Right atrial function by speckle tracking echocardiography in atrial septal defect: Prediction of atrial fibrillation

Vitarelli, Antonio; Madon, E; Gaudio, Carlo; Tanzilli, Gaetano; Miraldi, Fabio; Capotosto, Lidia

doi:10.1002/clc.23051

Cited by 30 publications

(33 citation statements)

References 27 publications

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“…RA dysfunction may cause POAF development with mechanisms similar to LA dysfunction because they share the same embryonic origin and cellular structure. 9,22,27,28 During the evaluation of the RA by deformation analyses, conduit, reservoir, and contraction functions can be calculated. RASr is the most commonly studied of these functions.…”

Section: Resultsmentioning

confidence: 99%

“…Myocardial fibrosis plays a key role in POAF development . AF might develop after percutaneous patent foramen ovale closure, and in relation with the progression of the remodeling process …”

Section: Discussionmentioning

confidence: 99%

“…However, no data is available regarding the effect of RA volume and functional status on the development of AF in the postoperative period. RA dysfunction may cause POAF development with mechanisms similar to LA dysfunction because they share the same embryonic origin and cellular structure …”

Section: Discussionmentioning

confidence: 99%

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The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

Aksu

Kalkan

Gülcü

et al. 2019

J of Clinical Ultrasound

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Purpose Atrial fibrillation (AF) is relatively frequent in the postoperative period, and is associated with an increased frequency of adverse events. The role of right atrial (RA) volume and functions in the development of AF is unknown. In this study, we investigated the effect of RA echocardiographic indices on AF development in the postoperative period. Method We enrolled 142 consecutive patients who underwent coronary artery bypass surgery, and assigned them into two groups depending on the occurrence or not of AF development in the postoperative period. Results A propensity score matching analysis was performed to balance the groups, and 37 pairs were eventually included in the analysis. The median age was 67.5 (63‐75) years and 73.3% of them were males. In the univariate analysis, right atrial volume index (RAVi), right atrial strain during reservoir phase (RASr), left ventricular global longitudinal strain, right ventricular strain, left atrial volume index, left atrial strain during reservoir phase, and systolic pulmonary artery pressure were associated with AF development. In the regression analysis, we found that RAVi (OR: 3.1, 95% CI: 2.2‐6.3, P: .033) and RASr (OR: 0.82, 95% CI: 0.67‐0.93, P: .048) were independent predictors of AF development. Conclusions RA structure and functions are closely associated with AF development in the postoperative period, and screening of RA functions prior to surgery may be useful for preventing AF development.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

Aksu

Kalkan

Gülcü

et al. 2019

J of Clinical Ultrasound

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“…22) Using this method, we evaluated speckle tracking in patients with ASD. 23,24) After one cardiac cycle was selected, we selected the septal and lateral corners of the mitral annulus and the LA roof in the systolic frame. The QLAB software automatically provided seven tracking regions on the LA wall and calculated the longitudinal strain (LS) using speckle tracking.…”

Section: Figurementioning

confidence: 99%

Influence of Percutaneous Occlusion of Atrial Septal Defect on Left Atrial Function Evaluated Using 2D Speckle Tracking Echocardiography

et al. 2020

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Percutaneous occlusion of atrial septal defect (ASD) has recently become a standard therapeutic strategy, but little is known about left atrial (LA) function thereafter. The present study aimed to determine LA function in 43 children with ASD and 13 controls based on LA strain measured by two-dimensional echocardiographic speckle tracking (2DE-ST). Among these children, 12 underwent surgery (ASD-S), 31 had device closure (ASD-D), and 13 were included as controls. LA strain was significantly decreased after ASD-D but was not significantly altered after ASD-S, indicating that percutaneous occlusion of an ASD might decrease LA function. Furthermore, the size of the ASD device negatively correlated with LA strain. These results imply that ASD occlusion devices negatively influence LA function and might be important when decided therapeutic strategies for ASD. LA strain measured by 2DE-ST should become a good indicator of LA function after ASD treatment in children.(Int Heart J 2020; 61: 83-88)

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“…2D speckle tracking analysis has been widely used to evaluate ventricular function, 15 As a study conducted in adults reported that the RA strain during the reservoir phase is a predictor of atrial fibrillation development 17 , the possibility of future arrhythmias in the Operation and Device groups with decreased εS may be considered. Therefore, ASD patients treated under 5 years of age require long-term follow-up with the possibility of arrhythmia and reduced atrial function.…”

Section: Conventional Echocardiographic Indicatorsmentioning

confidence: 99%

Atrial function after treatment of atrial septal defects in children under 5 years

Choi

Kim

et al. 2020

Preprint

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BackgroundRecently, the patient's age of atrial septal defect (ASD) treatment has been gradually decreasing. However, the most appropriate age and treatment method remain controversial. We hypothesized that treatment of ASDs in patients under 5 years would be able to adequately normalize bi-atrial function over one year after treatment. The purpose of this study is to confirm the normalization of hypothesized atrial function. MethodsData of fifteen patients who underwent surgical ASD closure under 5 years of age (Operation group), 15 patients who underwent percutaneous ASD closure (Device group), and 15 age-and gendermatched normal control patients (Control group) were extracted from our echocardiographic data.Conventional 2D images and 2D speckle tracking method were used to evaluate bi-atrial function. ResultsLeft atrial function, εS, εE, and εA showed no significant differences in the three groups. Indicators representing the right atrial function varied with the three groups. However, there were no significant differences in the global longitudinal strain of the right atrium between the Operation and Device groups. ConclusionsAfter ASD treatment, right atrial function recovery is less than that of the left atrium. The function of the right atrium is not normalized after more than one year of treatment for ASD in patients under 5 years. After ASD treatment, further follow-up of the bi-atrial function is necessary.

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Right atrial function by speckle tracking echocardiography in atrial septal defect: Prediction of atrial fibrillation

Cited by 30 publications

References 27 publications

The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

Influence of Percutaneous Occlusion of Atrial Septal Defect on Left Atrial Function Evaluated Using 2D Speckle Tracking Echocardiography

Atrial function after treatment of atrial septal defects in children under 5 years

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