Relationship left atrial strain and CHA2DS2-VASc score compared to left atrial appendage emptying flow velocity

Kurosawa, Koji; Negishi, Kazuaki; Tateno, Rieko; Masuda, Kuniko; Obokata, Masaru; Houjou, Y.; Nakajima, Masahiro; Kurabayashi, Masahiko

doi:10.1093/eurheartj/eht308.2024

Cited by 4 publications

(5 citation statements)

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“…Islas et al [26] and Kurosawa et al [27] expressed that LA strain was connected fundamentally and autonomously with CHA2DS2-VASc score and these discoveries are with our outcomes.…”

Section: )supporting

confidence: 72%

“…There was significant decrease in LA strain with in patients with CHA2DS2-VASc score > 2 compared to patients with CHA2DS2-VASc score < 2 (16 (14-20) vs 30 (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34), p <.001) Table (5).…”

Section: Clinical Characteristicsmentioning

confidence: 93%

“…Likewise, Islas et al [26] who examined the thromboembolic hazard in atrial fibrillation and found that LA strain was corresponded fundamentally and autonomously with CHA2DS2-VASc score. Nonetheless, Kurosawa et al [27] who examined the connection between left atrial strain and CHA2DS2-VASc score contrasted with left atrial member discharging stream speed found that the segments of the score were not altogether corresponded with LA strain aside from age and CHF which were freely related with LA strain. The CHA2DS2VASc score is an alteration of the CHADS2 score that expects to improve the forecast of stroke chance in patients with atrial fibrillation.…”

Section: )mentioning

confidence: 99%

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The Correlation between Left Atrial Function by Speckle Tracking and Stroke Risk in Patients with Persistent Atrial Fibrillation

Enin

Ahmed

Sabry

et al. 2020

Benha Journal of Applied Sciences

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The primary persistent Atrial fibrillation (AF) is the most common sustained arrhythmia in the general population; its prevalence increases with age and is generally associated with increased mortality. To decide the relationship between's left atrial capacity by dot following echocardiography and stroke chance in understanding with industrious atrial fibrillation. This examination included 100 patients with industrious AF convoluted with stir alluded to the Cardiology Department at Benha University Hospital for echocardiographic appraisal, who were contrasted and 100 patients with determined AF not entangled with stroke of coordinated age and sexual orientation. The collector administrator trademark (ROC) bend was utilized to test demonstrative estimation of different echocardiographic boundaries models in the connection between's left atrial capacity by dot following and stroke hazard in patients with tireless atrial fibrillation and indicated that the estimation of LA strain < 22.5 was appeared to have the best symptomatic precision with (affectability = 82%; explicitness = 60%) in foreseeing the stroke chance in atrial fibrillation understanding with AUC.871. It is reasoned that spot following investigations of the left chamber may offer important data on which patients would profit the most from delayed cardiovascular observing for distinguishing proof of PAF.

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“…Islas et al [26] and Kurosawa et al [27] expressed that LA strain was connected fundamentally and autonomously with CHA2DS2-VASc score and these discoveries are with our outcomes.…”

Section: )supporting

confidence: 72%

Section: Clinical Characteristicsmentioning

confidence: 93%

Section: )mentioning

confidence: 99%

See 1 more Smart Citation

The Correlation between Left Atrial Function by Speckle Tracking and Stroke Risk in Patients with Persistent Atrial Fibrillation

Enin

Ahmed

Sabry

et al. 2020

Benha Journal of Applied Sciences

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“…Islas et al 10 discovered a correlation between LA longitudinal strain and CHA2DS2-VASc. Kurosawa et al 11 showed significant and independent connection between LA strain and CHA2DS2-VASc score. This is in contrast with the current findings.…”

Section: Discussionmentioning

confidence: 95%

Left atrial function assessment by speckle tracking echocardiography in low-risk atrial fibrillation patients

