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Left Atrial Strain Assessed by Speckle Tracking Imaging Is Related to New-Onset Atrial Fibrillation After Coronary Artery Bypass Grafting

Authors
 Ae-Young Her  ;  Jong-Youn Kim  ;  Yong Hoon Kim  ;  Eui-Young Choi  ;  Pil-Ki Min  ;  Young Won Yoon  ;  Byoung-Kwon Lee  ;  Bum-Kee Hong  ;  Se-Joong Rim  ;  Hyuck Moon Kwon 
Citation
 CANADIAN JOURNAL OF CARDIOLOGY, Vol.29(3) : 377-383, 2013 
Journal Title
 CANADIAN JOURNAL OF CARDIOLOGY 
ISSN
 0828-282X 
Issue Date
2013
MeSH
Aged ; Algorithms ; Atrial Fibrillation/diagnostic imaging* ; Atrial Fibrillation/epidemiology ; Atrial Fibrillation/etiology ; Atrial Fibrillation/physiopathology ; Atrial Function, Left* ; Coronary Artery Bypass/adverse effects* ; Coronary Artery Disease/diagnostic imaging ; Coronary Artery Disease/surgery ; Echocardiography/methods ; Echocardiography, Doppler* ; Elective Surgical Procedures ; Electrocardiography ; Female ; Heart Atria/diagnostic imaging* ; Heart Atria/physiopathology* ; Humans ; Incidence ; Length of Stay ; Logistic Models ; Male ; Middle Aged ; Postoperative Period ; Preoperative Period ; Republic of Korea/epidemiology
Keywords
Aged ; Algorithms ; Atrial Fibrillation/diagnostic imaging* ; Atrial Fibrillation/epidemiology ; Atrial Fibrillation/etiology ; Atrial Fibrillation/physiopathology ; Atrial Function, Left* ; Coronary Artery Bypass/adverse effects* ; Coronary Artery Disease/diagnostic imaging ; Coronary Artery Disease/surgery ; Echocardiography/methods ; Echocardiography, Doppler* ; Elective Surgical Procedures ; Electrocardiography ; Female ; Heart Atria/diagnostic imaging* ; Heart Atria/physiopathology* ; Humans ; Incidence ; Length of Stay ; Logistic Models ; Male ; Middle Aged ; Postoperative Period ; Preoperative Period ; Republic of Korea/epidemiology
Abstract
BACKGROUND: Left atrial (LA) dysfunction was recently proposed as an important factor in the development of postoperative atrial fibrillation (POAF). LA strain analysis by 2-dimensional (2D) speckle tracking imaging is emerging as a new tool to evaluate LA function. We aimed to evaluate the correlation of LA dysfunction assessed by 2D speckle tracking imaging with the occurrence of POAF after coronary artery bypass grafting (CABG). METHODS: In this study, 53 patients (mean age 66 ± 9 years) undergoing elective isolated CABG were enrolled. Conventional transthoracic echocardiography and 2D speckle tracking strain analysis were performed before surgery. POAF was detected with continuous electrocardiography monitoring throughout hospitalization (mean duration 17 ± 10 days). RESULTS: POAF occurred in 13 of 53 patients (24%). Patients with POAF were significantly older than patients with normal sinus rhythm after surgery (71 ± 5 vs 64 ± 10 years, P = 0.026). Compared with patients with normal sinus rhythm, patients with POAF had a significantly larger LA volume index (32.6 ± 5.1 vs 27.3 ± 7.2 mL/m(2), P = 0.018), lower value of LA global strain (25.4 ± 10.4 vs 36.8 ± 7.6%, P = 0.001), and strain rate (1.2 ± 0.6 vs 1.6 ± 0.8 seconds, P = 0.024). By multivariate logistic regression analysis, only LA global strain (odds ratio, 1.12; 95% confidence interval, 1.00-1.24; P = 0.040) was an independent predictor of POAF after CABG. CONCLUSIONS: Preoperative LA global strain measured by 2D speckle tracking strain analysis is associated with the development of POAF after CABG.
Full Text
http://www.sciencedirect.com/science/article/pii/S0828282X12002851
DOI
10.1016/j.cjca.2012.06.006.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Hyuck Moon(권혁문) ORCID logo https://orcid.org/0000-0001-9901-5015
Kim, Jong Youn(김종윤) ORCID logo https://orcid.org/0000-0001-7040-8771
Min, Pil Ki(민필기) ORCID logo https://orcid.org/0000-0001-7033-7651
Yoon, Young Won(윤영원) ORCID logo https://orcid.org/0000-0002-0907-0350
Lee, Byoung Kwon(이병권) ORCID logo https://orcid.org/0000-0001-9259-2776
Rim, Se Joong(임세중) ORCID logo https://orcid.org/0000-0002-7631-5581
Choi, Eui Young(최의영) ORCID logo https://orcid.org/0000-0003-3732-0190
Hong, Bum Kee(홍범기) ORCID logo https://orcid.org/0000-0002-6456-0184
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86776
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