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October 1, 2008Journal of Cardiovascular Electrophysiology

Correlation of Left Atrial Diameter by Echocardiography and Left Atrial Volume by Computed Tomography

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Key result

Left atrial diameter measured by echocardiography correlated poorly with left atrial volume measured by computed tomography (r = 0.49, P < 0.001) in patients with atrial fibrillation.

Why the study?

Does left atrial diameter measured by echocardiography accurately correlate with left atrial volume measured by computed tomography in patients with atrial fibrillation?

Population

50 patients with symptomatic atrial fibrillation referred for catheter ablation, mean age 56 +/- 12 years, 5…

Comparison

Measurement of left atrial diameter by… vs Measurement of left atrial volume by 64-slice…

Design

Cross-sectional

Authors

IHIrene E. HofGGZ Oost BrabantAAArmin Arbab‐ZadehCardiac ImagingKCKaruna ChilukuriJohns Hopkins University

Discussion

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Implication

Echocardiographic LAD should not substitute for CT LAV assessment in AF; leaves open whether volumetric measures improve ablation candidate selection.

Study Design

Type

Cross-Sectional (n=50)

Structured PICO

Does left atrial diameter measured by echocardiography accurately correlate with left atrial volume measured by computed tomography in patients with atrial fibrillation?

P
Population
50 patients (mean age 56 years, 10% female) with symptomatic atrial fibrillation referred for catheter ablation.
E
Exposure
Measurement of left atrial diameter (LAD) by transthoracic echocardiography
C
Comparator
Measurement of left atrial volume by 64-slice computed tomography (CT)
O
Outcome
Correlation between left atrial diameter (by echocardiography) and left atrial volume (by CT)surrogate

Main Result

Effect estimate: r = 0.49

p-value: p=< 0.001

Left atrial diameter measured by echocardiography correlates poorly with left atrial volume measured by CT, suggesting LAD alone should not be used to exclude AF patients from catheter ablation.

Cite This Study

Hof et al. (2008) conducted a cross-sectional in Symptomatic atrial fibrillation (n=50). Left atrial diameter by echocardiography vs. Left atrial volume by computed tomography was evaluated on Correlation between left atrial diameter and left atrial volume (r = 0.49, p=< 0.001). Left atrial diameter measured by echocardiography correlated poorly with left atrial volume measured by computed tomography (r = 0.49, P < 0.001) in patients with atrial fibrillation.

synapsesocial.com/papers/6a9e906bf76ddda103f9abcchttps://doi.org/10.1111/j.1540-8167.2008.01310.x

Topics

Echocardiography
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Also Consider

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  1. 1Multislice Computed Tomography Accurately Quantifies Left Atrial Size and Function After the MAZE Procedure2006 · 42 citations
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