Echocardiographic Structure and Function in Elderly Patients With Atrial Fibrillation in Japan: The ANAFIE Echocardiographic Substudy

Autor: Ken-ichi Hiasa, Hidetaka Kaku, Goro Kawahara, Hiroshi Inoue, Takeshi Yamashita, Masaharu Akao, Hirotsugu Atarashi, Takanori Ikeda, Yukihiro Koretsune, Ken Okumura, Wataru Shimizu, Kazunori Toyoda, Atsushi Hirayama, Masahiro Yasaka, Takenori Yamaguchi, Satoshi Teramukai, Tetsuya Kimura, Jumpei Kaburagi, Atsushi Takita, Hiroyuki Tsutsui
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Circulation journal. 86(2):222-232
ISSN: 1346-9843
Popis: Background: Echocardiographic data on the cardiac structure and function in elderly patients with atrial fibrillation (AF) and heart failure (HF) are limited. This subcohort study of the ANAFIE Registry analyzed echocardiographic parameters to identify cardiac structural and functional characteristics. / Methods and Results: Of 32,726 subjects in the ANAFIE population, 1,494 (4.6%) were entered as the echocardiography subcohort. Half of the patients, including those with persistent and permanent AF, older age (≥80 years), and CHADS_2 score ≥2, had left atrial (LA) volume index ≥48 mL/㎡, indicating severe LA enlargement. LA enlargement significantly correlated with impaired LA reservoir function, regardless of age and CHADS_2 score. Types of AF and rhythm were strongly related to LA volume and reservoir function (P
Databáze: OpenAIRE