A comparison of left atrial size by two-dimensional transthoracic echocardiography and magnetic endocardial catheter mapping.

This study sought to validate the accuracy of magnetic electroanatomic mapping (MEAM) for determining cardiac chamber size in a clinically relevant situation. The authors chose to compare LA size measured by MEAM to that assessed by two-dimensional guided M-mode echocardiography. The study included...

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Publicado en:Pacing & Clinical Electrophysiology Vol. 25; no. 1; pp. 95 - 98
Autores principales: Patel VV, Ren JF, Marchlinski FE
Formato: Journal Article
Publicado: Wiley-Blackwell Jan2002
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2002
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: A comparison of left atrial size by two-dimensional transthoracic echocardiography and magnetic endocardial catheter mapping.
      aug:
        au:
          Patel VV
          Ren JF
          Marchlinski FE
      sug:
        subj:
          Atrial Fibrillation Pathology
          Echocardiography
          Heart Atrium Pathology
          Heart Function Tests
          Adult
          Aged
          Female
          Fluoroscopy
          Heart Catheterization
          Male
          Middle Age
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: This study sought to validate the accuracy of magnetic electroanatomic mapping (MEAM) for determining cardiac chamber size in a clinically relevant situation. The authors chose to compare LA size measured by MEAM to that assessed by two-dimensional guided M-mode echocardiography. The study included 37 patients with drug refractory paroxysmal atrial fibrillation who underwent two-dimensional echocardiography and a detailed MEAM of the LA. The entire LA was mapped with a mean of 132 ± 50 points with attention to identifying the mitral annulus and posterior wall of the LA. The MEAM measurement of LA size was taken as the distance from the anterior wall of the LA to the posterior wall in a plane parallel to the mitral valve annulus at atrial end-diastole. LA dimension determined by M-mode echocardiography was assessed in a plane parallel to the mitral valve annulus in the parasternal long-axis view during atrial end-diastole. LA size assessed by M-mode echocardiography was 41.2 ± 5.0 versus 40.9 ± 4.5 mm as assessed by MEAM, with good correlation (r = 0.87, P < 0.001). Only three patients had a difference in LA size that was > 0.3 cm between the two measurement techniques. Thus, it appears that LA anteroposterior dimension as determined by electroanatomic mapping is similar to that determined by two-dimensional guided M-mode echocardiography. MEAM appears to be an accurate method by which LA size can be assessed in patients with drug refractory atrial fibrillation undergoing left atrial ablation procedures.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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