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Assessment of short forms of recurrent atrial extra systoles by echocardiography with left atrial strain in ambulatory patients without organic cardiopathy

AIM: To analyse the potential usefulness and clinical relevance of the assessment by echocardiography with left atrial strain, based on the myocardial atrial deformation curves with speckle-tracking velocity vector imaging (VVI), in the analysis of short-form recurrent atrial extra systoles in ambul...

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Autores principales: Soler, José M., García-Parés, Gemma, Valero, Oliver, Berruezo, Antonio, Yuste, Victor J., Baltrons, María Antonia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Permanyer Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10161813/
https://www.ncbi.nlm.nih.gov/pubmed/36288196
http://dx.doi.org/10.24875/ACM.21000368
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author Soler, José M.
García-Parés, Gemma
Valero, Oliver
Berruezo, Antonio
Yuste, Victor J.
Baltrons, María Antonia
author_facet Soler, José M.
García-Parés, Gemma
Valero, Oliver
Berruezo, Antonio
Yuste, Victor J.
Baltrons, María Antonia
author_sort Soler, José M.
collection PubMed
description AIM: To analyse the potential usefulness and clinical relevance of the assessment by echocardiography with left atrial strain, based on the myocardial atrial deformation curves with speckle-tracking velocity vector imaging (VVI), in the analysis of short-form recurrent atrial extra systoles in ambulatory patients not suffering from organic cardiopathy. METHODS: We designed a descriptive, prospective, and observational study including 270 patients between the ages of 18 and 75 assessed during an outpatient cardiology consultation attended due to palpitations over a period of two years. Using ambulatory electrocardiographic monitoring, we selected cases with short forms of repetitive atrial extrasystole, isolated or recurrentatrial fibrillation and a control group formed by those patients without repetitive ectopia. All patients underwent a thorough echocardiographic study during their first cardiological visit. RESULTS: The analysis of the dynamic curves segmental deformation generated after an atrial extrasystole can reveal different points of origin of the extrasystole and detect specific anatomical alterations in the interatrial conduction at the level of the Bachmann’s fascicle showing different models of electro anatomical activation possibly involved in the appearance of repetitive forms. Higher values of dyssynchrony between the septal and lateral wall and elongation in the time of interatrial electromechanical conduction could also be related to the existence of repetitive ectopic beats. CONCLUSIONS: Our ambulatory study employing the left atrial longitudinal strain, particularly in its segmental analysis, provides new insights into its the usefulness and potential clinical relevance.
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spelling pubmed-101618132023-05-06 Assessment of short forms of recurrent atrial extra systoles by echocardiography with left atrial strain in ambulatory patients without organic cardiopathy Soler, José M. García-Parés, Gemma Valero, Oliver Berruezo, Antonio Yuste, Victor J. Baltrons, María Antonia Arch Cardiol Mex Original Research Article AIM: To analyse the potential usefulness and clinical relevance of the assessment by echocardiography with left atrial strain, based on the myocardial atrial deformation curves with speckle-tracking velocity vector imaging (VVI), in the analysis of short-form recurrent atrial extra systoles in ambulatory patients not suffering from organic cardiopathy. METHODS: We designed a descriptive, prospective, and observational study including 270 patients between the ages of 18 and 75 assessed during an outpatient cardiology consultation attended due to palpitations over a period of two years. Using ambulatory electrocardiographic monitoring, we selected cases with short forms of repetitive atrial extrasystole, isolated or recurrentatrial fibrillation and a control group formed by those patients without repetitive ectopia. All patients underwent a thorough echocardiographic study during their first cardiological visit. RESULTS: The analysis of the dynamic curves segmental deformation generated after an atrial extrasystole can reveal different points of origin of the extrasystole and detect specific anatomical alterations in the interatrial conduction at the level of the Bachmann’s fascicle showing different models of electro anatomical activation possibly involved in the appearance of repetitive forms. Higher values of dyssynchrony between the septal and lateral wall and elongation in the time of interatrial electromechanical conduction could also be related to the existence of repetitive ectopic beats. CONCLUSIONS: Our ambulatory study employing the left atrial longitudinal strain, particularly in its segmental analysis, provides new insights into its the usefulness and potential clinical relevance. Permanyer Publications 2023 2022-10-26 /pmc/articles/PMC10161813/ /pubmed/36288196 http://dx.doi.org/10.24875/ACM.21000368 Text en Copyright: © 2023 Permanyer https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Research Article
Soler, José M.
García-Parés, Gemma
Valero, Oliver
Berruezo, Antonio
Yuste, Victor J.
Baltrons, María Antonia
Assessment of short forms of recurrent atrial extra systoles by echocardiography with left atrial strain in ambulatory patients without organic cardiopathy
title Assessment of short forms of recurrent atrial extra systoles by echocardiography with left atrial strain in ambulatory patients without organic cardiopathy
title_full Assessment of short forms of recurrent atrial extra systoles by echocardiography with left atrial strain in ambulatory patients without organic cardiopathy
title_fullStr Assessment of short forms of recurrent atrial extra systoles by echocardiography with left atrial strain in ambulatory patients without organic cardiopathy
title_full_unstemmed Assessment of short forms of recurrent atrial extra systoles by echocardiography with left atrial strain in ambulatory patients without organic cardiopathy
title_short Assessment of short forms of recurrent atrial extra systoles by echocardiography with left atrial strain in ambulatory patients without organic cardiopathy
title_sort assessment of short forms of recurrent atrial extra systoles by echocardiography with left atrial strain in ambulatory patients without organic cardiopathy
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10161813/
https://www.ncbi.nlm.nih.gov/pubmed/36288196
http://dx.doi.org/10.24875/ACM.21000368
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