Patient-reported symptomatic events do not adequately reflect atrial arrhythmia.

ABSTRACT:

Background

Management of atrial fibrillation is frequently geared toward improving symptoms. Yet, the magnitude of symptom-rhythm discordance is not well known in the setting of monitoring by ambulatory electrocardiography (AECG).

Objective

We aimed to quantify the symptom-rhythm correlation (SRC) for atrial arrhythmia (atrial tachycardia/atrial fibrillation [AT/AF]) events.

Methods

This was a retrospective cohort analysis of AECG data at a tertiary care center. All AECGs of ≥7 days with at least 1 AT/AF were included. Patient-triggered symptoms included shortness of breath, tiredness, palpitations, dizziness, or passing out with or without concurrent AT/AF. SRC was calculated for each patient. In addition, AT/AF-symptom association was evaluated at the event level by

SUBMITTER: Abedin Z 

PROVIDER: S-EPMC11527564 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature