Evaluation of coronary sinus morphology by three‐dimensional transthoracic echocardiography in patients undergoing electrophysiological study

Abstract Background In this study, we aimed to evaluate the coronary sinus (CS) morphology with three‐dimensional transthoracic echocardiography (3D‐TTE) in patients with supraventricular tachycardia (SVT) who underwent electrophysiological study (EPS). Methods This cross‐sectional study was conduct...

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Main Authors: Serhat Emre Senturk, Yahya Kemal Icen, Ayşe Selcan Koc, Yurdaer Donmez, Ahmet Oytun Baykan, İlker Unal, Hilmi Erdem Sumbul, Mevlüt Koc
Format: Article
Language:English
Published: Wiley 2018-12-01
Series:Journal of Arrhythmia
Subjects:
Online Access:https://doi.org/10.1002/joa3.12122
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author Serhat Emre Senturk
Yahya Kemal Icen
Ayşe Selcan Koc
Yurdaer Donmez
Ahmet Oytun Baykan
İlker Unal
Hilmi Erdem Sumbul
Mevlüt Koc
author_facet Serhat Emre Senturk
Yahya Kemal Icen
Ayşe Selcan Koc
Yurdaer Donmez
Ahmet Oytun Baykan
İlker Unal
Hilmi Erdem Sumbul
Mevlüt Koc
author_sort Serhat Emre Senturk
collection DOAJ
description Abstract Background In this study, we aimed to evaluate the coronary sinus (CS) morphology with three‐dimensional transthoracic echocardiography (3D‐TTE) in patients with supraventricular tachycardia (SVT) who underwent electrophysiological study (EPS). Methods This cross‐sectional study was conducted with 187 patients who underwent EPS between November 2016 and April 2017. Patients were divided into three groups: atrioventricular nodal reentrant tachycardia (AVNRT) (n = 72), non‐AVNRT SVT (n = 58), and normal EPS (n = 57). All patients were evaluated with electrocardiography, TTE, and 3D‐TTE. Results The CS diameter (CSD) and area (CSA) were found significantly lower in the normal EPS group than in the other groups. There was no significant difference in the CSD between AVNRT and non‐AVNRT SVT groups. However, it was found that the CSA was significantly larger in the AVNRT group than in the non‐AVNRT SVT group. In linear regression analysis, age and left atrial diameter were determined as independent predictor for CSD and CSA (P < 0.001 for each one). Conclusions The CSD and CSA assessed by 3D‐TTE were different and dilated in the patients with SVT compared to those in the normal individuals. There was no significant difference in the CSD between the AVNRT and non‐AVNRT SVT groups. However, the AVNRT group had a larger CSA than the non‐AVNRT SVT group.
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spelling doaj.art-76b7aed24101441496e90cf6632c04d82022-12-22T02:02:40ZengWileyJournal of Arrhythmia1880-42761883-21482018-12-0134662663110.1002/joa3.12122Evaluation of coronary sinus morphology by three‐dimensional transthoracic echocardiography in patients undergoing electrophysiological studySerhat Emre Senturk0Yahya Kemal Icen1Ayşe Selcan Koc2Yurdaer Donmez3Ahmet Oytun Baykan4İlker Unal5Hilmi Erdem Sumbul6Mevlüt Koc7Adana Health Practices and Research Center Cardiology Department Health Sciences University Adana TurkeyAdana Health Practices and Research Center Cardiology Department Health Sciences University Adana TurkeyAdana Health Practices and Research Center Radiology Department Health Sciences University Adana TurkeyAdana Health Practices and Research Center Cardiology Department Health Sciences University Adana TurkeyAdana Health Practices and Research Center Cardiology Department Health Sciences University Adana TurkeyDepartment of Biostatistics Faculty of Medicine Cukurova University Balcali, Saricam, Adana TurkeyInternal Medicine Department Health Sciences University Adana City Education and Research Hospital Adana TurkeyAdana Health Practices and Research Center Cardiology Department Health Sciences University Adana TurkeyAbstract Background In this study, we aimed to evaluate the coronary sinus (CS) morphology with three‐dimensional transthoracic echocardiography (3D‐TTE) in patients with supraventricular tachycardia (SVT) who underwent electrophysiological study (EPS). Methods This cross‐sectional study was conducted with 187 patients who underwent EPS between November 2016 and April 2017. Patients were divided into three groups: atrioventricular nodal reentrant tachycardia (AVNRT) (n = 72), non‐AVNRT SVT (n = 58), and normal EPS (n = 57). All patients were evaluated with electrocardiography, TTE, and 3D‐TTE. Results The CS diameter (CSD) and area (CSA) were found significantly lower in the normal EPS group than in the other groups. There was no significant difference in the CSD between AVNRT and non‐AVNRT SVT groups. However, it was found that the CSA was significantly larger in the AVNRT group than in the non‐AVNRT SVT group. In linear regression analysis, age and left atrial diameter were determined as independent predictor for CSD and CSA (P < 0.001 for each one). Conclusions The CSD and CSA assessed by 3D‐TTE were different and dilated in the patients with SVT compared to those in the normal individuals. There was no significant difference in the CSD between the AVNRT and non‐AVNRT SVT groups. However, the AVNRT group had a larger CSA than the non‐AVNRT SVT group.https://doi.org/10.1002/joa3.12122arrhythmiascardiaccoronary sinusechocardiographythree‐dimensional
spellingShingle Serhat Emre Senturk
Yahya Kemal Icen
Ayşe Selcan Koc
Yurdaer Donmez
Ahmet Oytun Baykan
İlker Unal
Hilmi Erdem Sumbul
Mevlüt Koc
Evaluation of coronary sinus morphology by three‐dimensional transthoracic echocardiography in patients undergoing electrophysiological study
Journal of Arrhythmia
arrhythmias
cardiac
coronary sinus
echocardiography
three‐dimensional
title Evaluation of coronary sinus morphology by three‐dimensional transthoracic echocardiography in patients undergoing electrophysiological study
title_full Evaluation of coronary sinus morphology by three‐dimensional transthoracic echocardiography in patients undergoing electrophysiological study
title_fullStr Evaluation of coronary sinus morphology by three‐dimensional transthoracic echocardiography in patients undergoing electrophysiological study
title_full_unstemmed Evaluation of coronary sinus morphology by three‐dimensional transthoracic echocardiography in patients undergoing electrophysiological study
title_short Evaluation of coronary sinus morphology by three‐dimensional transthoracic echocardiography in patients undergoing electrophysiological study
title_sort evaluation of coronary sinus morphology by three dimensional transthoracic echocardiography in patients undergoing electrophysiological study
topic arrhythmias
cardiac
coronary sinus
echocardiography
three‐dimensional
url https://doi.org/10.1002/joa3.12122
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