Cited 15 times in
Left Atrial Function Assessed by Doppler Echocardiography Rather Than Left Atrial Volume Predicts Recurrence in Patients With Paroxysmal Atrial Fibrillation
DC Field | Value | Language |
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dc.contributor.author | 윤영원 | - |
dc.contributor.author | 윤지현 | - |
dc.contributor.author | 이병권 | - |
dc.contributor.author | 임세중 | - |
dc.contributor.author | 정혜문 | - |
dc.contributor.author | 권혁문 | - |
dc.contributor.author | 최의영 | - |
dc.contributor.author | 김종윤 | - |
dc.contributor.author | 홍범기 | - |
dc.contributor.author | 문정근 | - |
dc.contributor.author | 민필기 | - |
dc.date.accessioned | 2014-12-18T08:36:31Z | - |
dc.date.available | 2014-12-18T08:36:31Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 0160-9289 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/86623 | - |
dc.description.abstract | BACKGROUND: Paroxysmal atrial fibrillation (PaAF) may present as a single self-terminating episode of atrial fibrillation (AF) or a more persistent form after sinus conversion. We investigated predictors of recurrence in patients with PaAF. HYPOTHESIS: Left atrial function would be an useful parameter for predicting PaAF recurrence. METHODS: The study population included 228 PaAF patients (131 males, age 64±14 years) who underwent transthoracic echocardiography immediately after spontaneous sinus conversion at initial AF diagnosis. We followed the study patients for AF recurrence. RESULTS: AF recurrence was demonstrated in 45 patients (20%, age 68±13 years) after spontaneous sinus conversion. Patients with recurrence had larger left atrial volume index (32±12 vs 25±10 mL/m2, P<0.001), left ventricle mass index (107±34 vs 93±25 g/m2, P=0.012), and left ventricle filling pressure (E/e'') (14±7 vs 12±5, P=0.012), whereas early diastolic mitral annular velocity (e') (5±2 vs 6±3 cm/s, P=0.021), late diastolic mitral annular velocity (A') (7±3 vs 9±2 cm/s, P<0.001), and peak systolic mitral annular velocity (7±2 vs 8±2 cm/s, P=0.045) were significantly lower. In multivariate Cox regression analysis detecting independent predictors of PaAF recurrence, lower A' (hazard ratio: 0.623, 95% confidence interval: 0.476-0.815, P=0.001) was a significant predictor of AF recurrence. CONCLUSIONS: A', which indicates left atrial (LA) contractile function after sinus conversion, was the independent predictor of PaAF recurrence, whereas LA volume was not. LA function may be more important than LA volume in predicting recurrence particularly in patients with PaAF. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | CLINICAL CARDIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Atrial Fibrillation/physiopathology* | - |
dc.subject.MESH | Atrial Function/physiology* | - |
dc.subject.MESH | Blood Flow Velocity/physiology | - |
dc.subject.MESH | Diastole/physiology | - |
dc.subject.MESH | Echocardiography, Doppler | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Heart Atria/diagnostic imaging* | - |
dc.subject.MESH | Heart Ventricles/diagnostic imaging | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Mitral Valve/physiopathology | - |
dc.subject.MESH | Multivariate Analysis | - |
dc.subject.MESH | Recurrence | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Sensitivity and Specificity | - |
dc.title | Left Atrial Function Assessed by Doppler Echocardiography Rather Than Left Atrial Volume Predicts Recurrence in Patients With Paroxysmal Atrial Fibrillation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Ji Hyun Yoon | - |
dc.contributor.googleauthor | Jeonggeun Moon | - |
