The Relationship of Atrial Fibrillation Attack and Subjective Symptom Using with Portable Electrocardiogram Devices

概要

論文の詳細を見る
Background: It is thought that the existence of asymptomatic paroxysmal atrial fibrillation (Paf) make the necessity of treatment or the therapy evaluation difficult. There are few report that when the subjective feel palpitation, whether Paf has actually occurred or not. Purpose: The purpose of this study is to evaluate whether Paf has occurred when the subjective symptom of Paf for the long term. The Object and the Method: Ten patients administering the anti-arrhythmia medicine for Paf were enrolled. ECG was recorded at twice a day (morning, evening) and at the subjective symptom of Paf for 30 seconds using portable event recorder (Omron. HCG-801). The result: The total recorded number was 5772, and the average observation period was 286.8 days. The recorded number at the subjective symptom of Paf was 412, and among them, Paf was recorded in 135 (32.8%). Conclusion: When the subjective felt that Paf has occurred, actual occurrence of Paf was few. It was thought that it is because the patients who reacted to arrhythmia in excess existed in the patients with Paf contrary to asymptomatic or something related to anti-arrhythmia. It was considered to be difficult further to evaluate Paf only by the subjective symptom.
日本不整脈学会の論文