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Cardiologia Croatica, Vol. 19 No. 11-12, 2024.

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https://doi.org/10.15836/ccar2024.494

Left atrial stiffness index correlates with atrial fibrillation recurrence in patients who underwent electrical cardioversion

Nejra Mlačo-Vražalić orcid id orcid.org/0000-0002-3299-6899 ; General Hospital “Prim. Dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Denis Mačkić orcid id orcid.org/0000-0001-6540-4944 ; General Hospital “Prim. Dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Jasmin Idrizović orcid id orcid.org/0009-0006-3598-3870 ; General Hospital “Prim. Dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Bilal Oglečevac ; General Hospital “Prim. Dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Ada Đozić ; General Hospital “Prim. Dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Buena Aziri ; Sarajevo Medical School, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina
Amer Iglica ; Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Zijo Begić orcid id orcid.org/0000-0002-4677-8489 ; Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Nirvana Šabanović-Bajramović orcid id orcid.org/0000-0003-3749-6073 ; Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Edin Begić ; General Hospital “Prim. Dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina; Sarajevo Medical School, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina

Puni tekst: engleski pdf 153 Kb

str. 494-494

preuzimanja: 137

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Sažetak

Ključne riječi

left atrium; atrial fibrillation; fibrosis; prediction

Hrčak ID:

328297

URI

https://hrcak.srce.hr/328297

Datum izdavanja:

13.12.2024.

Posjeta: 347 *

Copyright statement: Croatian Cardiac Society

Copyright: 2024, Croatian Cardiac Society

Date received: 30 September 2024

Date: 31 October 2024

Publication date: November 2024

Publication date: November 2024

Volume: 19

Issue: 11-12

Page: 494

Publisher ID: CC 2024 19_11-12_494

DOI: 10.15836/ccar2024.494

Article Information (continued)

Categories:

Subject: Extended Abstract

Categories:

Subject: Echocardiography, MSCT, MRI

KEYWORDS: :

KEYWORDS:

Keyword: left atrium

Keyword: atrial fibrillation

Keyword: fibrosis

Keyword: prediction

Left atrial stiffness index correlates with atrial fibrillation recurrence in patients who underwent electrical cardioversion

[https://orcid.org/0000-0002-3299-6899] Nejra Mlačo-Vražalić[1][*]

[https://orcid.org/0000-0001-6540-4944] Denis Mačkić[1]

[https://orcid.org/0009-0006-3598-3870] Jasmin Idrizović[1]

[https://orcid.org/0000-0003-3058-330X] Bilal Oglečevac[1]

[https://orcid.org/0000-0002-2664-810X] Ada Đozić[1]

[https://orcid.org/0000-0003-3622-253X] Buena Aziri[2]

Amer Iglica[3]

[https://orcid.org/0000-0002-4677-8489] Zijo Begić[3]

[https://orcid.org/0000-0003-3749-6073] Nirvana Šabanović-Bajramović[3]

[https://orcid.org/0000-0001-6842-262X] Edin Begić[1][2]

 

[1] General Hospital “Prim. Dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina

[2] Sarajevo Medical School, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina

[3] Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina

Author notes:

Correspondence to: [*] ADDRESS FOR CORRESPONDENCE: Nejra Mlačo-Vražalić, General Hospital “Prim.dr. Abdulah Nakaš”, Kranjčevićeva 12, 71000 Sarajevo, Bosnia and Herzegovina. / Phone: +387-61-974-238 / E-mail: nejra.ml@gmail.com

Introduction: Left atrial (LA) remodeling is a complex anatomical and functional process in response to electrical, mechanical and metabolic disturbances. LA remodeling is usually a consequence of LA volume overload, left ventricular systolic dysfunction and physiological aging process. LA remodeling directly correlates with atrial fibrillation occurrence. (1-3) Aim: To analyze left atrial strain parameters for the purpose of prediction of atrial fibrillation (AF) after the electrical cardioversion.

Patients and Methods: Analysis included 31 patients, who underwent electrical cardioversion due to AF at the Department of Cardiology, General Hospital “Prim. Dr. Abdulah Nakaš” in the period from May 2023 until May 2024. Transthoracic and transesophageal echocardiogram was performed in all patients, regardless of the previous anticoagulation therapy.

Results: There was a statistically significant correlation between the recurrence of AF three months and six months after the electrical cardioversion and the following echocardiographic parameters: LA reservoir strain (p<0.001; p=0.001), LA conduit strain (p<0.001, p=0.001), LA contractile strain (p<0.001; p<0.001), E/e’ ratio (p<0.001, p=0.001), and left atrial stiffness index (p<0.001; p=0.004). Left atrial volume index did not significantly correlate with AF recurrence within three and six months after the cardioversion.

Conclusion: Patient risk stratification for AF recurrence could be made based on LA strain parameters.

LITERATURE

1 

Begic Z, Djukic M, Begic E, Aziri B, Gojak R, Mladenovic Z, et al. Left atrial stiffness is in correlation with left atrial reservoir strain in pediatric patients with mitral regurgitation. Technol Health Care. 2024;32(5):3525–33. https://doi.org/10.3233/THC-240402 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/38820039

2 

Yafasov M, Olsen FJ, Hauser R, Skaarup KG, Lassen MCH, Johansen ND, et al. Left atrial strain measured by three-dimensional echocardiography predicts atrial fibrillation in the general population. Int J Cardiol. 2024 September 12;417:132544. https://doi.org/10.1016/j.ijcard.2024.132544 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/39276820

3 

Liu T, Yang X, Jia R, Han J, Gu X, Liu P, et al. Left atrial mechanical dispersion and left atrial stiffness predicts recurrence of atrial fibrillation: In patients with moderate-severe rheumatic mitral stenosis. Int J Cardiol. 2024 December 1;416:132480. https://doi.org/10.1016/j.ijcard.2024.132480 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/39197727

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