide therapy-related decisions in patients with paroxysmal AF. Such data represent an additional source of clinical information for AF disease management. |
| doi_str_mv | 10.1007/s10840-010-9492-6 |
| format | Article |
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The Selection AFm Registry investigated the impact of pacemaker diagnostic data on the clinical management of patients with atrial arrhythmias, specifically atrial fibrillation (AF) through the use of advanced atrial arrhythmia monitoring features. Very few data on the clinical impact of such data has been reported in a real world setting.
Methods
Patients with known or suspected AF with a Class I or Class II indication for a dual-chamber pacemaker received the Selection AFm pacemaker. These patients were prospectively followed at pacemaker follow-up visits, and data were collected on medications and device programming. Physicians identified which therapy changes were based upon the stored data within the pacemaker.
Results
Two hundred eighty-two patients were enrolled. A total of 119 patients had 311 changes made to either their medications or device programming after review of diagnostic pacemaker data. Changes involved rate and rhythm control, warfarin anticoagulation, and pacemaker programmed settings. Significantly, more changes were made in patients with documented atrial arrhythmias at follow-up.
Conclusions
The atrial arrhythmia recording features were used by clinicians to guide therapy-related decisions in patients with paroxysmal AF. Such data represent an additional source of clinical information for AF disease management.</description><identifier>ISSN: 1383-875X</identifier><identifier>EISSN: 1572-8595</identifier><identifier>DOI: 10.1007/s10840-010-9492-6</identifier><identifier>PMID: 20524148</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anticoagulants - administration & dosage ; Atrial Fibrillation - diagnosis ; Atrial Fibrillation - physiopathology ; Atrial Fibrillation - prevention & control ; Atrial Fibrillation - therapy ; Cardiac Pacing, Artificial - methods ; Cardiology ; Decision Making ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Monitoring, Physiologic ; Pacemaker, Artificial ; Patient Selection ; Registries ; Warfarin - administration & dosage</subject><ispartof>Journal of interventional cardiac electrophysiology, 2010-09, Vol.28 (3), p.227-234</ispartof><rights>Springer Science+Business Media, LLC 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-49db21f003bb274968fdcc0aaa2aeebbcf65412f13f650e5799f51b01ae3db843</citedby><cites>FETCH-LOGICAL-c370t-49db21f003bb274968fdcc0aaa2aeebbcf65412f13f650e5799f51b01ae3db843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10840-010-9492-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10840-010-9492-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20524148$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Michael H.</creatorcontrib><creatorcontrib>Reiter, Michael J.</creatorcontrib><creatorcontrib>Canby, Robert</creatorcontrib><creatorcontrib>Navone, Anthony</creatorcontrib><creatorcontrib>Lung, Te-Hsin</creatorcontrib><creatorcontrib>Pfeiffer, Julie</creatorcontrib><creatorcontrib>Vitatron Selection AFm Investigators</creatorcontrib><creatorcontrib>For the Vitatron Selection AFm Investigators</creatorcontrib><title>The impact of stored atrial rhythm diagnostics in permanent pacemakers and the management of atrial fibrillation: the Vitatron Selection AFm Registry study</title><title>Journal of interventional cardiac electrophysiology</title><addtitle>J Interv Card Electrophysiol</addtitle><addtitle>J Interv Card Electrophysiol</addtitle><description>Introduction
The Selection AFm Registry investigated the impact of pacemaker diagnostic data on the clinical management of patients with atrial arrhythmias, specifically atrial fibrillation (AF) through the use of advanced atrial arrhythmia monitoring features. Very few data on the clinical impact of such data has been reported in a real world setting.
Methods
Patients with known or suspected AF with a Class I or Class II indication for a dual-chamber pacemaker received the Selection AFm pacemaker. These patients were prospectively followed at pacemaker follow-up visits, and data were collected on medications and device programming. Physicians identified which therapy changes were based upon the stored data within the pacemaker.
Results
Two hundred eighty-two patients were enrolled. A total of 119 patients had 311 changes made to either their medications or device programming after review of diagnostic pacemaker data. Changes involved rate and rhythm control, warfarin anticoagulation, and pacemaker programmed settings. Significantly, more changes were made in patients with documented atrial arrhythmias at follow-up.
