Assessment of left atrial remodeling using speckle tracking echocardiography after percutaneous atrial septal defect closure in adult patients
Abstract Background Atrial fibrillation (AF) is a well-known, long-term complication of atrial septal defect (ASD) in adults, even after device closure. Left atrial (LA) strain rate applied to the analysis of chamber function has been demonstrated to be an important predictor of LA reverse remodelin...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | International Journal of Arrhythmia |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42444-022-00074-y |
| _version_ | 1811274859363172352 |
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| author | Ji-Hoon Choi Ju Youn Kim Jin Kyung Hwang Hye Ree Kim Tae Wan Chung Juwon Kim Seung Woo Park I-Seok Kang Jinyoung Song Seung-Jung Park Kyoung-Min Park Young Keun On June Soo Kim June Huh |
| author_facet | Ji-Hoon Choi Ju Youn Kim Jin Kyung Hwang Hye Ree Kim Tae Wan Chung Juwon Kim Seung Woo Park I-Seok Kang Jinyoung Song Seung-Jung Park Kyoung-Min Park Young Keun On June Soo Kim June Huh |
| author_sort | Ji-Hoon Choi |
| collection | DOAJ |
| description | Abstract Background Atrial fibrillation (AF) is a well-known, long-term complication of atrial septal defect (ASD) in adults, even after device closure. Left atrial (LA) strain rate applied to the analysis of chamber function has been demonstrated to be an important predictor of LA reverse remodeling. This study aimed to determine the changes in chamber function after device closure of ASD. Methods This prospective study enrolled adults with secundum ASD undergoing transcatheter device closure from December 2016 to August 2017. We analyzed the clinical characteristics and LA strain rate before and six months after ASD closure. Results A total of 11 patients were enrolled. The mean age was 42.6 ± 9.9 years, and six (54.5%) were females. There was no significant change of conventional echocardiographic parameters after ASD closure. The mean global LA reservoir strain rate before ASD closure was 1.17 ± 0.34 and 0.85 ± 0.30 after ASD closure (p = 0.030). The median global LA conduit strain rate was 0.68 (0.42–1.16) and 0.41 (0.16–0.79) before and after ASD closure (p = 0.213), respectively. The mean global LA contractile strain rate at the six-month follow-up showed significant improvement compared with pre-procedural strain rate (0.33 ± 0.65 vs. − 0.43 ± 0.38, p = 0.006). Conclusions LA functional changes occurred during the six-month follow-up, while LA and right atrial (RA) geometric changes were not significant. LA reverse remodeling was proved by restoration of LA late diastolic contractile function. |
| first_indexed | 2024-04-12T23:26:39Z |
| format | Article |
| id | doaj.art-030aff0488934f7d844daea0bd5e8fe4 |
| institution | Directory Open Access Journal |
| issn | 2466-1171 |
| language | English |
| last_indexed | 2024-04-12T23:26:39Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Arrhythmia |
| spelling | doaj.art-030aff0488934f7d844daea0bd5e8fe42022-12-22T03:12:23ZengBMCInternational Journal of Arrhythmia2466-11712022-09-012311610.1186/s42444-022-00074-yAssessment of left atrial remodeling using speckle tracking echocardiography after percutaneous atrial septal defect closure in adult patientsJi-Hoon Choi0Ju Youn Kim1Jin Kyung Hwang2Hye Ree Kim3Tae Wan Chung4Juwon Kim5Seung Woo Park6I-Seok Kang7Jinyoung Song8Seung-Jung Park9Kyoung-Min Park10Young Keun On11June Soo Kim12June Huh13Division of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineDivision of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineDivision of Cardiology, Department of Medicine, Veterans Health Service Medical CenterDivision of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineDivision of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineDivision of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineDivision of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineAdult Congenital Heart Disease Clinic, Division of Cardiology, Department of Pediatrics, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineAdult Congenital Heart Disease Clinic, Division of Cardiology, Department of Pediatrics, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineDivision of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineDivision of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineDivision of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineDivision of Cardiology, Department of Internal Medicine, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineAdult Congenital Heart Disease Clinic, Division of Cardiology, Department of Pediatrics, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of MedicineAbstract Background Atrial fibrillation (AF) is a well-known, long-term complication of atrial septal defect (ASD) in adults, even after device closure. Left atrial (LA) strain rate applied to the analysis of chamber function has been demonstrated to be an important predictor of LA reverse remodeling. This study aimed to determine the changes in chamber function after device closure of ASD. Methods This prospective study enrolled adults with secundum ASD undergoing transcatheter device closure from December 2016 to August 2017. We analyzed the clinical characteristics and LA strain rate before and six months after ASD closure. Results A total of 11 patients were enrolled. The mean age was 42.6 ± 9.9 years, and six (54.5%) were females. There was no significant change of conventional echocardiographic parameters after ASD closure. The mean global LA reservoir strain rate before ASD closure was 1.17 ± 0.34 and 0.85 ± 0.30 after ASD closure (p = 0.030). The median global LA conduit strain rate was 0.68 (0.42–1.16) and 0.41 (0.16–0.79) before and after ASD closure (p = 0.213), respectively. The mean global LA contractile strain rate at the six-month follow-up showed significant improvement compared with pre-procedural strain rate (0.33 ± 0.65 vs. − 0.43 ± 0.38, p = 0.006). Conclusions LA functional changes occurred during the six-month follow-up, while LA and right atrial (RA) geometric changes were not significant. LA reverse remodeling was proved by restoration of LA late diastolic contractile function.https://doi.org/10.1186/s42444-022-00074-yAtrial septal defectPercutaneousClosureStrain rateRemodelingLeft atrium |
| spellingShingle | Ji-Hoon Choi Ju Youn Kim Jin Kyung Hwang Hye Ree Kim Tae Wan Chung Juwon Kim Seung Woo Park I-Seok Kang Jinyoung Song Seung-Jung Park Kyoung-Min Park Young Keun On June Soo Kim June Huh Assessment of left atrial remodeling using speckle tracking echocardiography after percutaneous atrial septal defect closure in adult patients International Journal of Arrhythmia Atrial septal defect Percutaneous Closure Strain rate Remodeling Left atrium |
| title | Assessment of left atrial remodeling using speckle tracking echocardiography after percutaneous atrial septal defect closure in adult patients |
| title_full | Assessment of left atrial remodeling using speckle tracking echocardiography after percutaneous atrial septal defect closure in adult patients |
| title_fullStr | Assessment of left atrial remodeling using speckle tracking echocardiography after percutaneous atrial septal defect closure in adult patients |
| title_full_unstemmed | Assessment of left atrial remodeling using speckle tracking echocardiography after percutaneous atrial septal defect closure in adult patients |
| title_short | Assessment of left atrial remodeling using speckle tracking echocardiography after percutaneous atrial septal defect closure in adult patients |
| title_sort | assessment of left atrial remodeling using speckle tracking echocardiography after percutaneous atrial septal defect closure in adult patients |
| topic | Atrial septal defect Percutaneous Closure Strain rate Remodeling Left atrium |
| url | https://doi.org/10.1186/s42444-022-00074-y |
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