Recurrence of atrial fibrillation post catheter ablation or cardioversion using cardiac implantable electronic device data

Conference poster


Akthar, W., Van Wyk, A. and Wright, I. 2023. Recurrence of atrial fibrillation post catheter ablation or cardioversion using cardiac implantable electronic device data. SCST Annual Conference 2023. Birmingham, UK 24 - 24 Nov 2023
TypeConference poster
TitleRecurrence of atrial fibrillation post catheter ablation or cardioversion using cardiac implantable electronic device data
AuthorsAkthar, W., Van Wyk, A. and Wright, I.
Abstract

Introduction:
Atrial fibrillation (AF) remains a leading cause of decreased quality of life and increased mortality worldwide. The unpredictable nature of AF makes it challenging to detect episodes, particularly after interventional treatments like catheter ablation or cardioversion. Current literature offers limited insights into real-world outcomes of AF management, especially in cases where continuous monitoring is possible through cardiac implantable electronic devices (CIEDs). This audit aims to evaluate the recurrence of AF in patients undergoing catheter ablation versus cardioversion, using remote monitoring data from CIEDs and to assess any correlation with patients' prior interventional backgrounds.

Methods:
This retrospective, observational departmental audit analysed patients equipped with specific CIEDs capable of remote monitoring who underwent either catheter ablation or cardioversion between 2016 and 2023. Data from the CIED remote monitoring systems were used to assess the recurrence of AF.

Results:
A total of 108 patients were included in the study. The recurrence rate of AF was significantly lower in the catheter ablation group (55%) compared to the cardioversion group (77%). Additionally, patients with a history of previous rhythm-control interventions had a recurrence rate of 73%, compared to 60% in those without such a history, though this difference did not reach statistical significance.

Conclusion:
The findings suggest that CIED remote monitoring is a reliable method for evaluating the success of rhythm-control treatments, with catheter ablation showing a better outcome compared to cardioversion. Patient background did not significantly impact the likelihood of remaining free from AF, emphasizing the need for individualized, long-term follow-up strategies.

KeywordsAtrial Fibrillation; Cardiac Implantable Electronic Device; Cardioversion; Catheter Ablation; Remote Monitoring
Sustainable Development Goals3 Good health and well-being
Middlesex University ThemeHealth & Wellbeing
Research GroupApplied Clinical Physiology and Nutrition Research Group
ConferenceSCST Annual Conference 2023
Publication process dates
Completed24 Nov 2023
Deposited18 Sep 2024
Output statusPublished
Permalink -

