Clinical Value of Left Atrial Volume by 3D-CT for the Prediction of the Long-Term Sinus Rhythm Maintenance after Pulmonary Vein Isolation for Persistent Atrial Fibrillation
スポンサーリンク
概要
- 論文の詳細を見る
<B>Introduction:</B> Echocardiographic parameters are useful for the prediction of the long-term preservation of sinus rhythm <SR> in patients with successful cardioversion of atrial fibrillation <AF>. We assessed the echocardiographic parameters and left atrial volume <LAV> by 3D-CT in 44 consecutive patients who had undergone circumferential pulmonary vein isolation for persistent AF. <B>Methods:</B> Transthoracic echocardiographic <TTE> data, transesophageal echocardiographic <TEE> data and LAV by 3D-CT of 44 consecutive patients <32 men, mean age: 57.6±8.5 years> were analyzed. We examined left atrial appendage flow, left atrial spontaneous echocardiographic contrast, mitral valve regurgitation during TEE, and also left atrial parasternal diameter, left ventricular end-diastolic diameter, left ventricular ejection fraction in TTE. <B>Results:</B> At a half year follow-up, 59.1% <26/44> of the patients who had undergone pulmonary vein isolation continued to have SR. LAV was significantly smaller in patients remaining in SR for a half year than in those with AF recurrence <106.6±25.5 ml vs. 148.7±45.2 ml; p=0.0003, t-test>. Between SR groups and AF recurrence groups, there were no significant differences in echocardiographic parameters. <B>Conclusions:</B> In echocardiography and 3D-CT guided management of persistent AF, LAV will be useful to predict the long-term SR maintenance after circumferential pulmonary vein isolation.
著者
-
Mitsudo Kazuaki
Kurashiki Central Hospital
-
Kadota Kazushige
Kurashiki Central Hospital
-
Fujii Satoki
Kurashiki Central Hospital
-
Tasaka Hiroshi
Kurashiki Central Hospital
-
Okamoto Yoji
Kurashiki Central Hospital
-
Kadota Kazushige
Kurashiki Central Hospital, Cardiovascular Medicine
-
Yoshino Mitsuru
Kurashiki Central Hospital, Cardiovascular Medicine
関連論文
- PJ-409 Identification of Clinical Characteristics Favorably Treated with Non-Stent Strategy for Sirolimus-Eluting Stent Restenosis : Insights from J-CYPHER Registry(PJ069,Coronary Revascularization, PCI (Restenosis/Others) 1 (IHD),Poster Session (Japanese
- OE-101 Long-term Clinical Outcome and Predictor of Target Lesion Revascularization after Sirolimus-Eluting Stent Implantation with Elective Two-Stent Technique in Coronary Bifurcations(OE17,Coronary Revascularization, PCI (Restenosis/Others/DES) (IHD),Ora
- FRS-114 Predictor of Target Lesion Revascularization and Efficacy of Final Kissing Balloon Technique using One-Stent Technique in Coronary Bifurcation Lesions(FRS23,Clinical Evidence of DES Era (1) (IHD),Featured Research Session (English),The 73rd Annual
- 5 Therapeutic Strategy for Post-sirolimus-eluting Stent Restenosis and Risk Factors for Re-target Lesion Revascularization After Re-sirolimus-eluting Stent Implantation : from j-CYPHER Registry(Current Status and Future Perspective of Drug-Eluting Stents,
- OE-110 The Impact of Preloading and Discontinuation of Dual Antiplatelet Therapy on Stent Thrombosis for ACS Lesion. : Based on j-Cypher Registry(Thromboembolism/Antithrombotic therapy/Thrombolysis(01)(H),Oral Presentation(English),The 72nd Annual Scienti
- PJ-762 The Ratio and Lesion Morphology of Recurrent Restenosis after Reimplantation with Sirolimus-eluting Stent for Restenosis after Sirolimus-eluting Stent Implantation(PJ128,Coronary Revascularization, PCI (DES) 5 (IHD),Poster Session (Japanese),The 73
- PJ-478 The Detection of Cancer with Multidetecter Computed Tomography Coronary Angiography(PJ081,CT/MRI (Coronary/Vascular) 3 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PJ-408 Sirolimus-eluting Stent Implantation for In-stent Restenosis of Bare Metal Stent or Sirolimus-eluting Stent(PJ069,Coronary Revascularization, PCI (Restenosis/Others) 1 (IHD),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japane
- PE-379 Late Restenosis of Sirolimus Eluting Stent Implantation in Chronic Total Occlusions(PE064,Coronary Revascularization, PCI (DES) 6 (IHD),Poster Session (English),The 73rd Annual Scientific Meeting of the Japanese Circulation Society)
- PE-280 Unique Distribution of Stent Fracture and Stent Fracture with Restenosis after Sirolimus-Eluting Stent Implantation(PE047,Coronary Revascularization, PCI (DES) 4 (IHD),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circ