J 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

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.