Biatrial remodelling in atrial fibrillation: A three-dimensional and strain echocardiography insight

Autor: Aliocha Scheuble, Laurie Soulat-Dufour, Nadjib Hammoudi, Marion Chauvet-Droit, Franck Boccara, Saroumadi Adavane-Scheuble, Anne-Sophie Beraud, Magali Charbonnier, Ariel Cohen, Y Ancedy, P Nhan, Stéphane Ederhy, Sylvie Lang
Přispěvatelé: Service de Cardiologie [CHU Saint-Antoine], CHU Saint-Antoine [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Institute of cardiometabolism and nutrition (ICAN), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Centre de Recherche Saint-Antoine (CR Saint-Antoine), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-CHU Saint-Antoine [AP-HP], CCSD, Accord Elsevier, Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases (ICAN), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-Institut de Cardiométabolisme et Nutrition = Institute of Cardiometabolism and Nutrition [CHU Pitié Salpêtrière] (IHU ICAN), CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Sorbonne Université (SU), Clinique Pasteur [Toulouse], Centre cardiologique du Nord (CCN), Centre de Recherche Saint-Antoine (CRSA), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Time Factors
medicine.medical_treatment
[SDV]Life Sciences [q-bio]
Echocardiography
Three-Dimensional
Atrial Function
Right
030204 cardiovascular system & hematology
Cardioversion
Right atrial
Atrial remodelling
0302 clinical medicine
Left atrial
Atrial strain
Medicine
Sinus rhythm
030212 general & internal medicine
Prospective Studies
Atrial function
Échocardiographie 3D
Atrial fibrillation
General Medicine
Middle Aged
[SDV] Life Sciences [q-bio]
Treatment Outcome
Cardiology
Atrial Function
Left
Female
France
Cardiology and Cardiovascular Medicine
medicine.medical_specialty
Electric Countershock
Strain atrial
03 medical and health sciences
Predictive Value of Tests
Internal medicine
Fibrillation atriale
Humans
In patient
Heart Atria
Aged
Fonction atriale
3D echocardiography
business.industry
Reproducibility of Results
Atrial Remodeling
medicine.disease
Remodelage atrial
business
3d echocardiography
Zdroj: Archives of cardiovascular diseases
Archives of cardiovascular diseases, Elsevier/French Society of Cardiology, 2019, 112, pp.585-593. ⟨10.1016/j.acvd.2019.06.010⟩
Archives of cardiovascular diseases, 2019, 112, pp.585-593. ⟨10.1016/j.acvd.2019.06.010⟩
ISSN: 1875-2136
1875-2128
DOI: 10.1016/j.acvd.2019.06.010⟩
Popis: International audience; Background: Atrial remodelling has been poorly investigated in atrial fibrillation (AF), and few studies have focused on biatrial remodelling.Aim: To evaluate right atrial (RA) and left atrial (LA) remodelling in AF using global atrial reservoir strain and three-dimensional (3D) atrial volumes, according to rhythm outcome at mid-term follow-up.Methods: Two-dimensional and 3D transthoracic echocardiography (TTE) were performed within 24hours after admission (M0) and at 6-month follow-up (M6) in patients admitted for AF. RA and LA variables were assessed: body surface area-indexed maximum 3D volume (Max 3D RA Voli, Max 3D LA Voli) and minimum 3D volume (Min 3D RA Voli, Min 3D LA Voli); atrial emptying fraction (3D RAEF, 3D LAEF); atrial expansion index (3D RAEI, 3D LAEI); and global RA and LA reservoir strain.Results: Forty-eight consecutive patients were included prospectively. Three groups were identified depending on rhythm at M0 and M6: AF at M0 and sinus rhythm (SR) at M6 (AF-SR) in 25 (52.1%) patients; AF at M0 and AF at M6 (AF-AF) in 13 (27.1%) patients; and SR at M0 (spontaneous cardioversion before first TTE) and SR at M6 (SR-SR) in 10 (20.8%) patients. Between M0 and M6 in the AF-SR group, we found: significant decreases in Max 3D RA Voli (P=0.020), Min 3D RA Voli (P=0.0008), Max 3D LA Voli (P=0.001) and Min 3D LA Voli (P=0.0021); significant increases in 3D RAEF (P=0.037) and 3D RAEI (P=0.034); no significant differences in 3D LAEF and 3D LAEI; and significant increases in global RA and LA reservoir strain (both P
Databáze: OpenAIRE
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