Articles Vol. 66 No. CĐ4-NCKH 15/04/2025

15. PREVALENCE OF ATRIAL FIBRILLATION AND ATRIAL FIBRILLATION BURDEN ON 24-HOUR HOLTER ELECTROCARDIOGRAM

Si Nguyen Van1,2,3,4, Hung Quach Thanh1,3
1 Nguyen Trai Hospital
2 University of Medicine and Pharmacy at Ho Chi Minh city
3 Bệnh viện Nguyễn Trãi
4 Đại học Y Dược thành phố Hồ Chí Minh
Corresponding author: si.nguyen@ump.edu.vn
DOI: 10.52163/yhc.v66iCD4.2333
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Abstract

Objectives: To determine the prevalence of atrial fibrillation and describe the characteristics of atrial fibrillation burden on a 24-hour Holter ECG.

Method: This retrospective study was conducted on 362 sets of 24-hour Holter ECG data at Nguyen Trai Hospital from March to September 2024.

Results: The prevalence of atrial fibrillation was recorded at 6.1%, with paroxysmal atrial fibrillation accounting for the majority of detected cases. The average ventricular response rate was 93.6 ± 22.3 beats per minute. The number of atrial fibrillation episodes in paroxysmal atrial fibrillation cases was 7.0 (4.0-154.0). 7.7% of paroxysmal atrial fibrillation cases had a total attack duration of less than 5 minutes.

Conclusion: Effective ambulatory ECG monitoring is needed to screen and assess the atrial fibrillation burden in high-risk and general populations.

References
[1]
Van Gelder I.C, Rienstra M, Bunting K.V et al, ESC Scientific Document Group, ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS), Eur Heart J, 2024 Sep 29, 45 (36): 3314-3414, doi: 10.1093/eurheartj/ehae176. Google Scholar
[2]
Joglar J.A, Chung M.K, Armbruster A.L et al, Peer Review Committee Members, ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines, Circulation, 2024 Jan 2, 149 (1): e1-e156, doi: 10.1161/CIR.0000000000001193. Google Scholar
[3]
Steinberg J.S, Varma N, Cygankiewicz I et al, ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry, Ann Noninvasive Electrocardiol, 2017 May, 22 (3): e12447, doi: 10.1111/anec.12447. Google Scholar
[4]
Chen L.Y, Chung M.K, Allen L.A et al, American Heart Association Council on Clinical Cardiology, Council on Cardiovascular and Stroke Nursing, Council on Quality of Care and Outcomes Research, and Stroke Council, Atrial Fibrillation Burden: Moving Beyond Atrial Fibrillation as a Binary Entity: A Scientific Statement From the American Heart Association, Circulation, 2018 May 15, 137 (20): e623-e644, doi: 10.1161/CIR.0000000000000568. Google Scholar
[5]
Yenikomshian M, Jarvis J, Patton C et al, Cardiac arrhythmia detection outcomes among patients monitored with the Zio patch system: a systematic literature review, Curr Med Res Opin, 2019 Oct, 35 (10): 1659-1670, doi: 10.1080/03007995.2019.1610370. Google Scholar
[6]
Nguyễn Văn Tân và cộng sự, Khảo sát tỉ lệ rung nhĩ mới mắc bằng Holter điện tâm đồ 7 ngày trên bệnh nhân cao tuổi có bệnh động mạch vành, Tạp chí Y học Cộng đồng, 2024, 65, (CĐ10 - Bệnh viện Thống Nhất), doi: https://doi.org/10.52163/yhc.v65iCD10.1647. Google Scholar
[7]
Writing Committee; Spooner M.T, Messé S.R, Chaturvedi S et al, ACC Expert Consensus Decision Pathway on Practical Approaches for Arrhythmia Monitoring After Stroke: A Report of the American College of Cardiology Solution Set Oversight Committee, J Am Coll Cardiol, 2025 Feb 18, 85 (6): 657-681, doi: 10.1016/j.jacc.2024.10.100. Google Scholar
[8]
Becher N, Metzner A, Toennis T et al, Atrial fibrillation burden: a new outcome predictor and therapeutic target, Eur Heart J, 2024 Aug 16, 45 (31): 2824-2838, doi: 10.1093/eurheartj/ehae373. Google Scholar