Newsletter Groupe Rythmologie \u2013 Stimulation cardiaque de la SFC<\/h2><\/div>Juin 2023<\/div><\/div>[vc_empty_space height=”24px”][vc_separator color=”custom” accent_color=”#e42925″][\/vc_column][\/vc_row][vc_row][vc_column]<\/div>MONITEUR IMPLANTABLE Dynamic Data Driven Management of Atrial Fibrillation Using Implantable Cardiac Monitors \u2013 The MONITOR AF Study By Dhanunjaya R. Lakkireddy<\/h3><\/div><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\nRapport\u00e9 par <\/em>Frederic Sacher – Bordeaux<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
<\/div><\/div>[vc_empty_space height=”24px”][vc_column_text]<\/p>\n
But de l\u2019\u00e9tude :<\/strong> <\/span><\/h3>\nMontrer l\u2019int\u00e9r\u00eat de l\u2019implantation d\u2019un holter implantable d\u00e9tectant la FA chez des patients avec FA.<\/p>\n
Design de l\u2019\u00e9tude\u00a0:<\/strong> <\/span><\/h3>\nRegistre multicentrique prospectif comparant les patients avec FA ayant un holter implantable vs ceux n\u2019en ayant pas.<\/p>\n
Crit\u00e8res d\u2019\u00e9valuation<\/strong>\u00a0: <\/span><\/h3>\nDiff\u00e9rents param\u00e8tres de gestion des patients avec FA et la survenue d\u2019\u00e9v\u00e8nements (AVC, saignement, hospitalisation pour FA ou insuffisance cardiaque.<\/p>\n
R\u00e9sultats\u00a0: <\/strong><\/span><\/h3>\n2458 patients ont \u00e9t\u00e9 inclus sans diff\u00e9rence significative entre les caract\u00e9ristiques des patients dans les 2 groupes\u00a0: \u00e2ge 73 \u00b112 vs 74 \u00b110 ans et CHADS2-VASC2 3,3 \u00b11,2 3,1 \u00b11,4 dans le groupe holter implantable vs contr\u00f4le.<\/p>\n
Discussion\u00a0: <\/strong><\/span><\/h3>\nLes auteurs concluent que l\u2019utilisation du holter implantable permet de mieux suivre et prendre en charge les patients avec FA en augmentant l\u2019adh\u00e9rence au traitement et en proposant une ablation plus tot. Cette \u00e9tude a de nombreuses limites inh\u00e9rentes \u00e0 son design qui ne permettent pas une conclusion quant \u00e0 l\u2019efficience de l\u2019implantation d\u2019un holter chez les patients avec FA. Premi\u00e8rement dans le groupe holter implantable, 93,6% ont eu une ablation de FA ce qui ne repr\u00e9sente pas la population standard des FA. Deuxi\u00e8mement, l\u2019int\u00e9r\u00eat du holter implantable peut r\u00e9sider dans le syst\u00e8me de t\u00e9l\u00e9surveillance associ\u00e9e plus que sur le holter lui-meme. Une \u00e9tude randomis\u00e9e sera n\u00e9cessaire avant d\u2019\u00e9largir la mise en place de holter implantable chez les patient avec FA.<\/p>\n
![\"\"](\"https:\/\/rythmologie.fr\/index\/wp-content\/uploads\/2023\/06\/Capture-decran-2023-06-19-a-13.23.31-300x188.png\")
[\/vc_column_text][vc_empty_space height=”24px”][vc_empty_space height=”24px”][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][vc_empty_space][vc_separator][vc_empty_space][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"
[vc_row][vc_column css=”.vc_custom_1663235123898{margin-top: 0px !important;border-top-width: 0px !important;background-color: rgba(255,255,255,0.1) !important;*background-color: rgb(255,255,255) !important;}”][vc_empty_space height=”24px”][vc_separator color=”custom” accent_color=”#e42925″][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=”24px”][vc_column_text] But de l\u2019\u00e9tude : Montrer l\u2019int\u00e9r\u00eat de l\u2019implantation d\u2019un holter implantable d\u00e9tectant la FA chez des patients avec FA. Design de l\u2019\u00e9tude\u00a0: Registre multicentrique prospectif comparant les patients avec FA ayant un holter implantable vs ceux n\u2019en ayant pas. Crit\u00e8res d\u2019\u00e9valuation\u00a0:…<\/p>\n","protected":false},"author":2,"featured_media":3481,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[31,22],"tags":[],"class_list":["post-3478","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-newsletter","category-articles","category-31","category-22","description-off"],"_links":{"self":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/3478","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/comments?post=3478"}],"version-history":[{"count":3,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/3478\/revisions"}],"predecessor-version":[{"id":3606,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/3478\/revisions\/3606"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/media\/3481"}],"wp:attachment":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/media?parent=3478"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/categories?post=3478"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/tags?post=3478"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
