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Echocardiographic features of patients with paroxysmal atrial fibrillation
Background . There are several risk factors for the initiation of paroxysmal atrial fibrillation (PAF) and the underlying mechanisms are multifactorial. Our study aims to explore the echocardiographic parameters that can identify in patients with PAF compared to normal subjects. Methods . Eighty con...
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Published in: | The International Journal of Cardiovascular Imaging 2008-02, Vol.24 (2), p.159-163 |
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description | Background
. There are several risk factors for the initiation of paroxysmal atrial fibrillation (PAF) and the underlying mechanisms are multifactorial. Our study aims to explore the echocardiographic parameters that can identify in patients with PAF compared to normal subjects.
Methods
. Eighty consecutive patients who were with PAF detected by 24-h Holter monitoring (HM) were assigned in our study. The control group (
n
= 80) consisted individuals with no PAF on HM. Indication for HM was palpitations at rest. All patients underwent routine echocardiographic evaluation. Patients with aortic and mitral stenosis, hyperthyroidism, and hypothyroidism were excluded from the study. Comprehensive clinical data were collected.
Results
. Mean age of the patients with PAF was 63 ± 11 years and of those 42% were male subjects. There was no difference in the prevalence of hypertension in both groups. Mean left ventricular ejection fraction (LVEF) was 57 ± 15% in PAF group and 64 ± 2% in control subjects (
p
|
doi_str_mv | 10.1007/s10554-007-9247-3 |
format | article |
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. There are several risk factors for the initiation of paroxysmal atrial fibrillation (PAF) and the underlying mechanisms are multifactorial. Our study aims to explore the echocardiographic parameters that can identify in patients with PAF compared to normal subjects.
Methods
. Eighty consecutive patients who were with PAF detected by 24-h Holter monitoring (HM) were assigned in our study. The control group (
n
= 80) consisted individuals with no PAF on HM. Indication for HM was palpitations at rest. All patients underwent routine echocardiographic evaluation. Patients with aortic and mitral stenosis, hyperthyroidism, and hypothyroidism were excluded from the study. Comprehensive clinical data were collected.
Results
. Mean age of the patients with PAF was 63 ± 11 years and of those 42% were male subjects. There was no difference in the prevalence of hypertension in both groups. Mean left ventricular ejection fraction (LVEF) was 57 ± 15% in PAF group and 64 ± 2% in control subjects (
p
< 0.001). Mean values of left atrial (LA) diameter for PAF and control groups were 3.7 ± 0.6 cm vs. 3.1 ± 0.4 cm (
p
< 0.001), respectively. Patients with PAF had more severe valve insufficiency, higher values of mean pulmonary artery systolic pressures (PAP) (29 ± 10 mmHg vs. 25 ± 2 mmHg, respectively;
p
= 0.001) and deteriorated MV inflow velocities (E:A ratio 0.9 ± 0.4 vs. 1.1 ± 0.3, respectively;
p
= 0.008) when compared to control group. In multivariate logistic regression analysis, LA diameter predicted the development of PAF after adjusted for age and gender.
Conclusion
. Our results indicate that LA diameter predicts the development of PAF.</description><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1573-0743</identifier><identifier>DOI: 10.1007/s10554-007-9247-3</identifier><identifier>PMID: 17597421</identifier><identifier>CODEN: IJCIBI</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Atrial Fibrillation - diagnostic imaging ; Atrial Fibrillation - physiopathology ; Cardiac Imaging ; Cardiology ; Case-Control Studies ; Chi-Square Distribution ; Echocardiography, Doppler ; Electrocardiography, Ambulatory ; Female ; Humans ; Imaging ; Logistic Models ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Radiology ; Risk Factors</subject><ispartof>The International Journal of Cardiovascular Imaging, 2008-02, Vol.24 (2), p.159-163</ispartof><rights>Springer Science+Business Media B.V. 2007</rights><rights>Springer Science+Business Media B.V. 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-caefebc916da24ffbcb86c54b557c12bbe6f50bb4df7b197e0b40cc357e253133</citedby><cites>FETCH-LOGICAL-c369t-caefebc916da24ffbcb86c54b557c12bbe6f50bb4df7b197e0b40cc357e253133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17597421$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Colkesen, Yucel</creatorcontrib><creatorcontrib>Acil, Tayfun</creatorcontrib><creatorcontrib>Demircan, Senol</creatorcontrib><creatorcontrib>Sezgin, Alpay T.</creatorcontrib><creatorcontrib>Ozin, Bulent</creatorcontrib><creatorcontrib>Muderrisoglu, Haldun</creatorcontrib><title>Echocardiographic features of patients with paroxysmal atrial fibrillation</title><title>The International Journal of Cardiovascular Imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>Background
. There are several risk factors for the initiation of paroxysmal atrial fibrillation (PAF) and the underlying mechanisms are multifactorial. Our study aims to explore the echocardiographic parameters that can identify in patients with PAF compared to normal subjects.
