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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
Main Authors: Colkesen, Yucel, Acil, Tayfun, Demircan, Senol, Sezgin, Alpay T., Ozin, Bulent, Muderrisoglu, Haldun
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container_title The International Journal of Cardiovascular Imaging
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Acil, Tayfun
Demircan, Senol
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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
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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  &lt; 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  &lt; 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 &amp; 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. 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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  &lt; 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  &lt; 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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