Predictive role of left atrial and ventricular mechanical function in postoperative atrial fibrillation: a two-dimensional speckle-tracking echocardiography study

Başaran, Özcan; Tigen, Kürşat; Gözübüyük, Gökhan; Dündar, Cihan; Güler, Ahmet; Taşar, Onur; Biteker, Murat; Karabay, Can Yücel; Bulut, Mehmet; Karaahmet, Tansu; Kırma, Cevat

doi:10.5543/tkda.2015.11354

Cited by 17 publications

(27 citation statements)

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“…However, β-blockers usage was associated with less incidence of AF. These findings are in agreement with Başaran et al, 16 who reported POAF group weren’t on beta–blockers ( P value <0.001)…”

Section: Discussionsupporting

confidence: 93%

“…In the present study, speckle tracking echocardiography revealed that the left ventricular global longitudinal strain (LV GLS %) was significantly reduced in POAF group ( P value <0.001). This is in contrast to Başaran et al, 16 who studied the predictive role of left atrial and ventricular mechanical function in postoperative atrial fibrillation. They reported that the left ventricular global longitudinal strain value was not different between the 2 groups ( P value >0.005).…”

Section: Discussionmentioning

confidence: 71%

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Echocardiographic predictors of atrial fibrillation after mitral valve replacement

Sabry

Mansour

El-Azm

et al. 2017

The Egyptian Heart Journal

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ObjectivesDetection of the echocardiographic predictors of post-operative atrial fibrillation in patients with rheumatic mitral valve disease undergoing mitral valve replacement.MethodsThe study included 50 patients with rheumatic mitral valve disease undergoing mitral valve replacement. Preoperative assessment included standard two-dimensional echocardiography to assess LA diameter, volume, and emptying fraction, LV volume and ejection fraction. TDI derived velocity, strain of the left atrium and speckle tracking to assess left ventricular function then postoperative follow up for 1 month for occurrence of atrial fibrillation.ResultsThe incidence of postoperative AF was 44%; these patients were significantly older (P = 0.001) and show higher prevalence of DM (P = 0.001) and HTN (P = 0.001). Also, LA diameters (antero-posterior, transverse and longitudinal) and LA volumes (maximal and minimal) were increased (P < 0.001), but no difference in LA emptying fraction (P > 0.05). Systolic LA strain and left ventricular global longitudinal strain were significantly reduced in those patients (P value <0.001). Echocardiographic predictors of AF were LA systolic strain (P value <0.001) and LV global longitudinal strain (P value = 0.003). Cutoff value for systolic LA strain ≤23 had sensitivity 90.91% and specificity 93.33% in predicting POAF. While, left ventricular global longitudinal strain ≤−14.9% had sensitivity 63.6% and specificity 100.0% in predicting AF.ConclusionLA systolic strain and LV global longitudinal strain were significant predictors of POAF. Echocardiographic parameters can identify patients at greater risk of developing POAF who can benefit from preventive measure and guide the selection of prosthesis.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 71%

Echocardiographic predictors of atrial fibrillation after mitral valve replacement

Sabry

Mansour

El-Azm

et al. 2017

The Egyptian Heart Journal

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“…Advanced age is considered an independent predictor for POAF after cardiac surgery as well as AF incidence outside of the cardiac surgery population. 42 Patients with advanced age experience remodeling in the atrial tissue including changes in ion channel function and distribution, 43 systemic inflammation, 3,6,9,21 impulse propagation, 7,8,10,13 fibrosis distribution, 15,16 and structural substrate, 4,17,19,24 which lead to increased POAF inducibility and burden with increased age. Since age-related remodeling is chronic and slow, older patients undergoing cardiac surgery likely have developed the substrate for increased POAF inducibility and burden.…”

Section: Discussionmentioning

confidence: 99%

Clinical Risk Factors for Postoperative Atrial Fibrillation among Patients after Cardiac Surgery

Yamashita

Ranjan

et al. 2018

Thorac cardiovasc Surg

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“…ПОФП имеет два основных патофизиологических механизма, которые могут быть связаны с размерами ЛП: дегенеративные изменения миокарда предсердий и предоперационные электрофизиологические изменения. Следует учитывать, что предоперационная механическая дисфункция предсердий может сопровождаться развитием ФП в ходе операции, что продемонстрировано в работе Başaran Ö, et al (2016) [11].…”

Section: Discussionunclassified

Clinical, echocardiographic parameters and markers of oxidative stress associated with atrial fibrillation in patients undergoing coronary artery bypass graft surgery

Рубаненко¹,

Рубаненко²,

Щукин³

et al. 2020

Russ J Cardiol

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Цель. Оценить взаимосвязь клинических, эхокардиографических показателей и маркеров окислительного стресса с развитием послеоперационной фибрилляции предсердий (ПОФП) у пациентов с ишемической болезнью сердца (ИБС), подвергающихся коронарному шунтированию (КШ). Материал и методы. В рамках исследования "случай-контроль" обследовано 158 пациентов с ИБС, поступивших для проведения КШ. Пациенты разделены на две группы: 1-я группа-без ПОФП (111 больных, 82,0% мужчин, медиана возраста 62,0 [56,0;66,0] года), 2-я группа с ПОФП (47 больных, 84,4% мужчин, медиана возраста 65,0 [61,0;70,0] лет). Медиана развития ПОФП составила 5,2 [2,0;7,0] сут. после КШ. Проводилось исследование содержания супероксиддисмутазы в плазме и в эритроцитах, миелопероксидазы в плазме, каталазы, малонового диальдегида, восстановленного глутатиона (ВГ), глутатионредуктазы (ГР), глутатионпероксидазы (ГПО) в эритроцитах, оксида азота (NO) в плазме, продукты окисления белков. Исследование показателей осуществлялось в предоперационном периоде и в среднем на 3-4 сут. после КШ. Всем пациентам также проводилась эхокардиография. Результаты. После выполнения многофакторного регрессионного анализа отношение шансов развития ПОФП выявлено для следующих показателей: диаметра левого предсердия >41 мм-4,1 (95% доверительный интервал (ДИ),

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Predictive role of left atrial and ventricular mechanical function in postoperative atrial fibrillation: a two-dimensional speckle-tracking echocardiography study

Abstract: The combination of 2D STE, clinical, and biochemical parameters may help predict POAF.

Cited by 17 publications

References 0 publications

Echocardiographic predictors of atrial fibrillation after mitral valve replacement

Echocardiographic predictors of atrial fibrillation after mitral valve replacement

Clinical Risk Factors for Postoperative Atrial Fibrillation among Patients after Cardiac Surgery

Clinical, echocardiographic parameters and markers of oxidative stress associated with atrial fibrillation in patients undergoing coronary artery bypass graft surgery

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