dc.contributor.googleauthor | Hye moon Chung | - |
dc.contributor.googleauthor | Eui-Young Choi | - |
dc.contributor.googleauthor | Jong-Youn Kim | - |
dc.contributor.googleauthor | Pil-ki Min | - |
dc.contributor.googleauthor | Young-won Yoon | - |
dc.contributor.googleauthor | Byoung-kwon Lee | - |
dc.contributor.googleauthor | Bum-kee Hong | - |
dc.contributor.googleauthor | Hyuck-moon Kwon | - |
dc.contributor.googleauthor | Se-Joong Rim | - |
dc.identifier.doi | 10.1002/clc.22105 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02580 | - |
dc.contributor.localId | A02609 | - |
dc.contributor.localId | A02793 | - |
dc.contributor.localId | A03372 | - |
dc.contributor.localId | A03779 | - |
dc.contributor.localId | A00260 | - |
dc.contributor.localId | A04165 | - |
dc.contributor.localId | A00926 | - |
dc.contributor.localId | A04394 | - |
dc.contributor.localId | A01380 | - |
dc.contributor.localId | A01412 | - |
dc.relation.journalcode | J00565 | - |
dc.identifier.eissn | 1932-8737 | - |
dc.identifier.pmid | 23495006 | - |
dc.identifier.url | http://onlinelibrary.wiley.com/doi/10.1002/clc.22105/abstract | - |
dc.subject.keyword | Adult | - |
dc.subject.keyword | Aged | - |
dc.subject.keyword | Aged, 80 and over | - |
dc.subject.keyword | Atrial Fibrillation/physiopathology* | - |
dc.subject.keyword | Atrial Function/physiology* | - |
dc.subject.keyword | Blood Flow Velocity/physiology | - |
dc.subject.keyword | Diastole/physiology | - |
dc.subject.keyword | Echocardiography, Doppler | - |
dc.subject.keyword | Female | - |
dc.subject.keyword | Follow-Up Studies | - |
dc.subject.keyword | Heart Atria/diagnostic imaging* | - |
dc.subject.keyword | Heart Ventricles/diagnostic imaging | - |
dc.subject.keyword | Humans | - |
dc.subject.keyword | Male | - |
dc.subject.keyword | Middle Aged | - |
dc.subject.keyword | Mitral Valve/physiopathology | - |
dc.subject.keyword | Multivariate Analysis | - |
dc.subject.keyword | Recurrence | - |
dc.subject.keyword | Retrospective Studies | - |
dc.subject.keyword | Sensitivity and Specificity | - |
dc.contributor.alternativeName | Yoon, Young Won | - |
dc.contributor.alternativeName | Yoon, Ji Hyun | - |
dc.contributor.alternativeName | Lee, Byoung Kwon | - |
dc.contributor.alternativeName | Rim, Se Joong | - |
dc.contributor.alternativeName | Chung, Hye Moon | - |
dc.contributor.alternativeName | Kwon, Hyuck Moon | - |
dc.contributor.alternativeName | Choi, Eui Young | - |
dc.contributor.alternativeName | Kim, Jong Youn | - |
dc.contributor.alternativeName | Hong, Bum Kee | - |
dc.contributor.alternativeName | Moon, Jeong Geun | - |
dc.contributor.alternativeName | Min, Pil Ki | - |
dc.contributor.affiliatedAuthor | Yoon, Young Won | - |
dc.contributor.affiliatedAuthor | Yoon, Ji Hyun | - |
dc.contributor.affiliatedAuthor | Lee, Byoung Kwon | - |
dc.contributor.affiliatedAuthor | Rim, Se Joong | - |
dc.contributor.affiliatedAuthor | Chung, Hye Moon | - |
dc.contributor.affiliatedAuthor | Kwon, Hyuck Moon | - |
dc.contributor.affiliatedAuthor | Choi, Eui Young | - |
dc.contributor.affiliatedAuthor | Kim, Jong Youn | - |
dc.contributor.affiliatedAuthor | Hong, Bum Kee | - |
dc.contributor.affiliatedAuthor | Moon, Jeong Geun | - |
dc.contributor.affiliatedAuthor | Min, Pil Ki | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 36 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 235 | - |
dc.citation.endPage | 240 | - |
dc.identifier.bibliographicCitation | CLINICAL CARDIOLOGY, Vol.36(4) : 235-240, 2013 | - |
dc.identifier.rimsid | 29101 | - |
dc.type.rims | ART | - |
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