MONITEUR IMPLANTABLE Dynamic Data Driven Management of Atrial Fibrillation Using Implantable Cardiac Monitors \u2013 The MONITOR AF Study By Dhanunjaya R. Lakkireddy<\/h3><\/div><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\nRapport\u00e9 par <\/em>Frederic Sacher – Bordeaux<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
<\/div><\/div>[vc_empty_space height=”24px”][vc_column_text]<\/p>\n
But de l\u2019\u00e9tude :<\/strong> <\/span><\/h3>\nMontrer l\u2019int\u00e9r\u00eat de l\u2019implantation d\u2019un holter implantable d\u00e9tectant la FA chez des patients avec FA.<\/p>\n
Design de l\u2019\u00e9tude\u00a0:<\/strong> <\/span><\/h3>\nRegistre multicentrique prospectif comparant les patients avec FA ayant un holter implantable vs ceux n\u2019en ayant pas.<\/p>\n
Crit\u00e8res d\u2019\u00e9valuation<\/strong>\u00a0: <\/span><\/h3>\nDiff\u00e9rents param\u00e8tres de gestion des patients avec FA et la survenue d\u2019\u00e9v\u00e8nements (AVC, saignement, hospitalisation pour FA ou insuffisance cardiaque.<\/p>\n
R\u00e9sultats\u00a0: <\/strong><\/span><\/h3>\n2458 patients ont \u00e9t\u00e9 inclus sans diff\u00e9rence significative entre les caract\u00e9ristiques des patients dans les 2 groupes\u00a0: \u00e2ge 73 \u00b112 vs 74 \u00b110 ans et CHADS2-VASC2 3,3 \u00b11,2 3,1 \u00b11,4 dans le groupe holter implantable vs contr\u00f4le.<\/p>\n
Discussion\u00a0: <\/strong><\/span><\/h3>\nLes auteurs concluent que l\u2019utilisation du holter implantable permet de mieux suivre et prendre en charge les patients avec FA en augmentant l\u2019adh\u00e9rence au traitement et en proposant une ablation plus tot. Cette \u00e9tude a de nombreuses limites inh\u00e9rentes \u00e0 son design qui ne permettent pas une conclusion quant \u00e0 l\u2019efficience de l\u2019implantation d\u2019un holter chez les patients avec FA. Premi\u00e8rement dans le groupe holter implantable, 93,6% ont eu une ablation de FA ce qui ne repr\u00e9sente pas la population standard des FA. Deuxi\u00e8mement, l\u2019int\u00e9r\u00eat du holter implantable peut r\u00e9sider dans le syst\u00e8me de t\u00e9l\u00e9surveillance associ\u00e9e plus que sur le holter lui-meme. Une \u00e9tude randomis\u00e9e sera n\u00e9cessaire avant d\u2019\u00e9largir la mise en place de holter implantable chez les patient avec FA.<\/p>\n
[\/vc_column_text][vc_empty_space height=”24px”][vc_empty_space height=”24px”][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][vc_empty_space][vc_separator][vc_empty_space][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"
[vc_row][vc_column css=”.vc_custom_1663235123898{margin-top: 0px !important;border-top-width: 0px !important;background-color: rgba(255,255,255,0.1) !important;*background-color: rgb(255,255,255) !important;}”][vc_empty_space height=”24px”][vc_separator color=”custom” accent_color=”#e42925″][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=”24px”][vc_column_text] But de l\u2019\u00e9tude : Montrer l\u2019int\u00e9r\u00eat de l\u2019implantation d\u2019un holter implantable d\u00e9tectant la FA chez des patients avec FA. Design de l\u2019\u00e9tude\u00a0: Registre multicentrique prospectif comparant les patients avec FA ayant un holter implantable vs ceux n\u2019en ayant pas. Crit\u00e8res d\u2019\u00e9valuation\u00a0:…<\/p>\n","protected":false},"author":2,"featured_media":3481,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[31,22],"tags":[],"class_list":["post-3478","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-newsletter","category-articles","category-31","category-22","description-off"],"_links":{"self":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/3478","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/comments?post=3478"}],"version-history":[{"count":3,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/3478\/revisions"}],"predecessor-version":[{"id":3606,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/3478\/revisions\/3606"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/media\/3481"}],"wp:attachment":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/media?parent=3478"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/categories?post=3478"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/tags?post=3478"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Rapport\u00e9 par <\/em>Frederic Sacher – Bordeaux<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n <\/div><\/div>[vc_empty_space height=”24px”][vc_column_text]<\/p>\n Montrer l\u2019int\u00e9r\u00eat de l\u2019implantation d\u2019un holter implantable d\u00e9tectant la FA chez des patients avec FA.