AIM: The aim of the present study was to investigate if left atrioventricular plane displacement (AVPD) has a prognostic value in patients with atrial fibrillation. METHODS AND RESULTS: Left AVPD was assessed by two-dimensionally guided M-mode echocardiography in the four- and two-chamber views in 160 consecutive patients with chronic atrial fibrillation, who were followed up with regard to mortality for an average of 45 months. All-cause mortality during follow-up was 49% (n=78). AVPD was lower in patients who died compared to those who survived: 6.6+/-1.7 versus 7.5+/-1.7 mm, P=0.0005. In 49 patients (31%), death was due to chronic heart failure or acute myocardial infarction. Among those who died of cardiac events, AVPD was 6.3+/-1.6 mm, versus 7.1+/-1.8 mm among those who died of other causes, P=0.0001. In multiple logistic regression analysis, AVPD (P=0.005), age (P=0.0005), and a history of chronic heart failure (P=0.004) correlated independently with mortality. CONCLUSION: Left AVPD was clearly decreased in patients with atrial fibrillation. The decrease was most pronounced in patients who died of cardiac events, whereas it did not differ significantly between those who died of non-cardiac causes and those who survived. The discriminative value of left AVPD was limited.
AIM: The aim of the present study was to investigate if left atrioventricular plane displacement (AVPD) has a prognostic value in patients with atrial fibrillation. METHODS AND RESULTS: Left AVPD was assessed by two-dimensionally guided M-mode echocardiography in the four- and two-chamber views in 160 consecutive patients with chronic atrial fibrillation, who were followed up with regard to mortality for an average of 45 months. All-cause mortality during follow-up was 49% (n=78). AVPD was lower in patients who died compared to those who survived: 6.6+/-1.7 versus 7.5+/-1.7 mm, P=0.0005. In 49 patients (31%), death was due to chronic heart failure or acute myocardial infarction. Among those who died of cardiac events, AVPD was 6.3+/-1.6 mm, versus 7.1+/-1.8 mm among those who died of other causes, P=0.0001. In multiple logistic regression analysis, AVPD (P=0.005), age (P=0.0005), and a history of chronic heart failure (P=0.004) correlated independently with mortality. CONCLUSION: Left AVPD was clearly decreased in patients with atrial fibrillation. The decrease was most pronounced in patients who died of cardiac events, whereas it did not differ significantly between those who died of non-cardiac causes and those who survived. The discriminative value of left AVPD was limited.
Authors: S Kopic; S S Stephensen; E Heiberg; H Arheden; P Bonhoeffer; M Ersbøll; N Vejlstrup; L Søndergaard; M Carlsson Journal: Acta Physiol (Oxf) Date: 2017-06-29 Impact factor: 6.311
Authors: Felicia Seemann; Jonathan Berg; Kristian Solem; Robert Jablonowski; Håkan Arheden; Marcus Carlsson; Einar Heiberg Journal: J Appl Physiol (1985) Date: 2020-08-20
Authors: Lill Bergenzaun; Hans Ohlin; Petri Gudmundsson; Ronnie Willenheimer; Michelle S Chew Journal: Cardiovasc Ultrasound Date: 2013-05-30 Impact factor: 2.062
Authors: Michèle Natale; Michael Behnes; Seung-Hyun Kim; Julia Hoffmann; Nadine Reckord; Ursula Hoffmann; Johannes Budjan; Siegfried Lang; Martin Borggrefe; Theano Papavassiliu; Thomas Bertsch; Ibrahim Akin Journal: Eur J Med Res Date: 2017-10-04 Impact factor: 2.175