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Is left atrial fibrosis an independent determinant of atrial fibrillation in mitral stenosis?

We prospectively studied whether left atrial (LA) fibrosis is a determinant of atrial fibrillation (AF) in mitral stenosis in patients who underwent balloon mitral valvotomy. There were 2 groups: Group A (n = 16), with AF and Group B (n = 27), without AF. Fibrosis was assessed by MRI. Patients under...

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Detalles Bibliográficos
Autores principales: Pawar, Prashant, Mumtaz, Zeeshan, Phadke, Milind, Bharati, Alpa, Mahajan, Ajay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424361/
https://www.ncbi.nlm.nih.gov/pubmed/34474767
http://dx.doi.org/10.1016/j.ihj.2021.06.021
Descripción
Sumario:We prospectively studied whether left atrial (LA) fibrosis is a determinant of atrial fibrillation (AF) in mitral stenosis in patients who underwent balloon mitral valvotomy. There were 2 groups: Group A (n = 16), with AF and Group B (n = 27), without AF. Fibrosis was assessed by MRI. Patients underwent cardioversion before MRI. There were 27 females and 16 males, aged 29 ± 6 years. The LA areas in Groups A and B were 54.3 ± 4.4 mm(2) and 39.4 ± 2.3 mm(2) (p < 0.05) and the LA volume index was 46.2 ± 2.9 ml/m(2) vs 33 ± 3 ml/m(2) respectively (p < 0.0001). The presence of LA scarring was not statistically different in the two groups.