Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion
Background: There is a paucity of data on average left atrial appendage emptying velocity (LAAV) measured by doppler during transesophageal echocardiogram (TEE) being able to predict the risk of AF recurrence after electrical cardioversion (ECV). Methods: Using electronic medical records from a comm...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | International Journal of Cardiology: Heart & Vasculature |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352906723000994 |
| _version_ | 1797676632322867200 |
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| author | Maharshi Raval Akhil Jain Rupak Desai Sajid Siddiq |
| author_facet | Maharshi Raval Akhil Jain Rupak Desai Sajid Siddiq |
| author_sort | Maharshi Raval |
| collection | DOAJ |
| description | Background: There is a paucity of data on average left atrial appendage emptying velocity (LAAV) measured by doppler during transesophageal echocardiogram (TEE) being able to predict the risk of AF recurrence after electrical cardioversion (ECV). Methods: Using electronic medical records from a community hospital, retrospective study was conducted after identifying all patients that received TEE-guided ECV. Data pertaining to LAAV, AF recurrence, and variables were obtained and analyzed. Results: Out of 625 patients receiving TEE-guided ECV, 94 were excluded, and 51 did not convert to sinus rhythm. 480 patients had a successful ECV; out of these, 201 (41.87%) and 243 (50.62%) had a recurrence of atrial fibrillation at the end of 1 month and 3 months, respectively. Low LAAV (<=30 cm/s) was independently associated with an increased risk of AF recurrence at the end of 1 month (aOR 2.37, 95CI 1.5–3.73; p < 0.001) and 3 months (aOR 2.51, 95CI 1.59–3.96; p < 0.001) after TEE-guided ECV. Conclusions: Low LAAV is associated with a high risk of AF recurrence. Identifying a specific subgroup of individuals at high risk of AF recurrence with the help of pre-ECV LAAV will facilitate the early institution of alternate treatment strategies and the plan for additional therapies. |
| first_indexed | 2024-03-11T22:32:03Z |
| format | Article |
| id | doaj.art-9838854345514b3d8f2b70ff9fa4ddd8 |
| institution | Directory Open Access Journal |
| issn | 2352-9067 |
| language | English |
| last_indexed | 2024-03-11T22:32:03Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology: Heart & Vasculature |
| spelling | doaj.art-9838854345514b3d8f2b70ff9fa4ddd82023-09-23T05:11:37ZengElsevierInternational Journal of Cardiology: Heart & Vasculature2352-90672023-10-0148101268Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversionMaharshi Raval0Akhil Jain1Rupak Desai2Sajid Siddiq3Internal Medicine, Landmark Medical Center, Woonsocket, RI, USA; Corresponding author at: Internal Medicine, Landmark Medical Center, Woonsocket, RI 02895, United States.Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USAIndependent Researcher, Atlanta, GA, USACardiology, Landmark Medical Center, Woonsocket, RI, USABackground: There is a paucity of data on average left atrial appendage emptying velocity (LAAV) measured by doppler during transesophageal echocardiogram (TEE) being able to predict the risk of AF recurrence after electrical cardioversion (ECV). Methods: Using electronic medical records from a community hospital, retrospective study was conducted after identifying all patients that received TEE-guided ECV. Data pertaining to LAAV, AF recurrence, and variables were obtained and analyzed. Results: Out of 625 patients receiving TEE-guided ECV, 94 were excluded, and 51 did not convert to sinus rhythm. 480 patients had a successful ECV; out of these, 201 (41.87%) and 243 (50.62%) had a recurrence of atrial fibrillation at the end of 1 month and 3 months, respectively. Low LAAV (<=30 cm/s) was independently associated with an increased risk of AF recurrence at the end of 1 month (aOR 2.37, 95CI 1.5–3.73; p < 0.001) and 3 months (aOR 2.51, 95CI 1.59–3.96; p < 0.001) after TEE-guided ECV. Conclusions: Low LAAV is associated with a high risk of AF recurrence. Identifying a specific subgroup of individuals at high risk of AF recurrence with the help of pre-ECV LAAV will facilitate the early institution of alternate treatment strategies and the plan for additional therapies.http://www.sciencedirect.com/science/article/pii/S2352906723000994Atrial fibrillationElectrical cardioversionRecurrenceLeft atrial appendage velocityTransesophageal echocardiogram |
| spellingShingle | Maharshi Raval Akhil Jain Rupak Desai Sajid Siddiq Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion International Journal of Cardiology: Heart & Vasculature Atrial fibrillation Electrical cardioversion Recurrence Left atrial appendage velocity Transesophageal echocardiogram |
| title | Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion |
| title_full | Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion |
| title_fullStr | Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion |
| title_full_unstemmed | Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion |
| title_short | Left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion |
| title_sort | left atrial appendage doppler velocity as a predictor of recurrence of atrial fibrillation after transesophageal echocardiogram guided electrical cardioversion |
| topic | Atrial fibrillation Electrical cardioversion Recurrence Left atrial appendage velocity Transesophageal echocardiogram |
| url | http://www.sciencedirect.com/science/article/pii/S2352906723000994 |
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