<\/p>\n Registre multicentrique prospectif comparant les patients avec FA ayant un holter implantable vs ceux n\u2019en ayant pas.<\/p>\n Diff\u00e9rents param\u00e8tres de gestion des patients avec FA et la survenue d\u2019\u00e9v\u00e8nements (AVC, saignement, hospitalisation pour FA ou insuffisance cardiaque.<\/p>\n 2458 patients ont \u00e9t\u00e9 inclus sans diff\u00e9rence significative entre les caract\u00e9ristiques des patients dans les 2 groupes\u00a0: \u00e2ge 73 \u00b112 vs 74 \u00b110 ans et CHADS2-VASC2 3,3 \u00b11,2 3,1 \u00b11,4 dans le groupe holter implantable vs contr\u00f4le.<\/p>\n Les auteurs concluent que l\u2019utilisation du holter implantable permet de mieux suivre et prendre en charge les patients avec FA en augmentant l\u2019adh\u00e9rence au traitement et en proposant une ablation plus tot. Cette \u00e9tude a de nombreuses limites inh\u00e9rentes \u00e0 son design qui ne permettent pas une conclusion quant \u00e0 l\u2019efficience de l\u2019implantation d\u2019un holter chez les patients avec FA. Premi\u00e8rement dans le groupe holter implantable, 93,6% ont eu une ablation de FA ce qui ne repr\u00e9sente pas la population standard des FA. Deuxi\u00e8mement, l\u2019int\u00e9r\u00eat du holter implantable peut r\u00e9sider dans le syst\u00e8me de t\u00e9l\u00e9surveillance associ\u00e9e plus que sur le holter lui-meme. Une \u00e9tude randomis\u00e9e sera n\u00e9cessaire avant d\u2019\u00e9largir la mise en place de holter implantable chez les patient avec FA.<\/p>\n [vc_row][vc_column css=”.vc_custom_1663235123898{margin-top: 0px !important;border-top-width: 0px !important;background-color: rgba(255,255,255,0.1) !important;*background-color: rgb(255,255,255) !important;}”][vc_empty_space height=”24px”][vc_separator color=”custom” accent_color=”#e42925″][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=”24px”][vc_column_text] But de l\u2019\u00e9tude : Montrer l\u2019int\u00e9r\u00eat de l\u2019implantation d\u2019un holter implantable d\u00e9tectant la FA chez des patients avec FA. Design de l\u2019\u00e9tude\u00a0: Registre multicentrique prospectif comparant les patients avec FA ayant un holter implantable vs ceux n\u2019en ayant pas. Crit\u00e8res d\u2019\u00e9valuation\u00a0:…<\/p>\n","protected":false},"author":2,"featured_media":3481,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[31,22],"tags":[],"class_list":["post-3478","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-newsletter","category-articles","category-31","category-22","description-off"],"_links":{"self":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/3478","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/comments?post=3478"}],"version-history":[{"count":3,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/3478\/revisions"}],"predecessor-version":[{"id":3606,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/posts\/3478\/revisions\/3606"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/media\/3481"}],"wp:attachment":[{"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/media?parent=3478"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/categories?post=3478"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rythmologie.fr\/index\/wp-json\/wp\/v2\/tags?post=3478"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}But de l\u2019\u00e9tude :<\/strong> <\/span><\/h3>\n
Design de l\u2019\u00e9tude\u00a0:<\/strong> <\/span><\/h3>\n
Crit\u00e8res d\u2019\u00e9valuation<\/strong>\u00a0: <\/span><\/h3>\n
R\u00e9sultats\u00a0: <\/strong><\/span><\/h3>\n
Discussion\u00a0: <\/strong><\/span><\/h3>\n
[\/vc_column_text][vc_empty_space height=”24px”][vc_empty_space height=”24px”][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][vc_empty_space][vc_separator][vc_empty_space][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"