https://scholars.lib.ntu.edu.tw/handle/123456789/524190
標題: | Left atrial dysfunction in patients with atrial fibrillation after successful rhythm control for > 3 months | 作者: | YI-CHIH WANG JIUNN-LEE LIN HWANG, JUEY-JEN MAO-SHIN LIN Tseng C.-D. Huang S.K.S. LING-PING LAI |
公開日期: | 2005 | 出版社: | American College of Chest Physicians | 卷: | 128 | 期: | 4 | 起(迄)頁: | 2551-2556 | 來源出版物: | Chest | 摘要: | Background: Large-scale clinical trials have demonstrated that patients with atrial fibrillation (AF), when treated with a rhythm-control strategy, are still at risk for embolic events. We hypothesized that left atrial (LA) dysfunction persisted even after successful maintenance of sinus rhythm for > 3 months. Methods: A total of 93 patients with AF and satisfactory rhythm control for > 3 months were included. Satisfactory rhythm control was defined as being free of AF based on patient-reported symptoms, monthly ECG follow-up, and ambulatory Holter ECG if needed. Among the 93 patients, 25 patients had sustained AF that was terminated by electrical or pharmacologic cardioversion, while 68 patients had paroxysmal AF under good medical control. Clinical data were obtained, and transthoracic and transesophageal echocardiography were performed after satisfactory rhythm control for > 3 months. Results: Among the 93 patients, 34 patients (37%) had LA dysfunction, defined as LA appendage (LAA) peak emptying velocity < 40 cm/s or spontaneous echo contrast and/or thrombus in the LA or LAA. When compared to the other 59 patients without LA dysfunction, they had larger LA dimension (40 ± 6 mm vs 36 ± 8 mm [± SD], p = 0.018) but did not differ significantly regarding the left ventricular (LV) chamber size, LV ejection fraction, mitral or tricuspid inflow, and ratio of the amplitude of the waves created by early diastolic filling and atrial contraction. We also analyzed the relationship between LA function and clinical risk factors for stroke, including hypertension, diabetes mellitus, coronary artery disease, age > 65 years, and prior cerebral vascular accident LA dysfunction was found in 10 of 17 patients (59%) with three or more risk factors. The odds ratio for having LA dysfunction was 3.1 (p = 0.04; 95% confidence interval, 1.1 to 9.1) when compared with patients with less than three risk factors. Conclusions: LA dysfunction was present in more than one third of AF patients after satisfactory rhythm control for > 3 months. Patients with higher burden (three or more) of clinical risk factors were more likely to have impaired LA function. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-27144558250&doi=10.1378%2fchest.128.4.2551&partnerID=40&md5=86eae3d71360a81661c6b84a8247ca80 https://scholars.lib.ntu.edu.tw/handle/123456789/524190 |
ISSN: | 0012-3692 | DOI: | 10.1378/chest.128.4.2551 | SDG/關鍵字: | angiotensin receptor antagonist; antiarrhythmic agent; beta adrenergic receptor blocking agent; calcium channel blocking agent; digitalis; dipeptidyl carboxypeptidase inhibitor; diuretic agent; adult; aged; article; blood flow velocity; cerebrovascular disease; cigarette smoking; diabetes mellitus; electrocardiography monitoring; female; follow up; heart atrium arrhythmia; heart atrium fibrillation; heart atrium function; heart left atrium; human; hypertension; M mode echocardiography; major clinical study; male; monitor; priority journal; risk factor; transesophageal echocardiography; transthoracic echocardiography; treatment outcome; two dimensional echocardiography |
顯示於: | 醫學系 |
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