Conclusions
The atrial arrhythmia recording features were used by clinicians to guide therapy-related decisions in patients with paroxysmal AF. Such data represent an additional source of clinical information for AF disease management.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anticoagulants - administration & dosage</subject><subject>Atrial Fibrillation - diagnosis</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Atrial Fibrillation - prevention & control</subject><subject>Atrial Fibrillation - therapy</subject><subject>Cardiac Pacing, Artificial - methods</subject><subject>Cardiology</subject><subject>Decision Making</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic</subject><subject>Pacemaker, Artificial</subject><subject>Patient Selection</subject><subject>Registries</subject><subject>Warfarin - administration & dosage</subject><issn>1383-875X</issn><issn>1572-8595</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU9rFTEUxYNYbK1-ADcS3Lgae5OZzB93pVgVCkJbxV1IMjfvpU4yzySzeJ_FL2vG91QQXOWS87vnHjiEvGDwhgF0F4lB30AFDKqhGXjVPiJnTHS86sUgHpe57uuq78TXU_I0pQcAGIC3T8gpB8Eb1vRn5Mf9FqnzO2UynS1NeY44UpWjUxON233eejo6tQlzys4k6gLdYfQqYMi0bKFX3zAmqsJIc7EqitqgX9Vid_SxTkc3TSq7Obz9hX1xuWhzoHc4oVn_6eW1p7e4cSnHfcmxjPtn5MSqKeHz43tOPl-_u7_6UN18ev_x6vKmMnUHuWqGUXNmAWqtedcMbW9HY0ApxRWi1sa2omHcsroMgKIbBiuYBqawHnXf1Ofk9cF3F-fvC6YsvUsGS-CA85JkJ9pW9Bx4IV_9Qz7MSwwl3ArVJQ6DArEDZOKcUkQrd9F5FfeSgVx7k4feZIHl2ptsy87Lo_GiPY5_Nn4XVQB-AFKRwgbj38v_d_0JJgSmNQ</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Kim, Michael H.</creator><creator>Reiter, Michael J.</creator><creator>Canby, Robert</creator><creator>Navone, Anthony</creator><creator>Lung, Te-Hsin</creator><creator>Pfeiffer, Julie</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20100901</creationdate><title>The impact of stored atrial rhythm diagnostics in permanent pacemakers and the management of atrial fibrillation: the Vitatron Selection AFm Registry study</title><author>Kim, Michael H. ; Reiter, Michael J. ; Canby, Robert ; Navone, Anthony ; Lung, Te-Hsin ; Pfeiffer, Julie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-49db21f003bb274968fdcc0aaa2aeebbcf65412f13f650e5799f51b01ae3db843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anticoagulants - administration & dosage</topic><topic>Atrial Fibrillation - diagnosis</topic><topic>Atrial Fibrillation - physiopathology</topic><topic>Atrial Fibrillation - prevention & control</topic><topic>Atrial Fibrillation - therapy</topic><topic>Cardiac Pacing, Artificial - methods</topic><topic>Cardiology</topic><topic>Decision Making</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Monitoring, Physiologic</topic><topic>Pacemaker, Artificial</topic><topic>Patient Selection</topic><topic>Registries</topic><topic>Warfarin - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Michael H.</creatorcontrib><creatorcontrib>Reiter, Michael J.</creatorcontrib><creatorcontrib>Canby, Robert</creatorcontrib><creatorcontrib>Navone, Anthony</creatorcontrib><creatorcontrib>Lung, Te-Hsin</creatorcontrib><creatorcontrib>Pfeiffer, Julie</creatorcontrib><creatorcontrib>Vitatron Selection AFm Investigators</creatorcontrib><creatorcontrib>For the Vitatron Selection AFm Investigators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of interventional cardiac electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Michael H.</au><au>Reiter, Michael J.</au><au>Canby, Robert</au><au>Navone, Anthony</au><au>Lung, Te-Hsin</au><au>Pfeiffer, Julie</au><aucorp>Vitatron Selection AFm Investigators</aucorp><aucorp>For the Vitatron Selection AFm Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of stored atrial rhythm diagnostics in permanent pacemakers and the management of atrial fibrillation: the Vitatron Selection AFm Registry study</atitle><jtitle>Journal of interventional cardiac electrophysiology</jtitle><stitle>J Interv Card Electrophysiol</stitle><addtitle>J Interv Card Electrophysiol</addtitle><date>2010-09-01</date><risdate>2010</risdate><volume>28</volume><issue>3</issue><spage>227</spage><epage>234</epage><pages>227-234</pages><issn>1383-875X</issn><eissn>1572-8595</eissn><abstract>Introduction
The Selection AFm Registry investigated the impact of pacemaker diagnostic data on the clinical management of patients with atrial arrhythmias, specifically atrial fibrillation (AF) through the use of advanced atrial arrhythmia monitoring features. Very few data on the clinical impact of such data has been reported in a real world setting.
Methods
Patients with known or suspected AF with a Class I or Class II indication for a dual-chamber pacemaker received the Selection AFm pacemaker. These patients were prospectively followed at pacemaker follow-up visits, and data were collected on medications and device programming. Physicians identified which therapy changes were based upon the stored data within the pacemaker.
Results
Two hundred eighty-two patients were enrolled. A total of 119 patients had 311 changes made to either their medications or device programming after review of diagnostic pacemaker data. Changes involved rate and rhythm control, warfarin anticoagulation, and pacemaker programmed settings. Significantly, more changes were made in patients with documented atrial arrhythmias at follow-up.
Conclusions
The atrial arrhythmia recording features were used by clinicians to guide therapy-related decisions in patients with paroxysmal AF. Such data represent an additional source of clinical information for AF disease management.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>20524148</pmid><doi>10.1007/s10840-010-9492-6</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 1383-875X |
| ispartof | Journal of interventional cardiac electrophysiology, 2010-09, Vol.28 (3), p.227-234 |
| issn | 1383-875X 1572-8595 |
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| subjects | Adult Aged Aged, 80 and over Anticoagulants - administration & dosage Atrial Fibrillation - diagnosis Atrial Fibrillation - physiopathology Atrial Fibrillation - prevention & control Atrial Fibrillation - therapy Cardiac Pacing, Artificial - methods Cardiology Decision Making Female Humans Male Medicine Medicine & Public Health Middle Aged Monitoring, Physiologic Pacemaker, Artificial Patient Selection Registries Warfarin - administration & dosage |
| title | The impact of stored atrial rhythm diagnostics in permanent pacemakers and the management of atrial fibrillation: the Vitatron Selection AFm Registry study |
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