Accuracy of patient perception of their prevailing rhythm: A comparative analysis of monitor data and questionnaire responses in patients with atrial fibrillation

Garimella, Roja; Chung, Eugene H.; Mounsey, J. Paul; Schwartz, Jennifer; Pursell, Irion; Gehi, Anil K.

doi:10.1016/j.hrthm.2015.01.012

Cited by 31 publications

(24 citation statements)

References 30 publications

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“…It is worth noting the very high frequency of three symptoms: “breathlessness during activity,” “weakness/fatigue,” and “tiredness,” all three reported by approximately 90 % of the population, regardless of age and gender. Our data are in line with what is known to be the most common experienced symptoms, and that less common is chest pain in connection to the arrhythmia …”

Section: Discussionsupporting

confidence: 91%

“…The impact of gender on arrhythmia duration varies in different studies, probably due to large differences in the cohorts. 3,21,22 The reasons for the differences we found are unclear; one explanation is that many patients report repeated episodes of arrhythmia even during continuous AF and, thus, patients with a lower threshold for AF symptoms will report a higher frequency of episodes even during ongoing AF. 21 In the ASTA questionnaire, patients are asked how they experience palpitations.…”

Section: Symptoms Of Arrhythmia From a Gender And Age Perspectivementioning

confidence: 80%

“…3,21,22 The reasons for the differences we found are unclear; one explanation is that many patients report repeated episodes of arrhythmia even during continuous AF and, thus, patients with a lower threshold for AF symptoms will report a higher frequency of episodes even during ongoing AF. 21 In the ASTA questionnaire, patients are asked how they experience palpitations. Twice as many men than women reported that they did not experience any palpitations at all while arrhythmia-related descriptions of fast, irregular, and hard heart beats were significantly more often reported by women.…”

Section: Symptoms Of Arrhythmia From a Gender And Age Perspectivementioning

confidence: 80%

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Gender and age differences in symptoms and health‐related quality of life in patients with atrial fibrillation referred for catheter ablation

Walfridsson

Hansen²,

Charitakis

et al. 2019

Pacing Clinical Electrophis

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Background Primary indication for catheter ablation of atrial fibrillation (AF) is to reduce symptoms and improve health‐related quality of life (HRQoL). There are data showing differences between the genders and between younger and older patients. To evaluate this, we studied a large Scandinavian cohort of patients referred for catheter ablation of AF. Methods Consecutive patients filled out the ASTA questionnaire, assessing symptoms, HRQoL, and perception of arrhythmia, prior to ablation. Patients were recruited from four Swedish and one Danish tertiary center. Results A total of 2493 patients (72% men) filled out the ASTA questionnaire. Women experienced eight of the nine ASTA scale symptoms more often than men. Patients <65 years reported four symptoms more often, only tiredness was more frequent in those ≥65 years (P = .007). Women and patients <65 years experienced more often palpitations and regarding close to fainting and this was more common among women, no age differences were seen. Women and men scored differently in 10 of the 13 HRQoL items. Only negative impact on sexual life was more common in men (P < .001). Older patients reported more negative influence in four of the HRQoL items and the younger in one; ability to concentrate. Conclusions Women experienced a more pronounced symptom burden and were more negatively affected in all HRQoL concerns, except for the negative impact on sexual life, where men reported more influence of AF. Differences between age groups were less pronounced. Disease‐specific patient‐reported outcomes measures (PROMs) add important information where gender differences should be considered in the care.

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Section: Discussionsupporting

confidence: 91%

Section: Symptoms Of Arrhythmia From a Gender And Age Perspectivementioning

confidence: 80%

Section: Symptoms Of Arrhythmia From a Gender And Age Perspectivementioning

confidence: 80%

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Gender and age differences in symptoms and health‐related quality of life in patients with atrial fibrillation referred for catheter ablation

Walfridsson

Hansen²,

Charitakis

et al. 2019

Pacing Clinical Electrophis

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show abstract

“…In a study by Gaita in heart rate as an AF episode. 24 Hence, the patient might inaccurately recognize a persistent episode as more than one episode. Furthermore, classification of AF type can be simple in many patients, but The dependent variable was the scale score at the 1-year follow-up with the score at baseline subtracted.…”

Section: Predictors Of Improvement In Arrhythmiaspecific Symptoms Amentioning

confidence: 99%

Predictors of improvement in arrhythmia‐specific symptoms and health‐related quality of life after catheter ablation of atrial fibrillation

Barmano

Charitakis

Karlsson

et al. 2018

Clinical Cardiology

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Background The primary goal of radiofrequency ablation (RFA) of atrial fibrillation (AF) is to improve symptoms and health‐related quality of life (HRQoL). However, most studies have focused on predictors of AF recurrence rather than on predictors of improvement in symptoms and HRQoL. Hypothesis We sought to explore predictors of improvement in arrhythmia‐specific symptoms and HRQoL after RFA of AF, and to evaluate the effects on symptoms, HRQoL, anxiety, and depression. Methods We studied 192 patients undergoing their first RFA of AF. The Medical Outcomes Study 36‐Item Short‐Form Health Survey (SF‐36), arrhythmia‐specific questionnaire in tachycardia and arrhythmia (ASTA), and hospital anxiety and depression scale (HADS) questionnaires were filled out at baseline, at 4 months, and at a 1‐year follow‐up. Results All questionnaire scale scores improved significantly over time. In the ASTA symptom scale score, female gender and > 10 AF episodes the month before RFA were significant positive predictors of improvement, while diabetes and AF recurrence within 12 months after RFA were significant negative predictors (R2 = 0.18; P < 0.001). In the ASTA HRQoL scale score, the presence of heart failure and > 10 AF episodes the month before RFA were significant positive predictors of improvement, while diabetes, maximum left atrial volume and AF recurrence were significant negative predictors (R2 = 0.20; P < 0.001). Conclusion Left atrial volume, gender, diabetes, heart failure, the frequency of AF attacks prior to RFA, and recurrence of AF after RFA were significant factors affecting improvement in symptoms and HRQoL after RFA of AF. Future studies are warranted to confirm these findings.

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“…On the other hand, AF patients with anxiety and depression are more likely to incorrectly overestimate the presence of AF (Garimella et al . ). Whether such patients reflect a unique subpopulation, and whether interventions targeting anxiety and depression can improve AF symptom burden are currently unknown.…”

Section: Introductionmentioning

confidence: 97%

Clinical neurocardiology defining the value of neuroscience‐based cardiovascular therapeutics

Shivkumar¹,

Ajijola²,

Anand

et al. 2016

The Journal of Physiology

248

212

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The autonomic nervous system regulates all aspects of normal cardiac function, and is recognized to play a critical role in the pathophysiology of many cardiovascular diseases. As such, the value of neuroscience-based cardiovascular therapeutics is increasingly evident. This White Paper reviews the current state of understanding of human cardiac neuroanatomy, neurophysiology, pathophysiology in specific disease conditions, autonomic testing, risk stratification, and neuromodulatory strategies to mitigate the progression of cardiovascular diseases.

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Accuracy of patient perception of their prevailing rhythm: A comparative analysis of monitor data and questionnaire responses in patients with atrial fibrillation

Cited by 31 publications

References 30 publications

Gender and age differences in symptoms and health‐related quality of life in patients with atrial fibrillation referred for catheter ablation

Gender and age differences in symptoms and health‐related quality of life in patients with atrial fibrillation referred for catheter ablation

Predictors of improvement in arrhythmia‐specific symptoms and health‐related quality of life after catheter ablation of atrial fibrillation

Clinical neurocardiology defining the value of neuroscience‐based cardiovascular therapeutics

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