Impact of Atrial Fibrillation on the Symptoms and Echocardiographic Evaluation of Patients With Aortic Stenosis

Atrial fibrillation (AF) is common in patients with aortic stenosis (AS) and complicates the assessment of AS severity. The overlapping of symptoms in these 2 conditions may postpone valve replacement. This study aimed to evaluate the effect of AF on the severity assessment of AS and its impact on s...

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Bibliographic Details
Published in:The American journal of cardiology 2024-01, Vol.211, p.122-129
Main Authors: Niemi, Heikki J, Suihko, Satu, Kylmälä, Minna, Rajala, Helena, Syväranta, Suvi, Kivistö, Sari, Lommi, Jyri
Format: Article
Language:English
Subjects:
Aorta
Aortic stenosis
Aortic valve
Calcification
Calcification (ectopic)
Cardiac arrhythmia
Cardiomyopathy
Cardiovascular disease
Computed tomography
Coronary vessels
Dyspnea
Echocardiography
Electrocardiography
Evaluation
Fibrillation
Heart
Heart valves
Patients
Phenotypes
Quality of life
Regression analysis
Respiration
Ultrasonic imaging
Womens health
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Summary:Atrial fibrillation (AF) is common in patients with aortic stenosis (AS) and complicates the assessment of AS severity. The overlapping of symptoms in these 2 conditions may postpone valve replacement. This study aimed to evaluate the effect of AF on the severity assessment of AS and its impact on symptoms and quality of life (QoL). Patients with severe AS were prospectively recruited. Echocardiography, symptom questionnaires, and RAND-36 QoL assessment were performed preoperatively and 3 months postoperatively. The aortic valve calcium score (AVC) was measured using computed tomography. Of the 279 patients, 74 (26.5%) had AF. Patients with AF had lower mean gradients and 45.9% had a low-gradient phenotype, with a mean gradient
ISSN:0002-9149
1879-1913
1879-1913
DOI:10.1016/j.amjcard.2023.11.010