Left Ventricular Diastolic Dysfunction in Patients with So‐Called Lone Atrial Fibrillation
Identifieur interne : 003A18 ( Main/Exploration ); précédent : 003A17; suivant : 003A19Left Ventricular Diastolic Dysfunction in Patients with So‐Called Lone Atrial Fibrillation
Auteurs : Pierre Jaïs [États-Unis] ; Jing Tian Peng [États-Unis] ; Dipen C. Shah [États-Unis] ; Stéphane Garrfgue [États-Unis] ; Mélèze Hocini [États-Unis] ; Teiichi Yamane [États-Unis] ; Michel Haissaguerre [États-Unis] ; Serge S. Barold [États-Unis] ; Raymond Roudaut [États-Unis] ; Jacques Clementy [États-Unis]Source :
- Journal of Cardiovascular Electrophysiology [ 1045-3873 ] ; 2000-06.
English descriptors
- KwdEn :
- MESH :
- complications : Atrial Fibrillation.
- etiology : Ventricular Dysfunction, Left.
- physiopathology : Ventricular Dysfunction, Left.
- Adult, Diastole, Female, Hemodynamics, Humans, Male, Middle Aged, Pressure.
Abstract
LV Diastolic Dysfunction in Lone AF. Lone atrial fibrillation (AF) is defined by the absence of identifiable causes of AF, but its hemodynamics have not been investigated. Twenty‐eight patients with lone AF were compared with 14 control patients referred for for Woff‐Parkinson‐White ablation. Transthoracic and transesophageal echocardiography were performed to rule out structural heart disease, followed by transseptally performed complete hemodynamic evaluation of the left heart systolic and diastolic function. There was no evidence of diastolic dysfunction according to echocardiographic criteria in AF and control patients. There was no difference in echocardiographic measurements, except for a significantly higher inferosuperior left atrial dimension seen in the four‐chamber apical view in AF patients (51 ± 10 vs 40 ± 6 mm, P = 0.03). Hemodynamic evaluation showed that end‐diastolic left ventricular pressure and the nadir of the left atrial Y descent were significantly higher in lone AF patients versus controls: 13 ± 5 versus 8 ± 3 mmHg (P = 0.001) and 6.7 ± 3 versus 4.6 ± 2.7 mmHg (P = 0.05). Our results demonstrated the presence of diastolic left heart dysfunction in patients with so‐called lone AF.
Url:
DOI: 10.1111/j.1540-8167.2000.tb00023.x
Affiliations:
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Shah</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>From the Hôpital Cardiologique du Haut‐Lévêque, Pessac, France; and Fort Lauderdale</wicri:cityArea></affiliation></author><author><name sortKey="Garrfgue, Stephane" sort="Garrfgue, Stephane" uniqKey="Garrfgue S" first="Stéphane" last="Garrfgue">Stéphane Garrfgue</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>From the Hôpital Cardiologique du Haut‐Lévêque, Pessac, France; and Fort Lauderdale</wicri:cityArea></affiliation></author><author><name sortKey="Hocini, Meleze" sort="Hocini, Meleze" uniqKey="Hocini M" first="Mélèze" last="Hocini">Mélèze Hocini</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>From the Hôpital Cardiologique du Haut‐Lévêque, Pessac, France; and Fort Lauderdale</wicri:cityArea></affiliation></author><author><name sortKey="Yamane, Teiichi" sort="Yamane, Teiichi" uniqKey="Yamane T" first="Teiichi" last="Yamane">Teiichi Yamane</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>From the Hôpital Cardiologique du Haut‐Lévêque, Pessac, France; and Fort Lauderdale</wicri:cityArea></affiliation></author><author><name sortKey="Haissaguerre, Michel" sort="Haissaguerre, Michel" uniqKey="Haissaguerre M" first="Michel" last="Haissaguerre">Michel Haissaguerre</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>From the Hôpital Cardiologique du Haut‐Lévêque, Pessac, France; and Fort Lauderdale</wicri:cityArea></affiliation></author><author><name sortKey="Barold, Serge S" sort="Barold, Serge S" uniqKey="Barold S" first="Serge S." last="Barold">Serge S. 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Lone atrial fibrillation (AF) is defined by the absence of identifiable causes of AF, but its hemodynamics have not been investigated. Twenty‐eight patients with lone AF were compared with 14 control patients referred for for Woff‐Parkinson‐White ablation. Transthoracic and transesophageal echocardiography were performed to rule out structural heart disease, followed by transseptally performed complete hemodynamic evaluation of the left heart systolic and diastolic function. There was no evidence of diastolic dysfunction according to echocardiographic criteria in AF and control patients. There was no difference in echocardiographic measurements, except for a significantly higher inferosuperior left atrial dimension seen in the four‐chamber apical view in AF patients (51 ± 10 vs 40 ± 6 mm, P = 0.03). Hemodynamic evaluation showed that end‐diastolic left ventricular pressure and the nadir of the left atrial Y descent were significantly higher in lone AF patients versus controls: 13 ± 5 versus 8 ± 3 mmHg (P = 0.001) and 6.7 ± 3 versus 4.6 ± 2.7 mmHg (P = 0.05). Our results demonstrated the presence of diastolic left heart dysfunction in patients with so‐called lone AF.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li></region></list><tree><country name="États-Unis"><region name="Floride"><name sortKey="Jais, Pierre" sort="Jais, Pierre" uniqKey="Jais P" first="Pierre" last="Jaïs">Pierre Jaïs</name></region><name sortKey="Barold, Serge S" sort="Barold, Serge S" uniqKey="Barold S" first="Serge S." last="Barold">Serge S. Barold</name><name sortKey="Clementy, Jacques" sort="Clementy, Jacques" uniqKey="Clementy J" first="Jacques" last="Clementy">Jacques Clementy</name><name sortKey="Garrfgue, Stephane" sort="Garrfgue, Stephane" uniqKey="Garrfgue S" first="Stéphane" last="Garrfgue">Stéphane Garrfgue</name><name sortKey="Haissaguerre, Michel" sort="Haissaguerre, Michel" uniqKey="Haissaguerre M" first="Michel" last="Haissaguerre">Michel Haissaguerre</name><name sortKey="Hocini, Meleze" sort="Hocini, Meleze" uniqKey="Hocini M" first="Mélèze" last="Hocini">Mélèze Hocini</name><name sortKey="Peng, Jing Tian" sort="Peng, Jing Tian" uniqKey="Peng J" first="Jing Tian" last="Peng">Jing Tian Peng</name><name sortKey="Roudaut, Raymond" sort="Roudaut, Raymond" uniqKey="Roudaut R" first="Raymond" last="Roudaut">Raymond Roudaut</name><name sortKey="Shah, Dipen C" sort="Shah, Dipen C" uniqKey="Shah D" first="Dipen C." last="Shah">Dipen C. Shah</name><name sortKey="Yamane, Teiichi" sort="Yamane, Teiichi" uniqKey="Yamane T" first="Teiichi" last="Yamane">Teiichi Yamane</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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