Echocardiographic assessment of left atrial function for prediction of efficacy of catheter ablation for atrial fibrillation
| Autor: | Jakub Baran, Beata Zaborska, Ewa Pilichowska-Paszkiet, Piotr Kułakowski |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Heart disease medicine.medical_treatment Observational Study Catheter ablation Speckle tracking echocardiography Logistic regression ablation left atrium strain Left atrial Internal medicine Atrial Fibrillation Preoperative Care Medicine Humans Aged Receiver operating characteristic business.industry Area under the curve Atrial fibrillation General Medicine Middle Aged medicine.disease Echocardiography Cardiology Catheter Ablation Atrial Function Left business Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Proper selection for catheter ablation (CA) for atrial fibrillation (AF) is still an issue. Echocardiographic assessment of left atrium (LA) is complex and challenging. Speckle tracking echocardiography (STE) with recent standardized LA deformation analysis allows for the quantitative assessment of various LA function parameters. We aimed to assess the value of detailed evaluations of LA function using STE in patients with non-valvular AF without structural heart disease to predict the outcomes after CA for AF. Secondary aim was to analyze the prediction of CA efficacy in patients with normal LA dimension in baseline echocardiography. We studied with transthoracic and transesophageal echocardiography 82 patients (58% males, mean age 57.3 ± 9.5 years) with non-valvular paroxysmal AF without structural heart disease scheduled for CA. Peak longitudinal LA strain (LAS) and strain rate (LASR) during the reservoir (r), conduit (cd) and contraction (ct) phases were measured by STE before the procedure. Patients were followed for 1 year using serial 4 to 7 day Holter ECG monitoring. Complete freedom from any AF recurrence was achieved in 44 (54%) patients. All patients had normal left ventricular systolic and diastolic function and 53 (65%) of them had not enlarged LA. In the multivariable logistic regression analysis, global left atrial reservoir strain (LASr) was identified as an independent predictor of CA efficacy (OR [95% CI]: 1.35 [1.17–1.55], P |
| Databáze: | OpenAIRE |
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