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Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion

BACKGROUND: There is a paucity of data on average left atrial appendage emptying velocity (LAAV) measured by doppler during transesophageal echocardiogram (TEE) being able to predict the risk of AF recurrence after electrical cardioversion (ECV). METHODS: Using electronic medical records from a comm...

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Autores principales: Raval, Maharshi, Jain, Akhil, Desai, Rupak, Siddiq, Sajid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504478/
https://www.ncbi.nlm.nih.gov/pubmed/37719869
http://dx.doi.org/10.1016/j.ijcha.2023.101268
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author Raval, Maharshi
Jain, Akhil
Desai, Rupak
Siddiq, Sajid
author_facet Raval, Maharshi
Jain, Akhil
Desai, Rupak
Siddiq, Sajid
author_sort Raval, Maharshi
collection PubMed
description BACKGROUND: There is a paucity of data on average left atrial appendage emptying velocity (LAAV) measured by doppler during transesophageal echocardiogram (TEE) being able to predict the risk of AF recurrence after electrical cardioversion (ECV). METHODS: Using electronic medical records from a community hospital, retrospective study was conducted after identifying all patients that received TEE-guided ECV. Data pertaining to LAAV, AF recurrence, and variables were obtained and analyzed. RESULTS: Out of 625 patients receiving TEE-guided ECV, 94 were excluded, and 51 did not convert to sinus rhythm. 480 patients had a successful ECV; out of these, 201 (41.87%) and 243 (50.62%) had a recurrence of atrial fibrillation at the end of 1 month and 3 months, respectively. Low LAAV (<=30 cm/s) was independently associated with an increased risk of AF recurrence at the end of 1 month (aOR 2.37, 95CI 1.5–3.73; p < 0.001) and 3 months (aOR 2.51, 95CI 1.59–3.96; p < 0.001) after TEE-guided ECV. CONCLUSIONS: Low LAAV is associated with a high risk of AF recurrence. Identifying a specific subgroup of individuals at high risk of AF recurrence with the help of pre-ECV LAAV will facilitate the early institution of alternate treatment strategies and the plan for additional therapies.
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spelling pubmed-105044782023-09-17 Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion Raval, Maharshi Jain, Akhil Desai, Rupak Siddiq, Sajid Int J Cardiol Heart Vasc Original Paper BACKGROUND: There is a paucity of data on average left atrial appendage emptying velocity (LAAV) measured by doppler during transesophageal echocardiogram (TEE) being able to predict the risk of AF recurrence after electrical cardioversion (ECV). METHODS: Using electronic medical records from a community hospital, retrospective study was conducted after identifying all patients that received TEE-guided ECV. Data pertaining to LAAV, AF recurrence, and variables were obtained and analyzed. RESULTS: Out of 625 patients receiving TEE-guided ECV, 94 were excluded, and 51 did not convert to sinus rhythm. 480 patients had a successful ECV; out of these, 201 (41.87%) and 243 (50.62%) had a recurrence of atrial fibrillation at the end of 1 month and 3 months, respectively. Low LAAV (<=30 cm/s) was independently associated with an increased risk of AF recurrence at the end of 1 month (aOR 2.37, 95CI 1.5–3.73; p < 0.001) and 3 months (aOR 2.51, 95CI 1.59–3.96; p < 0.001) after TEE-guided ECV. CONCLUSIONS: Low LAAV is associated with a high risk of AF recurrence. Identifying a specific subgroup of individuals at high risk of AF recurrence with the help of pre-ECV LAAV will facilitate the early institution of alternate treatment strategies and the plan for additional therapies. Elsevier 2023-09-08 /pmc/articles/PMC10504478/ /pubmed/37719869 http://dx.doi.org/10.1016/j.ijcha.2023.101268 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Paper
Raval, Maharshi
Jain, Akhil
Desai, Rupak
Siddiq, Sajid
Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion
title Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion
title_full Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion
title_fullStr Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion
title_full_unstemmed Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion
title_short Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion
title_sort left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504478/
https://www.ncbi.nlm.nih.gov/pubmed/37719869
http://dx.doi.org/10.1016/j.ijcha.2023.101268
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