Methods
. Eighty consecutive patients who were with PAF detected by 24-h Holter monitoring (HM) were assigned in our study. The control group (
n
= 80) consisted individuals with no PAF on HM. Indication for HM was palpitations at rest. All patients underwent routine echocardiographic evaluation. Patients with aortic and mitral stenosis, hyperthyroidism, and hypothyroidism were excluded from the study. Comprehensive clinical data were collected.
Results
. Mean age of the patients with PAF was 63 ± 11 years and of those 42% were male subjects. There was no difference in the prevalence of hypertension in both groups. Mean left ventricular ejection fraction (LVEF) was 57 ± 15% in PAF group and 64 ± 2% in control subjects (
p
< 0.001). Mean values of left atrial (LA) diameter for PAF and control groups were 3.7 ± 0.6 cm vs. 3.1 ± 0.4 cm (
p
< 0.001), respectively. Patients with PAF had more severe valve insufficiency, higher values of mean pulmonary artery systolic pressures (PAP) (29 ± 10 mmHg vs. 25 ± 2 mmHg, respectively;
p
= 0.001) and deteriorated MV inflow velocities (E:A ratio 0.9 ± 0.4 vs. 1.1 ± 0.3, respectively;
p
= 0.008) when compared to control group. In multivariate logistic regression analysis, LA diameter predicted the development of PAF after adjusted for age and gender.
Conclusion
. Our results indicate that LA diameter predicts the development of PAF.</description><subject>Atrial Fibrillation - diagnostic imaging</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Case-Control Studies</subject><subject>Chi-Square Distribution</subject><subject>Echocardiography, Doppler</subject><subject>Electrocardiography, Ambulatory</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Radiology</subject><subject>Risk Factors</subject><issn>1569-5794</issn><issn>1573-0743</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNp1kEtLAzEYRYMotlZ_gBsZXLgbzXPSLKXUFwU3ug5JmrQpM5OazKD992ZooSC4-m7IyZfLAeAawXsEIX9ICDJGyxxLgSkvyQkYI8ZJCTklp0OuRMm4oCNwkdIGQoghJudghDgTnGI0Bm9zsw5GxaUPq6i2a28KZ1XXR5uK4Iqt6rxtu1R8-26dTzH87FKj6kJ10efhvI6-rjMV2ktw5lSd7NVhTsDn0_xj9lIu3p9fZ4-L0pBKdKVR1lltBKqWClPntNHTyjCqGeMGYa1t5RjUmi4d10hwCzWFxhDGLWYEETIBd_u92xi-eps62fhkbG7R2tAnySFGiExFBm__gJvQxzZ3kzirwSKLyxDaQyaGlKJ1cht9o-JOIigHy3JvWQ5xsCyHBjeHxb1u7PL44qA1A3gPpHzVrmw8_vz_1l81RokQ</recordid><startdate>20080201</startdate><enddate>20080201</enddate><creator>Colkesen, Yucel</creator><creator>Acil, Tayfun</creator><creator>Demircan, Senol</creator><creator>Sezgin, Alpay T.</creator><creator>Ozin, Bulent</creator><creator>Muderrisoglu, Haldun</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20080201</creationdate><title>Echocardiographic features of patients with paroxysmal atrial fibrillation</title><author>Colkesen, Yucel ; Acil, Tayfun ; Demircan, Senol ; Sezgin, Alpay T. ; Ozin, Bulent ; Muderrisoglu, Haldun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369t-caefebc916da24ffbcb86c54b557c12bbe6f50bb4df7b197e0b40cc357e253133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Atrial Fibrillation - diagnostic imaging</topic><topic>Atrial Fibrillation - physiopathology</topic><topic>Cardiac Imaging</topic><topic>Cardiology</topic><topic>Case-Control Studies</topic><topic>Chi-Square Distribution</topic><topic>Echocardiography, Doppler</topic><topic>Electrocardiography, Ambulatory</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Radiology</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Colkesen, Yucel</creatorcontrib><creatorcontrib>Acil, Tayfun</creatorcontrib><creatorcontrib>Demircan, Senol</creatorcontrib><creatorcontrib>Sezgin, Alpay T.