Malini Govindan1, Anatoli Kiotsekoglou2, Samir K Saha3, A John Camm4. 1. Department of Cardiovascular Sciences, St George's University of London, Cranmer Terrace, London, SW17 0RE, UK. melgovindan@yahoo.com.au. 2. Department of Clinical Physiology, University Hospital of Örebro, Södra Grev Rosengatan, 701 85, Örebro, Sweden. anatoli.kiotsekoglou@regionorebrolan.se. 3. Research and Development, Sundsvall Hospital at the Karolinska Institute, 851 86, Sundsvall, Sweden. 4. Department of Cardiovascular Sciences, St George's University of London, Cranmer Terrace, London, SW17 0RE, UK.
Abstract
BACKGROUND: Atrial fibrillation (AF) is a bi-atrial disease yet little attention has been given to right heart function in AF. We propose that the assessment of right atrial (RA) and right ventricular function (RV) using two-dimensional speckle tracking echocardiography (2D-STE) could be valuable in predicting AF recurrence in patients with paroxysmal AF (PAF). METHODS: Thirty patients with PAF were prospectively recruited from a dedicated AF clinic. Right atrial size, volume, and area and RV dimensions were analyzed along with RA and RV strain derived from 2D-STE at baseline and at 3 and 12 months. RESULTS: Higher RA booster strain independently predicted sinus rhythm (SR) maintenance for up to 1 year (P = 0.001). RV strain was impaired in patients with recurrent AF compared to those in SR (P < 0.05) but did not predict AF recurrence. Two-dimensional STE for RA and RV function was simple to perform with excellent reproducibility (adjusted R 2 0.92-0.99). CONCLUSIONS: Two-dimensional STE is useful and highly reproducible in assessing right heart function in AF patients. RA booster strain function was predictive of sinus rhythm maintenance for up to 1 year.
BACKGROUND:Atrial fibrillation (AF) is a bi-atrial disease yet little attention has been given to right heart function in AF. We propose that the assessment of right atrial (RA) and right ventricular function (RV) using two-dimensional speckle tracking echocardiography (2D-STE) could be valuable in predicting AF recurrence in patients with paroxysmal AF (PAF). METHODS: Thirty patients with PAF were prospectively recruited from a dedicated AF clinic. Right atrial size, volume, and area and RV dimensions were analyzed along with RA and RV strain derived from 2D-STE at baseline and at 3 and 12 months. RESULTS: Higher RA booster strain independently predicted sinus rhythm (SR) maintenance for up to 1 year (P = 0.001). RV strain was impaired in patients with recurrent AF compared to those in SR (P < 0.05) but did not predict AF recurrence. Two-dimensional STE for RA and RV function was simple to perform with excellent reproducibility (adjusted R 2 0.92-0.99). CONCLUSIONS: Two-dimensional STE is useful and highly reproducible in assessing right heart function in AFpatients. RA booster strain function was predictive of sinus rhythm maintenance for up to 1 year.
Entities:
Keywords:
Atrial fibrillation; Right atrial strain; Right ventricular strain; Two-dimensional speckle tracking echocardiography
Authors: Thomas J van Brakel; Thomas van der Krieken; Sjoerd W Westra; Jeroen A van der Laak; Joep L Smeets; Henry A van Swieten Journal: J Interv Card Electrophysiol Date: 2013-09-12 Impact factor: 1.900
Authors: Paul R Forfia; Micah R Fisher; Stephen C Mathai; Traci Housten-Harris; Anna R Hemnes; Barry A Borlaug; Elzbieta Chamera; Mary C Corretti; Hunter C Champion; Theodore P Abraham; Reda E Girgis; Paul M Hassoun Journal: Am J Respir Crit Care Med Date: 2006-08-03 Impact factor: 21.405
Authors: C Aimé-Sempé; T Folliguet; C Rücker-Martin; M Krajewska; S Krajewska; M Heimburger; M Aubier; J J Mercadier; J C Reed; S N Hatem Journal: J Am Coll Cardiol Date: 1999-11-01 Impact factor: 24.094
Authors: Ronald J Raymond; Alan L Hinderliter; Park W Willis; David Ralph; Edgar J Caldwell; William Williams; Neil A Ettinger; Nicholas S Hill; Warren R Summer; Bennett de Boisblanc; Todd Schwartz; Gary Koch; Linda M Clayton; Maria M Jöbsis; James W Crow; Walker Long Journal: J Am Coll Cardiol Date: 2002-04-03 Impact factor: 24.094
Authors: M Haïssaguerre; D C Shah; P Jaïs; M Hocini; T Yamane; I Deisenhofer; M Chauvin; S Garrigue; J Clémenty Journal: Circulation Date: 2000-11-14 Impact factor: 29.690
Authors: Suman S Kuppahally; Nazem Akoum; Nathan S Burgon; Troy J Badger; Eugene G Kholmovski; Sathya Vijayakumar; Swati N Rao; Joshua Blauer; Eric N Fish; Edward V R Dibella; Rob S Macleod; Christopher McGann; Sheldon E Litwin; Nassir F Marrouche Journal: Circ Cardiovasc Imaging Date: 2010-02-04 Impact factor: 7.792
Authors: Alessandro Maloberti; Marta Riva; Marijana Tadic; Carlo Valena; Paolo Villa; Ilenia Boggioni; Maria Rosa Pozzi; Guido Grassi Journal: High Blood Press Cardiovasc Prev Date: 2018-01-12
Authors: Eric Xie; Ricky Yu; Bharath Ambale-Venkatesh; Hooman Bakhshi; Susan R Heckbert; Elsayed Z Soliman; David A Bluemke; Steven M Kawut; Colin O Wu; Saman Nazarian; João A C Lima Journal: J Cardiovasc Magn Reson Date: 2020-05-21 Impact factor: 5.364
Authors: Andreas Schuster; Sören J Backhaus; Thomas Stiermaier; Jenny-Lou Navarra; Johannes Uhlig; Karl-Philipp Rommel; Alexander Koschalka; Johannes T Kowallick; Boris Bigalke; Shelby Kutty; Matthias Gutberlet; Gerd Hasenfuß; Holger Thiele; Ingo Eitel Journal: J Clin Med Date: 2020-01-12 Impact factor: 4.241