2012
DOI: 10.1590/s0066-782x2012005000009
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Medida do átrio esquerdo em pacientes com suspeita de insuficiência cardíaca com fração de ejeção normal

Abstract: Background: The pathophysiological model of heart failure (HF) with preserved ejection fraction (HFPEF) focuses on the presence of diastolic dysfunction, which causes left atrial (LA) structural and functional changes. The LA size, an indicator of the chronic elevation of the left ventricular (LV) filling pressure, can be used as a marker of the presence of HFPEF, and it is easily obtained.

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Cited by 9 publications
(6 citation statements)
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“…In the present study, changes in heart structure (LV mass, LV mass index, SWT, and left atrial diameter) were present in the LVDD group; these changes did not show any independent correlation with LVDD in multivariate analysis and we estimate that they are consecutive to increased BMI,22,23 rather than as a consequence of LVDD. In addition, we hypothesize that significant structural changes occur at the stage of diastolic heart failure with increased filling pressure rather than with LVDD.…”
Section: Discussioncontrasting
confidence: 53%
See 1 more Smart Citation
“…In the present study, changes in heart structure (LV mass, LV mass index, SWT, and left atrial diameter) were present in the LVDD group; these changes did not show any independent correlation with LVDD in multivariate analysis and we estimate that they are consecutive to increased BMI,22,23 rather than as a consequence of LVDD. In addition, we hypothesize that significant structural changes occur at the stage of diastolic heart failure with increased filling pressure rather than with LVDD.…”
Section: Discussioncontrasting
confidence: 53%
“…Conversely, in patients with LVDD, left atrial enlargement may be the consequence of chronic LV pressure elevation, and in this case, indexed left atrial volume (>34 mL/m 2 ) is more reliable than indexed left atrial diameter as a marker of LVDD 22. In the present study, there was no significant difference in left atrial diameter among the three groups, and we hypothesize—as mentioned above—that the indexed volume is a better marker of left atrial remodeling in this setting.…”
Section: Discussionmentioning
confidence: 99%
“…LA size can be used as a marker for chronic elevation of LV filling pressure and is often used to assess diastolic dysfunction in humans ( 83 , 139 ) and animal models ( 17 , 50 , 123 , 171 ). Given the small LA size in mice, strict attention, with respect to probe location, is required for accurate measurements.…”
Section: Echocardiographymentioning
confidence: 99%
“…Other parameters used in clinical practice to evaluate and characterize DD ventricular remodeling are indexed LV mass and indexed LAV 44 .…”
Section: Echocardiographymentioning
confidence: 99%