Cited 29 times in
Left ventricular diastolic dysfunction is associated with atrial remodeling and risk or presence of stroke in patients with paroxysmal atrial fibrillation
DC Field | Value | Language |
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dc.contributor.author | 이문형 | - |
dc.contributor.author | 김태훈 | - |
dc.contributor.author | 심지영 | - |
dc.contributor.author | 남정모 | - |
dc.contributor.author | 엄재선 | - |
dc.contributor.author | 정보영 | - |
dc.contributor.author | 박희남 | - |
dc.date.accessioned | 2018-11-08T16:40:17Z | - |
dc.date.available | 2018-11-08T16:40:17Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 0914-5087 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/165108 | - |
dc.description.abstract | BACKGROUND: Although the degree of electroanatomical remodeling of the left atrium (LA) is influenced by left ventricular (LV) diastolic function, clinical implications of estimated LV filling pressure (E/Em) are limited in patients with atrial fibrillation (AF). We hypothesized that increased E/Em is related to an advanced LA remodeling, a high CHA2DS2-VASc score, and the presence of stroke or transient ischemic attack (TIA) in patients with paroxysmal AF. METHODS: We included 1098 patients with paroxysmal AF (male 74.5%, 57.6±11.3 years old) who underwent AF catheter ablation. We compared E/Em to clinical parameters, echocardiography, and three-dimensional-computed tomography findings. RESULTS: The E/Em>15 group (n=98) was older (p<0.001) and had more females (p<0.001), greater LA volume index (p<0.001), higher CHA2DS2-VASc score (p<0.001), and stroke/TIA prevalence (p=0.001) than groups with an E/Em of 8-15 (n=676) or <8 (n=324). An E/Em was independently associated with the presence of stroke/TIA (OR 1.638, 95% CI 1.050-2.554, p=0.030) after adjusting for age, sex, body surface area, LA volume index, and LA appendage volume index. CONCLUSIONS: In patients with paroxysmal AF, the elevated LV filling pressure estimated by E/Em is independently associated with the presence of stroke or TIA. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.format | application/pdf | - |
dc.language | Japanese, English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | JOURNAL OF CARDIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Age Factors | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Atrial Appendage/physiopathology | - |
dc.subject.MESH | Atrial Fibrillation/complications* | - |
dc.subject.MESH | Atrial Fibrillation/physiopathology | - |
dc.subject.MESH | Atrial Fibrillation/surgery | - |
dc.subject.MESH | Atrial Remodeling* | - |
dc.subject.MESH | Catheter Ablation/methods | - |
dc.subject.MESH | Echocardiography | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Heart Atria/physiopathology | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Ischemic Attack, Transient/etiology* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Sex Factors | - |
dc.subject.MESH | Stroke/etiology* | - |
dc.subject.MESH | Stroke Volume | - |
dc.subject.MESH | Tomography, X-Ray Computed | - |
dc.subject.MESH | Ventricular Dysfunction, Left/complications* | - |
dc.subject.MESH | Ventricular Dysfunction, Left/physiopathology | - |
dc.subject.MESH | Ventricular Function, Left | - |
dc.title | Left ventricular diastolic dysfunction is associated with atrial remodeling and risk or presence of stroke in patients with paroxysmal atrial fibrillation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Tae-Hoon Kim | - |
dc.contributor.googleauthor | Chi Young Shim | - |
dc.contributor.googleauthor | Jae Hyung Park | - |
dc.contributor.googleauthor | Chung Mo Nam | - |
dc.contributor.googleauthor | Jae-Sun Uhm | - |
dc.contributor.googleauthor | Boyoung Joung | - |
dc.contributor.googleauthor | Moon-Hyoung Lee | - |
dc.contributor.googleauthor | Hui-Nam Pak | - |
dc.identifier.doi | 10.1016/j.jjcc.2015.10.008 | - |
dc.contributor.localId | A02766 | - |
dc.contributor.localId | A05466 | - |
dc.contributor.localId | A02213 | - |
dc.contributor.localId | A01264 | - |
dc.contributor.localId | A02337 | - |
dc.contributor.localId | A03609 | - |
dc.contributor.localId | A01776 | - |
dc.relation.journalcode | J01287 | - |
dc.identifier.eissn | 1876-4738 | - |
dc.identifier.pmid | 26603328 | - |
dc.subject.keyword | Atrial fibrillation | - |
dc.subject.keyword | Catheter ablation | - |
dc.subject.keyword | Left ventricular filling pressure | - |
dc.subject.keyword | Stroke | - |
dc.contributor.alternativeName | Lee, Moon Hyoung | - |
dc.contributor.alternativeName | Kim, Tae-Hoon | - |
dc.contributor.alternativeName | Shim, Chi Young | - |
dc.contributor.alternativeName | Nam, Jung Mo | - |
dc.contributor.alternativeName | Uhm, Jae Sun | - |
dc.contributor.alternativeName | Joung, Bo Young | - |
dc.contributor.alternativeName | Pak, Hui Nam | - |
dc.contributor.affiliatedAuthor | 이문형 | - |
dc.contributor.affiliatedAuthor | 김태훈 | - |
dc.contributor.affiliatedAuthor | 심지영 | - |
dc.contributor.affiliatedAuthor | 남정모 | - |
dc.contributor.affiliatedAuthor | 엄재선 | - |
dc.contributor.affiliatedAuthor | 정보영 | - |
dc.contributor.affiliatedAuthor | 박희남 | - |
dc.citation.volume | 68 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 104 | - |
dc.citation.endPage | 109 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CARDIOLOGY, Vol.68(2) : 104-109, 2016 | - |
dc.identifier.rimsid | 60513 | - |
dc.type.rims | ART | - |
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