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November 30, 2021Kardiologia PolskaOpen Access

Correlations between left atrial strain and left atrial pressures values in patients undergoing atrial fibrillation ablation

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Why the study?

The study was conducted to investigate correlations between left atrial strain assessed by speckle tracking echocardiography and directly measured left atrial pressure values, and to characterize patients with lower left atrial strain.

Does left atrial strain assessed by echocardiography correlate with directly measured left atrial pressures in patients with atrial fibrillation undergoing ablation?

Population

172 AF patients undergoing ablation

Comparison

Lower vs higher LASr, and correlation of LAS with LAP

Design

Prospective observational study

Authors

Beata Uziębło‐ŻyczkowskaBeata Uziębło‐ŻyczkowskaCardiac ImagingPKPaweł KrzesińskiGeneral CardiologyAJAgnieszka JurekWojskowy Instytut Medycyny Lotniczej

Discussion

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Implication

LA strain may estimate pressures noninvasively in AF during sinus rhythm; leaves open clinical adoption pending validation.

Structured PICO

Does left atrial strain assessed by echocardiography correlate with directly measured left atrial pressures in patients with atrial fibrillation undergoing ablation?

P
Population
172 patients with atrial fibrillation (AF) undergoing ablation (98 with sinus rhythm [SR] and 74 with AF)
I
Intervention
Left atrial strain (LAS) assessment by speckle tracking echocardiography
C
Comparator
Direct measurement of left atrial pressures (LAP) during ablation
O
Outcome
Correlation between left atrial strain (LAS) and directly measured left atrial pressures (LAP)surrogate

Left atrial strain assessed by speckle tracking echocardiography correlates with directly measured left atrial pressures and can estimate elevated LAP in patients undergoing AF ablation.

Cite This Study

Uziębło‐Życzkowska et al. (2021) studied this question.

synapsesocial.com/papers/6a6ff6bf5d37378ac1dd04c4https://doi.org/10.33963/kp.a2021.0113

Topics

Atrial fibrillationPersistent AF managementAF ablation outcomesAnticoagulation in AF
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Association of left atrial pressure with late gadolinium enhancement extent in patient who underwent catheter ablation for atrial fibrillation2020 · 28 citations
  2. 2Biatrial strain as a new predictive marker of successful pulmonary vein ablation in patients with atrial fibrillation and preserved left ventricular function2019 · 5 citations
  3. 3Feasibility and reference values of left atrial longitudinal strain imaging by two-dimensional speckle tracking2009 · 395 citations
  4. 4Left atrial strain predicts hemodynamic parameters in cardiovascular patients2017 · 43 citations
  5. 5Left Atrial Structure and Function and the Risk of Death or Heart Failure in Atrial Fibrillation2019 · 67 citations