Atrial Fibrillation Clinical Trial
Official title:
Comparison Between "Conventional Monitoring" Versus "Monitoring Via Vitaphone" in the Detection of Post Ablation Atrial Arrhythmias of Paroxysmal Atrial Fibrillation
Atrial fibrillation (AF) is the most common atrial arrhythmia. Ablation of AF is a recent
technique, nevertheless, the success rates of ablation vary between 50% and 70% depending on
the paroxysmal or persistent nature of AF. These rates are difficult to assess in routine
practice because they are based on the recurrence of fibrillation.
The Vitaphone is a non-invasive device, with which the patient can record a single-track ECG
as his or her symptoms take place. The plot is then transmitted via the internet to the
centre, which can thus diagnose a relapse of AF.
The aim of our study is to correlate the rhythm and symptoms of 20 patients with Vitaphone 6
months after AF ablation and to compare them with 20 other patients receiving conventional
monitoring.
Atrial fibrillation (AF) is the most common atrial arrhythmia in the population and its
incidence will increase in the coming years. Ablation of AF is a recent technique, the
efficiency of which has considerably increased in recent years. Nevertheless, the success
rates of ablation vary between 50% and 70% depending on the paroxysmal or persistent nature
of AF. These rates are difficult to assess in routine practice because they are based on the
recurrence of fibrillation.
This definition of recurrence based on symptoms (palpitations, asthenia, fatigue, shortness
of breath, malaise, precordialgia) is widely debated because some patients have asymptomatic
AF recidivism, while others experience palpitations that are not due to AF.
In this context, studies have been carried out with electrocardiographic recording devices
implanted subcutaneously. Given the invasiveness of this monitoring, it is not feasible in
current practice.
The Vitaphone is a non-invasive device, with which the patient can record a single-track ECG
as his or her symptoms take place. The plot is then transmitted via the internet to the
centre, which can thus diagnose a relapse of AF.
The aim of our study is to correlate the rhythm and symptoms of 20 patients with Vitaphone 6
months after AF ablation and to compare them with 20 other patients receiving conventional
monitoring.
This is, to our knowledge, the first non-invasive French study using the Vitaphone.
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