The predictive value of intra‐left atrial mechanical delay for 1‐year recurrence of atrial fibrillation after catheter ablation: A clinical follow‐up study using dual Doppler echocardiography

Zhou, Yanxiang; Chen, Jinling; Hu, Bo; Cao, Sheng; Zhou, Qing; Guo, Ruiqiang

doi:10.1002/jcu.22629

Cited by 3 publications

(4 citation statements)

References 40 publications

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“…The development of atrial fibrillation (AF) after cardiac surgery has been associated with poor cardiac outcome . Several variables, including inflammatory mediators, age, or left ventricular (LV) function, have been shown to be involved in the development of post‐operative atrial fibrillation (POAF) . Sympathetic system activation may also be associated with POAF development, which has been reported to be reduced by the use of beta‐blockers before the procedure.…”

Section: Introductionmentioning

confidence: 99%

“…1 Several variables, including inflammatory mediators, age, or left ventricular (LV) function, have been shown to be involved in the development of post-operative atrial fibrillation (POAF). [2][3][4] Sympathetic system activation may also be associated with POAF development, which has been reported to be reduced by the use of beta-blockers before the procedure. Many associated predictors such as left atrial (LA) volume, LV ejection fraction, or left ventricular global longitudinal strain (LVGLS) have thus been described, and can be measured by echocardiography before the procedure.…”

Section: Introductionmentioning

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: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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“…Moreover, PA-TDI > 145 ms (93.8% sensitivity and 90.5% specificity) was shown to predict AF in patients with cryptogenic stroke [67]. Also, intra (left) atrial mechanical delay obtained with simultaneous recording of Doppler waveforms at two different sites (tissue Doppler echocardiography) may predict AF recurrence [68].…”

Section: Total Conduction Timementioning

confidence: 98%

Novel Echocardiographic Biomarkers in the Management of Atrial Fibrillation

Gumprecht

Szulik

Domek

et al. 2019

Curr Cardiovasc Imaging Rep

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Purpose of Review Atrial fibrillation (AF) is the most common arrhythmia in adults. The number of patients with AF is anticipated to increase annually, mainly due to the aging population alongside improved arrhythmia detection. AF is associated with a significantly elevated risk of hospitalization, stroke, thromboembolism, heart failure, and all-cause mortality. Echocardiography is one of the key components of routine assessment and management of AF. Therefore, the aim of this review is to briefly summarize current knowledge on "novel" echocardiographic parameters that may be of value in the management of AF patients. Recent Findings Novel echocardiographic biomarkers and their clinical application related to the management of AF have been taken into consideration. Both standard parameters such as atrial size and volume but also novels like atrial strain and tissue Doppler techniques have been analyzed. Summary A number of novel echocardiographic parameters have been proven to enable early detection of left atrial dysfunction along with increased diagnosis accuracy. This concerns particularly experienced echocardiographers. Hence, these techniques might improve the prediction of stroke and thromboembolic events among AF patients and need to be further developed and disseminated. Nonetheless, even the standard imaging parameters could be of significant value and should not be discontinued in everyday clinical practice.

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“…The evaluation of ACT or atrial conduction delay (ACD) has been informative with respect to the propensity for the development and recurrence of atrial fibrillation. Thus, assessment of the inhomogeneity in ACT or the ACD has also received attention (Maff e et al 2015;Müller et al 2017;Zhou et al 2018). The gold standard for measurement of ACT is the electrophysiology study (EPS), which is an invasive procedure.…”

Section: Introductionmentioning

confidence: 99%

Agreement Between Electrophysiology Study and Tissue Doppler Imaging Regarding the Measurement of Total Atrial Conduction Time and Left Atrial Conduction Delay

Bozorgi

Khoshnevis

Hosseinsabet

2020

Ultrasound in Medicine & Biology

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The aim of our study was to evaluate the agreement between tissue Doppler imaging (TDI) methods and electrophysiology study (EPS) concerning the measurement of total atrial conduction time (TACT) and left atrial conduction delay (LACD). Sixty-nine candidates for EPS were included. TACT and LACD were measured in the EPS. The TDI time intervals for each patient were measured using both pulsed-wave (PW) and 2-D colorcoded (CC) methods, once from the beginning of the P wave to the beginning of the a 0 wave (Tb) and once again to the peak of the a 0 wave (Tp) at the mitral annulus. TACT and LACD measured by TDI were not in good agreement with those measured by EPS. There was moderate agreement between PW-Tb and CC-Tb and good agreement between PW-Tp and CC-Tp for the measurement of TACT; nevertheless, agreement was not good in the case of LACD.

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The predictive value of intra‐left atrial mechanical delay for 1‐year recurrence of atrial fibrillation after catheter ablation: A clinical follow‐up study using dual Doppler echocardiography

Abstract: Intra-left atrial mechanical delay best predicted 1-year AF recurrence after RFCA. Compared with tTDI, DDE can noninvasively assess single-beat atrial mechanical delay with high predictive power, less analysis time, and better reproducibility.

Cited by 3 publications

References 40 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

Novel Echocardiographic Biomarkers in the Management of Atrial Fibrillation

Agreement Between Electrophysiology Study and Tissue Doppler Imaging Regarding the Measurement of Total Atrial Conduction Time and Left Atrial Conduction Delay

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