2026-03-30 国立循環器病研究センター,熊本大学
Circulation journal 2026, CJ-25-1126 より引用・改変
＜関連情報＞
- https://www.ncvc.go.jp/hospital/topics/topics_36979/
- https://www.jstage.jst.go.jp/article/circj/advpub/0/advpub_CJ-25-1126/_article
7日間のホルター心電図モニタリングは、軽度心房細動の検出率を大幅に向上させる ― 日本の大規模多施設共同研究の結果 ― Seven-Day Holter Monitoring Substantially Improves Detection of Low-Burden Atrial Fibrillation ― Results From a Large Japanese Multicenter Cohort ―
Yuko Inoue, Kota Nakatsuji, Koichiro Kumagai, Tadashi Hoshiyama, Kenichi Tsujita, Takahisa Noma, Yoshihiro Kokubo, Masatoshi Koga, Naoki Mochizuki, Hisao Ogawa, Kengo Kusano
Circulation Journal Published:March 06, 2026
DOI:https://doi.org/10.1253/circj.CJ-25-1126
Abstract
Background: Atrial fibrillation (AF) burden and longest duration are important predictors of heart failure and embolism. However, burden-specific detection rates on 7-day Holter ECG remain unclear.
Methods and Results: Among 25,817 recordings, 2,289 cases of paroxysmal AF and 571 cases of persistent AF were identified. Low-burden AF was common, and 7-day monitoring substantially improved detection, particularly for AF burden <10% (2.6-fold increase vs. 24-h). AF burden correlated with the longest duration (r=0.79).
Conclusions: 7-day Holter monitoring improved low-burden AF detection and confirmed a strong correlation between AF burden and longest duration.
