Three-Dimensional Left Atrial Reservoir Function During Sinus Rhythm Can Discriminate Between a History of Paroxysmal Atrial Fibrillation and its Absence.
Background: Atrial fibrillation (AF) is the most common arrhythmia and can lead in the long-term to atrial remodelling. Three-dimensional speckle-tracking echocardiography allows evaluation of left atrial function and the magnitude of remodelling processes. Methods: Echocardiography loops were colle...
| Publicado en: | Clinical Medicine Insights: Cardiology pp. 1 - 15 |
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| Autores principales: | , , , , , , , , |
| Formato: | diagnostic images research tables/charts tracings Journal Article |
| Publicado: |
Sage Publications Inc.
6/26/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186245587&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186245587 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795468 B3KL jtl: Clinical Medicine Insights: Cardiology issn: 11795468 maglogo: Y pubinfo: dt: 6/26/2025 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 186245587 186245587 186245587 10.1177/11795468251333624 186245587 ppf: 1 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Three-Dimensional Left Atrial Reservoir Function During Sinus Rhythm Can Discriminate Between a History of Paroxysmal Atrial Fibrillation and its Absence. aug: au: Plášek, Jiří Skopelidou, Valeria Strakoš, Jan Drieniková, Diana Ráchela, Martin Pudich, Jiří Vrtal, Jiří Homza, Miroslav Václavík, Jan affil: Dept. of Internal Medicine and Cardiology, University Hospital Ostrava, Czech Republic sug: subj: Atrial Fibrillation Diagnosis Heart Atrium, Left Radiography Echocardiography Methods Imaging, Three-Dimensional Heart Atrium, Left Physiology Predictive Value of Tests Human Funding Source Male Female Aged Aged, 80 and Over Retrospective Design Record Review Spearman's Rank Correlation Coefficient Univariate Statistics Multivariate Analysis Logistic Regression Interrater Reliability Intrarater Reliability Global Longitudinal Strain Sensitivity and Specificity ROC Curve Descriptive Statistics Confidence Intervals Aged: 65+ years Aged, 80 & over Male Female ab: Background: Atrial fibrillation (AF) is the most common arrhythmia and can lead in the long-term to atrial remodelling. Three-dimensional speckle-tracking echocardiography allows evaluation of left atrial function and the magnitude of remodelling processes. Methods: Echocardiography loops were collected between December 2021 and December 2022. Only valid atrial loops with sinus rhythm during examination were included. The Spearman test was used to establish correlation matrices of left atrial parameters, with uni-, multivariate and binary logistic regression to predict the presence or absence of AF. Results: A total of 116 patients (50% females) aged 76.9 ± 11.2 years were included in the analysis. Males and females differed in anthropometric and other clinical parameters. Intra- and interobserver variability was 1.12% and 1.85%, respectively. 2D and 3D left atrial volumes correlated significantly (r =.8, P <.0001). Almost all left atrium strain measurements uni- and multivariately predicted the presence of AF, binary logistic regression model identified 2 independent parameters, left atrial longitudinal strain reservoir (LASr, P =.042) and LAS conduit phase (P =.044). LASr was significantly greater in patients without a history of AF than in patient with a history of AF (16 ± 16 and 10.5 ± 7.1, respectively; P =.012). LASr was able to discriminate between a history of paroxysmal AF and its absence with 72% specificity and 68% sensitivity with a cut-off value of 14% (AUC 0.72, 95% CI 0.62-0.82, P <.0001). Conclusions: Three-dimensional left atrial reservoir function can differentiate patients with paroxysmal AF from patients without a history of this arrhythmia. pubtype: Academic Journal doctype: diagnostic images research tables/charts tracings Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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