Clinical and echocardiographic parameters as risk factors for atrial fibrillation in patients with hypertrophic cardiomyopathy

Kłopotowski, Mariusz; Kwapiszewska, Aleksandra; Kukuła, Krzysztof; Jamiołkowski, Jacek; Dąbrowski, M; Derejko, Paweł; Oręziak, Artur; Baranowski, Rafał; Śpiewak, Mateusz; Marczak, Magdalena; Klisiewicz, Anna; Szepietowska, Barbara; Chmielak, Zbigniew; Witkowski, Adam

doi:10.1002/clc.23050

Cited by 10 publications

(1 citation statement)

References 24 publications

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“…Hypertrophic cardiomyopathy (HCM) is the most common inherited cardiovascular disease, which is seen in 1 out of 500 people and is mostly autosomal dominant and occurs as a result of mutation in the cardiac sarcomere protein gene [1,2]. HCM is de ned as left ventricular hypertrophy (LVH) in the absence of any systemic or cardiac disease likely to be the reason for this hypertrophy [3].…”

Section: Introductionmentioning

confidence: 99%

Is there a relationship between the helical pattern of hypertrophy and atrial fibrillation in patients with hypertrophic cardiomyopathy?

Çelik

Bozkurt

Yiğit

et al. 2023

Preprint

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Purpose: Atrial fibrillation (AF) is commonly seen in patients with hypertrophic cardiomyopathy (HCM) and is associated with left atrial enlargement, fibrosis and diastolic dysfunction. Cardiac magnetic resonance (CMR) imaging provides important information about the geometric pattern of hypertrophy that may related to worse clinical outcomes such as arrhythmic events. The purpose of this study was to determine whether helical pattern is associated with increased risk for AF and diastolic dysfunction in patients with HCM. Methods: A total of 50 consecutive patients with HCM referred for CMR imaging were enrolled into the study. The helical pattern was evaluated by measurement of the maximal left ventricle wall thickness (LVWT) for each of the 17 classical LV segments. Results: A spiral pattern was observed in 20 patients (40%). We found significantly higher incidence of AF in patients who detected helical distribution than in those who did not (40% vs. 10%, p = 0.012). Left atrial volume index (LAVI) was also higher in patients with helical pattern compared to non-helical pattern (32.5 mL/m2 ± 16.9 vs. 23.7 mL/m2 ± 5.8; p < 0.001). Conclusion: Our study suggests that presence of helical pattern is associated with significantly increased risk of development AF and LAVI in HCM patients.

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Section: Introductionmentioning

confidence: 99%

Is there a relationship between the helical pattern of hypertrophy and atrial fibrillation in patients with hypertrophic cardiomyopathy?

Çelik

Bozkurt

Yiğit

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Temporal Changes in Cardiac Morphology and Its Relationship with Clinical Characteristics and Outcomes in Patients with Hypertrophic Cardiomyopathy

Habib

Adler

Hoss

et al. 2022

The American Journal of Cardiology

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Single-Centre Experience of Surgical Myectomy for Hypertrophic Obstructive Cardiomyopathy

Afanasyev

Bogachev-Prokophiev

Овчаров

et al. 2020

Heart, Lung and Circulation

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Clinical and echocardiographic parameters as risk factors for atrial fibrillation in patients with hypertrophic cardiomyopathy

Abstract: We confirm that AF is a common complication for patients with HCM. Identification of patients with high risk for AF and implementation of preventive strategies may reduce AF occurrence and its complications.

Cited by 10 publications

References 24 publications

Is there a relationship between the helical pattern of hypertrophy and atrial fibrillation in patients with hypertrophic cardiomyopathy?

Is there a relationship between the helical pattern of hypertrophy and atrial fibrillation in patients with hypertrophic cardiomyopathy?

Temporal Changes in Cardiac Morphology and Its Relationship with Clinical Characteristics and Outcomes in Patients with Hypertrophic Cardiomyopathy

Single-Centre Experience of Surgical Myectomy for Hypertrophic Obstructive Cardiomyopathy

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