2017
Disparity Between Two-Dimensional Echocardiographic and Electroanatomic Left and Right Atrial Volumes in Patients Undergoing Catheter Ablation for Long-Standing Persistent Atrial Fibrillation
SKNOURIL, L.; S. HAVRANEK; V. BULKOVA; M. DORDA; T. PALECEK et al.Základní údaje
Originální název
Disparity Between Two-Dimensional Echocardiographic and Electroanatomic Left and Right Atrial Volumes in Patients Undergoing Catheter Ablation for Long-Standing Persistent Atrial Fibrillation
Autoři
SKNOURIL, L.; S. HAVRANEK; V. BULKOVA; M. DORDA; T. PALECEK; J. SIMEK; Z. FINGROVA; A. LINHART; J. JANUSKA; D. WICHTERLE a Martin FIALA
Vydání
Physiological research, Praha, Fyziologický ústav AV ČR, 2017, 0862-8408
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30105 Physiology
Stát vydavatele
Česká republika
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 1.324
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/17:00113802
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Long-standing atrial fibrillation; Echocardiography; Atrial volume; Electroanatomic mapping
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 27. 4. 2020 13:32, Mgr. Tereza Miškechová
Anotace
V originále
Left atrial (LA) volume (LAV) is used for the selection of patients with atrial fibrillation (AF) to rhythm control strategies. Calculation of LAV from the LA diameters and areas by two-dimensional (2D) echocardiography may result in significant error. Accuracy of atrial volume assessment has never been studied in patients with long-standing persistent AF (LSPAF) and significant atrial remodeling. This study investigated correlation and agreement between 2D echocardiographic (Simpson method) and electroanatomic (CARTO, Biosense Webster) left and right atrial (RA) volumes (LAV(ECHO) vs. LAV(CARTO) and RAV(ECHO) vs. RAV(CARTO)) in patients undergoing catheter ablation for LSPAF. The study enrolled 173 consecutive subjects (females: 21 %, age: 59 +/- 9 years). There was only modest correlation between LAVECHO (92 +/- 31 ml) and LAV(CARTO) (178 +/- 37 ml) (R= 0.57), and RAV(ECHO) (71 +/- 29 ml) and RAV(CARTO) (173 +/- 34 ml) (R= 0.42), respectively. LAV(ECHO) and RAV(ECHO) underestimated LAV(CARTO) and RAV(CARTO) with the absolute bias (+/- 1.96 standard deviation) of -85 (-148; -22) ml and -102 (-169; -35) ml, respectively, and with the relative bias of -48 (-75; -21) % and -59 (-88; -30) %, respectively (all P<0.000001 for their mutual difference). Significant confounders of this difference were not identified. In patients with LSPAF, 2D echocardiography significantly underestimated both LA and RA volumes as compared with electroanatomic reference. This disagreement was independent of clinical, echocardiographic and mapping characteristics.