</creatorcontrib><creatorcontrib>Ozin, Bulent</creatorcontrib><creatorcontrib>Muderrisoglu, Haldun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>The International Journal of Cardiovascular Imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Colkesen, Yucel</au><au>Acil, Tayfun</au><au>Demircan, Senol</au><au>Sezgin, Alpay T.</au><au>Ozin, Bulent</au><au>Muderrisoglu, Haldun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Echocardiographic features of patients with paroxysmal atrial fibrillation</atitle><jtitle>The International Journal of Cardiovascular Imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2008-02-01</date><risdate>2008</risdate><volume>24</volume><issue>2</issue><spage>159</spage><epage>163</epage><pages>159-163</pages><issn>1569-5794</issn><eissn>1573-0743</eissn><coden>IJCIBI</coden><abstract>Background
. There are several risk factors for the initiation of paroxysmal atrial fibrillation (PAF) and the underlying mechanisms are multifactorial. Our study aims to explore the echocardiographic parameters that can identify in patients with PAF compared to normal subjects.
Methods
. Eighty consecutive patients who were with PAF detected by 24-h Holter monitoring (HM) were assigned in our study. The control group (
n
= 80) consisted individuals with no PAF on HM. Indication for HM was palpitations at rest. All patients underwent routine echocardiographic evaluation. Patients with aortic and mitral stenosis, hyperthyroidism, and hypothyroidism were excluded from the study. Comprehensive clinical data were collected.
Results
. Mean age of the patients with PAF was 63 ± 11 years and of those 42% were male subjects. There was no difference in the prevalence of hypertension in both groups. Mean left ventricular ejection fraction (LVEF) was 57 ± 15% in PAF group and 64 ± 2% in control subjects (
p
< 0.001). Mean values of left atrial (LA) diameter for PAF and control groups were 3.7 ± 0.6 cm vs. 3.1 ± 0.4 cm (
p
< 0.001), respectively. Patients with PAF had more severe valve insufficiency, higher values of mean pulmonary artery systolic pressures (PAP) (29 ± 10 mmHg vs. 25 ± 2 mmHg, respectively;
p
= 0.001) and deteriorated MV inflow velocities (E:A ratio 0.9 ± 0.4 vs. 1.1 ± 0.3, respectively;
p
= 0.008) when compared to control group. In multivariate logistic regression analysis, LA diameter predicted the development of PAF after adjusted for age and gender.
Conclusion
. Our results indicate that LA diameter predicts the development of PAF.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>17597421</pmid><doi>10.1007/s10554-007-9247-3</doi><tpages>5</tpages></addata></record> |
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subjects | Atrial Fibrillation - diagnostic imaging Atrial Fibrillation - physiopathology Cardiac Imaging Cardiology Case-Control Studies Chi-Square Distribution Echocardiography, Doppler Electrocardiography, Ambulatory Female Humans Imaging Logistic Models Male Medicine Medicine & Public Health Middle Aged Original Paper Radiology Risk Factors |
title | Echocardiographic features of patients with paroxysmal atrial fibrillation |
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