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Left ventricular diastolic dysfunction in patients with so-called lone atrial fibrillation.

Identifieur interne : 001312 ( PubMed/Corpus ); précédent : 001311; suivant : 001313

Left ventricular diastolic dysfunction in patients with so-called lone atrial fibrillation.

Auteurs : P. Jaïs ; J T Peng ; D C Shah ; S. Garrigue ; M. Hocini ; T. Yamane ; M. Haïssaguerre ; S S Barold ; R. Roudaut ; J. Clémenty

Source :

Journal of cardiovascular electrophysiology [ 1045-3873 ] ; 2000.

RBID : pubmed:10868734

English descriptors

KwdEn :
- Adult, Atrial Fibrillation (complications), Diastole, Female, Hemodynamics, Humans, Male, Middle Aged, Pressure, Ventricular Dysfunction, Left (etiology), Ventricular Dysfunction, Left (physiopathology).
MESH :
- complications : Atrial Fibrillation.
- etiology : Ventricular Dysfunction, Left.
- physiopathology : Ventricular Dysfunction, Left.
- Adult, Diastole, Female, Hemodynamics, Humans, Male, Middle Aged, Pressure.

Abstract

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 Wolff-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.

PubMed: 10868734

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pubmed:10868734

Le document en format XML

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<author><name sortKey="Jais, P" sort="Jais, P" uniqKey="Jais P" first="P" last="Jaïs">P. Jaïs</name>
<affiliation><nlm:affiliation>Hôpital Cardiologique du Haut-Lévêque, Pessac, France.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Peng, J T" sort="Peng, J T" uniqKey="Peng J" first="J T" last="Peng">J T Peng</name>
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<author><name sortKey="Shah, D C" sort="Shah, D C" uniqKey="Shah D" first="D C" last="Shah">D C Shah</name>
</author>
<author><name sortKey="Garrigue, S" sort="Garrigue, S" uniqKey="Garrigue S" first="S" last="Garrigue">S. Garrigue</name>
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<author><name sortKey="Hocini, M" sort="Hocini, M" uniqKey="Hocini M" first="M" last="Hocini">M. Hocini</name>
</author>
<author><name sortKey="Yamane, T" sort="Yamane, T" uniqKey="Yamane T" first="T" last="Yamane">T. Yamane</name>
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<author><name sortKey="Haissaguerre, M" sort="Haissaguerre, M" uniqKey="Haissaguerre M" first="M" last="Haïssaguerre">M. Haïssaguerre</name>
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<author><name sortKey="Barold, S S" sort="Barold, S S" uniqKey="Barold S" first="S S" last="Barold">S S Barold</name>
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<author><name sortKey="Roudaut, R" sort="Roudaut, R" uniqKey="Roudaut R" first="R" last="Roudaut">R. Roudaut</name>
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<author><name sortKey="Clementy, J" sort="Clementy, J" uniqKey="Clementy J" first="J" last="Clémenty">J. Clémenty</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Left ventricular diastolic dysfunction in patients with so-called lone atrial fibrillation.</title>
<author><name sortKey="Jais, P" sort="Jais, P" uniqKey="Jais P" first="P" last="Jaïs">P. Jaïs</name>
<affiliation><nlm:affiliation>Hôpital Cardiologique du Haut-Lévêque, Pessac, France.</nlm:affiliation>
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<author><name sortKey="Peng, J T" sort="Peng, J T" uniqKey="Peng J" first="J T" last="Peng">J T Peng</name>
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<author><name sortKey="Shah, D C" sort="Shah, D C" uniqKey="Shah D" first="D C" last="Shah">D C Shah</name>
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<author><name sortKey="Garrigue, S" sort="Garrigue, S" uniqKey="Garrigue S" first="S" last="Garrigue">S. Garrigue</name>
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<author><name sortKey="Hocini, M" sort="Hocini, M" uniqKey="Hocini M" first="M" last="Hocini">M. Hocini</name>
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<author><name sortKey="Yamane, T" sort="Yamane, T" uniqKey="Yamane T" first="T" last="Yamane">T. Yamane</name>
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<author><name sortKey="Haissaguerre, M" sort="Haissaguerre, M" uniqKey="Haissaguerre M" first="M" last="Haïssaguerre">M. Haïssaguerre</name>
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<author><name sortKey="Barold, S S" sort="Barold, S S" uniqKey="Barold S" first="S S" last="Barold">S S Barold</name>
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<author><name sortKey="Roudaut, R" sort="Roudaut, R" uniqKey="Roudaut R" first="R" last="Roudaut">R. Roudaut</name>
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<author><name sortKey="Clementy, J" sort="Clementy, J" uniqKey="Clementy J" first="J" last="Clémenty">J. Clémenty</name>
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<series><title level="j">Journal of cardiovascular electrophysiology</title>
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<imprint><date when="2000" type="published">2000</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Atrial Fibrillation (complications)</term>
<term>Diastole</term>
<term>Female</term>
<term>Hemodynamics</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pressure</term>
<term>Ventricular Dysfunction, Left (etiology)</term>
<term>Ventricular Dysfunction, Left (physiopathology)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Atrial Fibrillation</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Ventricular Dysfunction, Left</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Ventricular Dysfunction, Left</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Diastole</term>
<term>Female</term>
<term>Hemodynamics</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pressure</term>
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<front><div type="abstract" xml:lang="en">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 Wolff-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>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10868734</PMID>
<DateCreated><Year>2000</Year>
<Month>10</Month>
<Day>19</Day>
</DateCreated>
<DateCompleted><Year>2000</Year>
<Month>10</Month>
<Day>19</Day>
</DateCompleted>
<DateRevised><Year>2007</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1045-3873</ISSN>
<JournalIssue CitedMedium="Print"><Volume>11</Volume>
<Issue>6</Issue>
<PubDate><Year>2000</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Journal of cardiovascular electrophysiology</Title>
<ISOAbbreviation>J. Cardiovasc. Electrophysiol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Left ventricular diastolic dysfunction in patients with so-called lone atrial fibrillation.</ArticleTitle>
<Pagination><MedlinePgn>623-5</MedlinePgn>
</Pagination>
<Abstract><AbstractText>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 Wolff-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.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jaïs</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Hôpital Cardiologique du Haut-Lévêque, Pessac, France.</Affiliation>
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<Author ValidYN="Y"><LastName>Shah</LastName>
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<Author ValidYN="Y"><LastName>Yamane</LastName>
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<Author ValidYN="Y"><LastName>Barold</LastName>
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<Author ValidYN="Y"><LastName>Roudaut</LastName>
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<Author ValidYN="Y"><LastName>Clémenty</LastName>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Cardiovasc Electrophysiol</MedlineTA>
<NlmUniqueID>9010756</NlmUniqueID>
<ISSNLinking>1045-3873</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D001281" MajorTopicYN="N">Atrial Fibrillation</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
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<MeshHeading><DescriptorName UI="D003971" MajorTopicYN="N">Diastole</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006439" MajorTopicYN="N">Hemodynamics</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011312" MajorTopicYN="N">Pressure</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018487" MajorTopicYN="Y">Ventricular Dysfunction, Left</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
</MeshHeading>
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Left ventricular diastolic dysfunction in patients with so-called lone atrial fibrillation.

Left ventricular diastolic dysfunction in patients with so-called lone atrial fibrillation.

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki