Key result
Atrial septal aneurysm was independently associated with a higher prevalence of atrial premature complexes, ventricular premature complexes, supraventricular tachycardia, and paroxysmal AF.
Why the study?
This study aimed to assess the association of atrial septal aneurysm (ASA) with cardiac arrhythmias by comparing patients with ASA to an age- and gender-matched control group without ASA.
Is the presence of atrial septal aneurysm associated with an increased risk of cardiac arrhythmias?
Case-Control (n=1,282)
Is the presence of atrial septal aneurysm associated with an increased risk of cardiac arrhythmias?
Atrial septal aneurysm is independently associated with an increased prevalence of arrhythmias, including premature complexes, supraventricular tachycardia, and paroxysmal atrial fibrillation.
ASA may prompt closer arrhythmia monitoring in select patients; leaves open causality and need for prospective confirmation before practice change.
Objective. This study aimed to assess the association of atrial septal aneurysm (ASA) with cardiac arrhythmias by comparing patients with ASA with a control group with non-ASA, matched for age and gender. Methods. 641 patients with ASA who fulfilled the inclusion criteria were enrolled into the study. The control group consisted of 641 patients without ASA. Patients underwent physical, electrocardiographic and transthoracic echocardiographic examinations. Additional examinations such as transesophageal echocardiography, 24-h rhythm Holter monitoring, and electrophysiological study were performed when clinically needed. Results. There were no differences between the groups in respect to baseline demographic, clinical parameters and echocardiographic parameters except ischemic stroke and smoking status. Percentages of patients suffering from atrial premature complex (APC), ventricular premature complex (VPC), supraventricular tachycardia (SVT) and paroxysmal atrial fibrillation (AF) were higher in ASA patients compared to non-ASA patients. In addition, these parameters were independently associated with the presence of ASA in logistic regression analysis. Conclusions. Certain types of arrhythmias such as APC, VPC, SVT and paroxysmal AF have been shown to be independently associated with the presence of ASA.
No takes yet. Share an insight, caveat, or question.
Yetkın et al. (2019) conducted a case-control in Cardiac arrhythmias (n=1,282). Atrial septal aneurysm vs. Patients without atrial septal aneurysm was evaluated on Cardiac arrhythmias including atrial premature complex, ventricular premature complex, supraventricular tachycardia, and paroxysmal atrial fibrillation. Atrial septal aneurysm was independently associated with a higher prevalence of atrial premature complexes, ventricular premature complexes, supraventricular tachycardia, and paroxysmal AF.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: