Evaluation of the relationship between left atrial volume and myocardial ischemia: a systematic review

Introduction: The pathophysiology of ischemia involves the cellular effect of myocardial ischemia, reactive oxygen species, and reactive inflammatory enzymes. Left atrial (LA) ischemia has been shown to have several mechanisms through which it can lead to abnormalities in left ventricular filling in...

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Main Authors: Ali Azari, leila Bigdelue, Afsoon Fazlinezhad, Marzye Farazandeh, Somaye Bakefayat
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2017-07-01
Series:Reviews in Clinical Medicine
Subjects:
Online Access:https://rcm.mums.ac.ir/article_6401_e5fa570393d8d4330e27d5433e152a1b.pdf
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author Ali Azari
leila Bigdelue
Afsoon Fazlinezhad
Marzye Farazandeh
Somaye Bakefayat
author_facet Ali Azari
leila Bigdelue
Afsoon Fazlinezhad
Marzye Farazandeh
Somaye Bakefayat
author_sort Ali Azari
collection DOAJ
description Introduction: The pathophysiology of ischemia involves the cellular effect of myocardial ischemia, reactive oxygen species, and reactive inflammatory enzymes. Left atrial (LA) ischemia has been shown to have several mechanisms through which it can lead to abnormalities in left ventricular filling in early diastole and thus reduces LA passive functional reserve. In this review, we evaluated the physiological mechanisms of LA during myocardial ischemia, as previously demonstrated in experimental and clinical studies.Methods: Several databases were searched in order to find related articles. The outcome of interest included LA function measurements (measurement of LA volume) during ischemia. By applying a standardized protocol, reviewers independently extracted and assessed the studies.Results: The literature review indicated 50 publications, among which 15 studies were eligible for analysis. Assessment of LA dimension and function is essential for clinical evaluation and prognostic purposes. Conclusion: The present article revealed that LA passive emptying volume and LA emptying volume significantly increased in myocardial ischemia. Further researches could provide a better understanding of pathophysiological mechanisms behind LA enlargement and help to predict clinical outcomes in many cardiovascular disorders.
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spelling doaj.art-55c37edbc70f402aafaf10a31c08545f2022-12-27T13:09:25ZengMashhad University of Medical SciencesReviews in Clinical Medicine2345-62562345-68922017-07-01439710110.22038/rcm.2016.64016401Evaluation of the relationship between left atrial volume and myocardial ischemia: a systematic reviewAli Azari0leila Bigdelue1Afsoon Fazlinezhad2Marzye Farazandeh3Somaye Bakefayat4Division of Cardiovascular, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Division of Cardiovascular, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Division of Cardiovascular, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Division of Cardiovascular, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Division of Cardiovascular, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Introduction: The pathophysiology of ischemia involves the cellular effect of myocardial ischemia, reactive oxygen species, and reactive inflammatory enzymes. Left atrial (LA) ischemia has been shown to have several mechanisms through which it can lead to abnormalities in left ventricular filling in early diastole and thus reduces LA passive functional reserve. In this review, we evaluated the physiological mechanisms of LA during myocardial ischemia, as previously demonstrated in experimental and clinical studies.Methods: Several databases were searched in order to find related articles. The outcome of interest included LA function measurements (measurement of LA volume) during ischemia. By applying a standardized protocol, reviewers independently extracted and assessed the studies.Results: The literature review indicated 50 publications, among which 15 studies were eligible for analysis. Assessment of LA dimension and function is essential for clinical evaluation and prognostic purposes. Conclusion: The present article revealed that LA passive emptying volume and LA emptying volume significantly increased in myocardial ischemia. Further researches could provide a better understanding of pathophysiological mechanisms behind LA enlargement and help to predict clinical outcomes in many cardiovascular disorders.https://rcm.mums.ac.ir/article_6401_e5fa570393d8d4330e27d5433e152a1b.pdfcardiac volumeleft atrial functionsmyocardial ischemia
spellingShingle Ali Azari
leila Bigdelue
Afsoon Fazlinezhad
Marzye Farazandeh
Somaye Bakefayat
Evaluation of the relationship between left atrial volume and myocardial ischemia: a systematic review
Reviews in Clinical Medicine
cardiac volume
left atrial functions
myocardial ischemia
title Evaluation of the relationship between left atrial volume and myocardial ischemia: a systematic review
title_full Evaluation of the relationship between left atrial volume and myocardial ischemia: a systematic review
title_fullStr Evaluation of the relationship between left atrial volume and myocardial ischemia: a systematic review
title_full_unstemmed Evaluation of the relationship between left atrial volume and myocardial ischemia: a systematic review
title_short Evaluation of the relationship between left atrial volume and myocardial ischemia: a systematic review
title_sort evaluation of the relationship between left atrial volume and myocardial ischemia a systematic review
topic cardiac volume
left atrial functions
myocardial ischemia
url https://rcm.mums.ac.ir/article_6401_e5fa570393d8d4330e27d5433e152a1b.pdf
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AT afsoonfazlinezhad evaluationoftherelationshipbetweenleftatrialvolumeandmyocardialischemiaasystematicreview
AT marzyefarazandeh evaluationoftherelationshipbetweenleftatrialvolumeandmyocardialischemiaasystematicreview
AT somayebakefayat evaluationoftherelationshipbetweenleftatrialvolumeandmyocardialischemiaasystematicreview