Assessment of Left Atrial Functions and Volume by Conventional Echocardiography in Patients with Atrial Arrhythmias

Background: Atrial tachyarrhythmia is a significant problem. The LA mechanical and pathological changes and its assessment usually share in treatment plan. Advanced tools are available. However, less advanced tools could have their role, especially in resource limited facilities.Aim of the work: The...

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Autores principales:	Magdy Ali Kamel Nassar, Mohamed Adel Attia, Khaled Ebrahim Nagib, Waseem Ahmed
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	echocardiography atrial fibrillation flutter left atrium volume Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/7fc91b99ba1a4203aeb91771912c6a78
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spelling	oai:doaj.org-article:7fc91b99ba1a4203aeb91771912c6a782021-12-02T17:56:47ZAssessment of Left Atrial Functions and Volume by Conventional Echocardiography in Patients with Atrial Arrhythmias2636-41742682-378010.21608/ijma.2021.94612.1364https://doaj.org/article/7fc91b99ba1a4203aeb91771912c6a782021-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_203287_3c14a3131f4f28870817cf091f20035d.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Atrial tachyarrhythmia is a significant problem. The LA mechanical and pathological changes and its assessment usually share in treatment plan. Advanced tools are available. However, less advanced tools could have their role, especially in resource limited facilities.Aim of the work: The current work aimed to assess left atrial function and volume by trans-thoracic echocardiography among patients with atrial arrhythmias.Patients and Methods: One hundred patients with atrial tachyarrhythmia’s and 30 healthy individual [as a control group] were included in the current study. All patients had been evaluated by history taking and clinical examination. Then, all were subjected to resting electrocardiogram and standard resting transthoracic echocardiography [TTE].Results: The study and control groups revealed non-significant difference regarding patient age, gender, diabetes and thyroid disease. There was female sex predilection [69% in study and 63.0% in control group]. Hypertension and smoking were significantly increased among study than control group [40.0%, 20.0% vs 10.0% and 3.3% respectively]. Arrhythmias were in the form of fibrillation [80.0%], tachycardia [14%] and flutter [6.0%]. There was significant difference between study and control groups regarding clinical data, echocardiography, Doppler indices and LA volume. However, LVEF%, LA diameter and pulmonary S wave velocity did not significantly differ between groups. The different types of arrhythmia revealed significant increase of pEF, LA diameter and tissue Doppler among flutter than AF and AT. Otherwise, there was no significant differences regard other clinical data, echocardiography and Doppler indices.Conclusion: AF has effect on structural and functional remodeling of the LA function, and AF had more harmful effect than tachycardia and flutter and it may add significant value for development of HF. The conventional echocardiography could be considered a reliable assessment tool for atrial function in patients with atrial arrhythmias.Magdy Ali Kamel NassarMohamed Adel AttiaKhaled Ebrahim NagibWaseem AhmedAl-Azhar University, Faculty of Medicine (Damietta)articleechocardiographyatrial fibrillationflutterleft atriumvolumeMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 4, Pp 1900-1907 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	echocardiography atrial fibrillation flutter left atrium volume Medicine (General) R5-920
spellingShingle	echocardiography atrial fibrillation flutter left atrium volume Medicine (General) R5-920 Magdy Ali Kamel Nassar Mohamed Adel Attia Khaled Ebrahim Nagib Waseem Ahmed Assessment of Left Atrial Functions and Volume by Conventional Echocardiography in Patients with Atrial Arrhythmias
description	Background: Atrial tachyarrhythmia is a significant problem. The LA mechanical and pathological changes and its assessment usually share in treatment plan. Advanced tools are available. However, less advanced tools could have their role, especially in resource limited facilities.Aim of the work: The current work aimed to assess left atrial function and volume by trans-thoracic echocardiography among patients with atrial arrhythmias.Patients and Methods: One hundred patients with atrial tachyarrhythmia’s and 30 healthy individual [as a control group] were included in the current study. All patients had been evaluated by history taking and clinical examination. Then, all were subjected to resting electrocardiogram and standard resting transthoracic echocardiography [TTE].Results: The study and control groups revealed non-significant difference regarding patient age, gender, diabetes and thyroid disease. There was female sex predilection [69% in study and 63.0% in control group]. Hypertension and smoking were significantly increased among study than control group [40.0%, 20.0% vs 10.0% and 3.3% respectively]. Arrhythmias were in the form of fibrillation [80.0%], tachycardia [14%] and flutter [6.0%]. There was significant difference between study and control groups regarding clinical data, echocardiography, Doppler indices and LA volume. However, LVEF%, LA diameter and pulmonary S wave velocity did not significantly differ between groups. The different types of arrhythmia revealed significant increase of pEF, LA diameter and tissue Doppler among flutter than AF and AT. Otherwise, there was no significant differences regard other clinical data, echocardiography and Doppler indices.Conclusion: AF has effect on structural and functional remodeling of the LA function, and AF had more harmful effect than tachycardia and flutter and it may add significant value for development of HF. The conventional echocardiography could be considered a reliable assessment tool for atrial function in patients with atrial arrhythmias.
format	article
author	Magdy Ali Kamel Nassar Mohamed Adel Attia Khaled Ebrahim Nagib Waseem Ahmed
author_facet	Magdy Ali Kamel Nassar Mohamed Adel Attia Khaled Ebrahim Nagib Waseem Ahmed
author_sort	Magdy Ali Kamel Nassar
title	Assessment of Left Atrial Functions and Volume by Conventional Echocardiography in Patients with Atrial Arrhythmias
title_short	Assessment of Left Atrial Functions and Volume by Conventional Echocardiography in Patients with Atrial Arrhythmias
title_full	Assessment of Left Atrial Functions and Volume by Conventional Echocardiography in Patients with Atrial Arrhythmias
title_fullStr	Assessment of Left Atrial Functions and Volume by Conventional Echocardiography in Patients with Atrial Arrhythmias
title_full_unstemmed	Assessment of Left Atrial Functions and Volume by Conventional Echocardiography in Patients with Atrial Arrhythmias
title_sort	assessment of left atrial functions and volume by conventional echocardiography in patients with atrial arrhythmias
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/7fc91b99ba1a4203aeb91771912c6a78
work_keys_str_mv	AT magdyalikamelnassar assessmentofleftatrialfunctionsandvolumebyconventionalechocardiographyinpatientswithatrialarrhythmias AT mohamedadelattia assessmentofleftatrialfunctionsandvolumebyconventionalechocardiographyinpatientswithatrialarrhythmias AT khaledebrahimnagib assessmentofleftatrialfunctionsandvolumebyconventionalechocardiographyinpatientswithatrialarrhythmias AT waseemahmed assessmentofleftatrialfunctionsandvolumebyconventionalechocardiographyinpatientswithatrialarrhythmias
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Assessment of Left Atrial Functions and Volume by Conventional Echocardiography in Patients with Atrial Arrhythmias

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