Comprehensive Echocardiography of Left Atrium and Left Ventricle Using Modern Techniques Helps in Better Revealing Atrial Fibrillation in Patients with Hypertrophic Cardiomyopathy
| Autor: | Agnieszka Zienciuk-Krajka, Radosław Nowak, Ludmiła Daniłowicz-Szymanowicz, Elżbieta Wabich, Alicja Raczak |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Medicine (General) Longitudinal strain Clinical Biochemistry Left atrium Speckle tracking echocardiography 030204 cardiovascular system & hematology two-dimensional strain Article 030218 nuclear medicine & medical imaging 03 medical and health sciences three-dimensional strain 0302 clinical medicine R5-920 Internal medicine medicine In patient atrial fibrillation cardiovascular diseases Ejection fraction business.industry Hypertrophic cardiomyopathy Atrial fibrillation medicine.disease hypertrophic cardiomyopathy medicine.anatomical_structure Ventricle speckle-tracking echocardiography Cardiology business |
| Zdroj: | Diagnostics; Volume 11; Issue 7; Pages: 1288 Diagnostics, Vol 11, Iss 1288, p 1288 (2021) Diagnostics |
| ISSN: | 2075-4418 |
| DOI: | 10.3390/diagnostics11071288 |
| Popis: | Atrial fibrillation (AF) is an important arrhythmia in hypertrophic cardiomyopathy (HCM). We aimed to explore whether a complex evaluation of the left ventricle (LV) using modern echocardiography techniques, additionally to the left atrium (LA) boosts the probability of AF diagnosis. Standard echocardiography, 2D and 3D speckle tracking, were performed for LA and LV evaluation in HCM patients and healthy volunteers. Of 128 initially qualified HCM patients, 60 fulfilled included criteria, from which 43 had a history of AF, and 17 were without AF. LA volume index and peak strain, LV ejection fraction, and strains were significant predictors of AF. In addition, 2D global longitudinal strain (GLS) for LV at cut off −16% turned out to be the most accurate predictor of AF (OR 48.00 [95% CI 2.68–859.36], p = 0.001), whereas the combination of LA peak strain ≤ 22% and LV GLS ≥ −16% had the highest discriminatory power (OR 76.36 [95% CI 4.13–1411.36], p = 0.001). AF in HCM patients seems to be LA as well as LV disease. Revealing lower strain for LV, in addition to lower LA strain, may have an important impact on accurate characteristics of HCM patients with AF history. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|