Kareem Mohammed Helmy,

Reda Biomy Bastwisy,

Mohammed Kamal Salama

et al. 2023

J Pak Med Assoc

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Objective: To compare the left atrial function utilising speckle tracking echocardiography in patients with low-risk and high-risk non-valvular atrial fibrillation.Methods: The descriptive, cross-sectional study was conducted at the cardiology department of Kafrelsheikh University Hospital, Egypt, from January 2021 to January 2022, and comprised low-risk atrial fibrillatin participants in group I, high-risk atrial fibrillatin patients in group II, and healthy controls in group III. After detailed medical history, the subjects underwent 12-lead electrocardigram, and echocardiographic assessment, including two dimensional, M-mode, tissue doppler, and speckle tracking of the left atrium. The association of left atrial strain with Congestive heart failure, hypertension, age ≥75 (doubled), diabetes, stroke (doubled), vascular disease sex category (female) score was explored. Data was analysed using SPSS 28.Results: Of the 90 subjects, there were 30(33.3%) in each of the 3 groups. The mean age among the groups was significantly different among the groups (p=0.014). Left atrial ejection fraction and left atrial strain had an overall significant difference among the groups (p<0.001). Congestive heart failure, hypertension, age ≥75 (doubled), diabetes, stroke (doubled), vascular disease sex category (female) score was negatively correlated with Left atrial ejection fraction and (p<0.001) and left atrial strain (p<0.001). Conclusion: In individuals with atrial fibrillatin, there was a significant decrease in left atrial strain and left atrial function. The use of speckle tracking echocardiography allowed for a more detailed analysis of left atrial mechanics. The correlation of left atrial strain and left atrial ejection fractionwith Congestive heart failure, hypertension, age ≥75 (doubled), diabetes, stroke (doubled), vascular disease sex category (female) score was significantly negative.Keywords: Atrial fibrillation, Electrocardiography, Echocardiography, Speckle.

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“…Also, Islas et al [20] found that LA strain was correlated significantly and independently with CHA 2 DS 2 -VASc score. However, Kurosawa et al, [21] who studied the relationship between left atrial strain and CHA 2 DS 2 -VASc score compared to left atrial appendage emptying flow velocity found that the components of the score were not significantly correlated with LA strain except for age and CHF which were independently correlated with LA strain.…”

Section: Discussionmentioning

confidence: 98%

The Correlation between Left Atrial Deformation Indices and the CHA2DS2 - VASc Risk Score in Patients with Atrial Fibrillation

Enin¹,

Hamoda²

2016

J Clin Exp Cardiolog

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Objectives: To assess the relation between left atrial systolic strain and CHA 2 DS 2-VASc score in patients with non valvular atrial fibrillation and to assess whether it can be used in guiding the decision for oral anticoagulation. Methods: The study included 100 patients with non-valvular persistent AF (group I) compared to 100 individuals with sinus rhythm of matching age and gender (group II). Standard two-dimensional echocardiography, PW Doppler and TDI derived velocity and strains were used to assess LA function then its correlation with CHA 2 DS 2-VASc score in group I was evaluated. Results: The prevalence of DM (P<0.001), HTN (P=0.001), prior stroke (P<0.001), heart failure (P < 0.001) and peripheral vascular disease (P < 0.001) was increased in patients in group I. Group I showed significant increase in LA diameters (anterio-posterior, transverse and longitudinal) P ˂ 0.001, LA volumes (maximal and minimal P < 0.001 and mitral E/e" ratio P ˂ 0.05. The correlation between LA emptying fraction and CHA 2 DS 2-VASc score was negative and significant (P < 0.05). Systolic LA strain was significantly reduced in patients with AF (P < 0.001) and it was negatively correlated to CHA 2 DS 2-VASc score but without statistical significance. There was no significant difference of LA systolic strain between the CHA 2 DS 2-VASc score of < 2 points and ≥ 2 points (P = 0.52). Systolic LA strain ≤ 17.44 was shown to have the best diagnostic accuracy (sensitivity = 42.11 %; specificity = 62.07%) in predicting CHA 2 DS 2-VASc ≥ 2. Conclusion: LA systolic strain is significantly reduced in AF patients and negatively correlated to CHA 2 DS 2-VASc score and no significant difference between LA systolic strain in patients with CHA 2 DS 2-VASc score of < 2 points and ≥ 2 points so LA strain may be a tool that helps in guiding the decision for oral anticoagulation.

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Relationship left atrial strain and CHA2DS2-VASc score compared to left atrial appendage emptying flow velocity

Cited by 4 publications

References 0 publications

The Correlation between Left Atrial Function by Speckle Tracking and Stroke Risk in Patients with Persistent Atrial Fibrillation

The Correlation between Left Atrial Function by Speckle Tracking and Stroke Risk in Patients with Persistent Atrial Fibrillation

Left atrial function assessment by speckle tracking echocardiography in low-risk atrial fibrillation patients

The Correlation between Left Atrial Deformation Indices and the CHA2DS2 - VASc Risk Score in Patients with Atrial Fibrillation

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