https://repository.mdx.ac.uk/item/19w75w

  • 7
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

The effectiveness of Intravascular Lithotripsy after sub-optimal non-compliant balloon inflation for treating calcified coronary lesions
Watson, E., Van Wyk, A. and Davies, J. 2022. The effectiveness of Intravascular Lithotripsy after sub-optimal non-compliant balloon inflation for treating calcified coronary lesions. 37th European Cardiology Conference. London 31 Oct - 01 Nov 2022
Parental perception of childhood obesity
Van Wyk, A. 2022. Parental perception of childhood obesity. 15th European Public Health Conference - Strengthening health systems: improving population health and being prepared for the unexpected. Berlin, Germany 09 - 12 Nov 2022 Oxford University Press (OUP). pp. iii585-iii586 https://doi.org/10.1093/eurpub/ckac131.432
Technology-enhanced learning and teaching in echocardiography: a systematic review
Susiku, E. and Van Wyk, A. 2021. Technology-enhanced learning and teaching in echocardiography: a systematic review. NET2021 Conference. Virtual 01 - 03 Sep 2021
Cold water immersion offers no functional or perceptual benefit compared to a sham intervention during a resistance training program
Wilson, L., Dimitriou, L., Hills, F., Gondek, M., Van Wyk, A., Turek, V., Rivkin, T., Villiere, A., Jarvis, P., Miller, S., Turner, A. and Cockburn, E. 2021. Cold water immersion offers no functional or perceptual benefit compared to a sham intervention during a resistance training program. The Journal of Strength and Conditioning Research. 35 (10), pp. 2720-2727. https://doi.org/10.1519/jsc.0000000000004097
Context-aware support for cardiac health monitoring using federated machine learning
Ogbuabor, G., Augusto, J., Moseley, R. and Van Wyk, A. 2021. Context-aware support for cardiac health monitoring using federated machine learning. Bramer, M. and Ellis, R. (ed.) 41st SGAI International Conference on Artificial Intelligence (AI-2021). Cambridge, England [Online] 14 - 16 Dec 2021 Springer. pp. 267-281 https://doi.org/10.1007/978-3-030-91100-3_22
A pilot study to determine whether repeated post-exercise cryotherapy exposure augments physiological and perceptual responses to cold
Wilson, L., Dimitriou, L., Hills, F., Gondek, M., Van Wyk, A., Turek, V., Rivkin, T., Villiere, A., Jarvis, P., Miller, S., Turner, A. and Cockburn, E. 2020. A pilot study to determine whether repeated post-exercise cryotherapy exposure augments physiological and perceptual responses to cold. 25th Annual Congress of the European College of Sport Science. Virtual (due to Covid-19), initial venue Sevilla, Andalucia, Spain 28 - 30 Oct 2020
Context-aware approach for cardiac rehabilitation monitoring
Ogbuabor, G., Augusto, J., Moseley, R. and Van Wyk, A. 2020. Context-aware approach for cardiac rehabilitation monitoring. Iglesias, C., Novella, J., Ricci, A., Pinto, D. and Roman, D. (ed.) 4th International Workshop on Citizen-Centric Smart Cities Services (CCSCS 2020). Madrid, Spain 22 - 23 Jun 2020 IOS Press. pp. 167-176 https://doi.org/10.3233/AISE200039
Does e-learning alongside a social media platform enhance or hinder learning in clinical physiology - NET2017 Conference
Van Wyk, A. 2017. Does e-learning alongside a social media platform enhance or hinder learning in clinical physiology - NET2017 Conference. NET2017 (Networking for Education in Healthcare). Churchill College, University of Cambridge 05 - 06 Sep 2017
Context-aware system for cardiac condition monitoring and management: a survey
Ogbuabor, G., Augusto, J., Moseley, R. and Van Wyk, A. 2020. Context-aware system for cardiac condition monitoring and management: a survey. Behaviour and Information Technology. 41 (4), pp. 759-776. https://doi.org/10.1080/0144929X.2020.1836255
ADAPT: Approach to Develop context-Aware solutions for Personalised asthma managemenT
Quinde, M., Augusto, J., Khan, N. and Van Wyk, A. 2020. ADAPT: Approach to Develop context-Aware solutions for Personalised asthma managemenT. Journal of Biomedical Informatics. 111, pp. 1-20. https://doi.org/10.1016/j.jbi.2020.103586
Context-aware solutions for asthma condition management: a survey
Quinde, M., Khan, N., Augusto, J., Van Wyk, A. and Stewart, J. 2020. Context-aware solutions for asthma condition management: a survey. Universal Access in the Information Society. 19 (3), pp. 571-593. https://doi.org/10.1007/s10209-018-0641-5
The effect of carbohydrate dose and timing on timed effort and time to exhaustion within a simulated cycle race in male professional cyclists
Girling, W., Pujdak, M., Dimitriou, L., Van Wyk, A., Vidal, M., Peterca, J., Curtis, C. and Paice, K. 2019. The effect of carbohydrate dose and timing on timed effort and time to exhaustion within a simulated cycle race in male professional cyclists. British Association of Sport Exercise Sciences: BASES Conference 2019. Leicester, UK 19 - 20 Nov 2019 Taylor & Francis (Routledge). pp. 25-26
A Human-in-The-Loop context-aware system allowing the application of case-based reasoning for asthma management
Quinde, M., Khan, N., Augusto, J. and Van Wyk, A. 2019. A Human-in-The-Loop context-aware system allowing the application of case-based reasoning for asthma management. Duffy, V. (ed.) 21st International Conference on Human-Computer Interaction (HCI International 2019). Orlando, USA 26 - 31 Jul 2019 Springer. pp. 125-140 https://doi.org/10.1007/978-3-030-22219-2_10