Format du dépôt |
Fichier |
Type de dépôt |
Article dans une revue |
Titre |
en
Biatrial remodelling in atrial fibrillation: A three-dimensional and strain echocardiography insight
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Résumé |
en
Background: Atrial remodelling has been poorly investigated in atrial fibrillation (AF), and few studies have focused on biatrial remodelling.
Aim: To evaluate right atrial (RA) and left atrial (LA) remodelling in AF using global atrial reservoir strain and three-dimensional (3D) atrial volumes, according to rhythm outcome at mid-term follow-up.
Methods: Two-dimensional and 3D transthoracic echocardiography (TTE) were performed within 24hours after admission (M0) and at 6-month follow-up (M6) in patients admitted for AF. RA and LA variables were assessed: body surface area-indexed maximum 3D volume (Max 3D RA Voli, Max 3D LA Voli) and minimum 3D volume (Min 3D RA Voli, Min 3D LA Voli); atrial emptying fraction (3D RAEF, 3D LAEF); atrial expansion index (3D RAEI, 3D LAEI); and global RA and LA reservoir strain.
Results: Forty-eight consecutive patients were included prospectively. Three groups were identified depending on rhythm at M0 and M6: AF at M0 and sinus rhythm (SR) at M6 (AF-SR) in 25 (52.1%) patients; AF at M0 and AF at M6 (AF-AF) in 13 (27.1%) patients; and SR at M0 (spontaneous cardioversion before first TTE) and SR at M6 (SR-SR) in 10 (20.8%) patients. Between M0 and M6 in the AF-SR group, we found: significant decreases in Max 3D RA Voli (P=0.020), Min 3D RA Voli (P=0.0008), Max 3D LA Voli (P=0.001) and Min 3D LA Voli (P=0.0021); significant increases in 3D RAEF (P=0.037) and 3D RAEI (P=0.034); no significant differences in 3D LAEF and 3D LAEI; and significant increases in global RA and LA reservoir strain (both P<0.0001). There was no significant difference with regard to these variables in the AF-AF and SR-SR groups.
Conclusion: 3D volume and strain analyses were useful in the evaluation of RA and LA reverse remodelling in successfully cardioverted patients with AF.
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Auteur(s)
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Laurie Soulat-Dufour
1, 2
, Sylvie Lang
1, 3
, Stephane Ederhy
1, 3
, Yann Ancedy
1, 3
, Anne-Sophie Beraud
4
, Saroumadi Adavane-Scheuble
1
, Marion Chauvet-Droit
1
, Nadjib Hammoudi
2, 5
, Aliocha Scheuble
6
, Pascal Nhan
1
, Magali Charbonnier
1
, Franck Boccara
1, 7
, Ariel Cohen
1, 2
1
CHU Saint-Antoine [AP-HP]
( 454982 )
- 184, rue du Faubourg Saint-Antoine
75571 Paris cedex 12
- France
-
Assistance publique - Hôpitaux de Paris (AP-HP) ( 300068 )
;
-
Sorbonne Université ( 413221 )
2
ICAN -
Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases
( 542105 )
- Faculté de Médecine - 91 boulevard de l'Hôpital 75634 Paris Cedex 13
- France
-
Assistance publique - Hôpitaux de Paris (AP-HP) ( 300068 )
;
-
Institut National de la Santé et de la Recherche Médicale U1166 / UMRS_1166 ( 303623 )
;
-
Sorbonne Université ( 413221 )
;
-
Institut de Cardiométabolisme et Nutrition = Institute of Cardiometabolism and Nutrition [CHU Pitié Salpêtrière] ( 1085123 )
;
-
CHU Pitié-Salpêtrière [AP-HP] ( 353778 )
;
-
Assistance publique - Hôpitaux de Paris (AP-HP) ( 300068 )
;
-
Sorbonne Université ( 413221 )
3
SU -
Sorbonne Université
( 413221 )
- 21 rue de l’École de médecine - 75006 Paris
- France
4
Clinique Pasteur [Toulouse]
( 300486 )
- 45 Avenue de Lombez, 31300 Toulouse
- France
5
CHU Pitié-Salpêtrière [AP-HP]
( 353778 )
- 47-83 Boulevard de l'Hôpital, 75013 Paris
- France
-
Assistance publique - Hôpitaux de Paris (AP-HP) ( 300068 )
;
-
Sorbonne Université ( 413221 )
6
CCN -
Centre cardiologique du Nord
( 357094 )
- 32-36, rue des Moulins-Gémeaux, 93207 St. Denis
- France
7
CRSA -
Centre de Recherche Saint-Antoine
( 541912 )
- Bâtiment Kourilsky
34 rue Crozatier
75012 PARIS
Sorbonne Université
27 rue Chaligny
75012 PARIS
- France
-
Assistance publique - Hôpitaux de Paris (AP-HP) ( 300068 )
;
-
Institut National de la Santé et de la Recherche Médicale U938 ( 303623 )
;
-
Sorbonne Université UMRS_938 ( 413221 )
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Licence |
Paternité - Pas d'utilisation commerciale
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Langue du document |
Anglais
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Nom de la revue |
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Date de publication |
2019-10-31
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Volume |
112
|
Page/Identifiant |
585 - 593
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Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Audience |
Internationale
|
Domaine(s) |
-
Sciences du Vivant [q-bio]
|
Mots-clés |
en
3D echocardiography, Atrial fibrillation, Atrial function, Atrial remodelling, Atrial strain, Fibrillation atriale, Fonction atriale, Remodelage atrial, Strain atrial, Échocardiographie 3D
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DOI |
10.1016/j.acvd.2019.06.010 |
PII |
S1875-2136(19)30144-5 |
Pubmed Id |
31540880 |