The Predictive Value of Tissue Doppler Indices for Early Recurrence of Atrial Fibrillation After Electrical Cardioversion

Rasa Karaliute,1,2 Justina Jureviciute,2 Julija Jurgaityte,2 Agne Rimkute,2 Vaida Mizariene,2 Giedre Baksyte,2 Tomas Kazakevicius,2 Daiva Urboniene,3 Ausra Kavoliuniene2 1Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Kaunas, Lithuania; 2Departme...

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Autores principales:	Karaliute R, Jureviciute J, Jurgaityte J, Rimkute A, Mizariene V, Baksyte G, Kazakevicius T, Urboniene D, Kavoliuniene A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	diastolic function e/(e‘ x s‘) e/e‘ nt-probnp left ventricular end-diastolic diameter Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/8478b0df24cc47199b6c2451ef4e2055
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spelling	oai:doaj.org-article:8478b0df24cc47199b6c2451ef4e20552021-12-02T10:18:25ZThe Predictive Value of Tissue Doppler Indices for Early Recurrence of Atrial Fibrillation After Electrical Cardioversion1178-1998https://doaj.org/article/8478b0df24cc47199b6c2451ef4e20552020-10-01T00:00:00Zhttps://www.dovepress.com/the-predictive-value-of-tissue-doppler-indices-for-early-recurrence-of-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Rasa Karaliute,1,2 Justina Jureviciute,2 Julija Jurgaityte,2 Agne Rimkute,2 Vaida Mizariene,2 Giedre Baksyte,2 Tomas Kazakevicius,2 Daiva Urboniene,3 Ausra Kavoliuniene2 1Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Kaunas, Lithuania; 2Department of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania; 3Department of Laboratory Medicine, Lithuanian University of Health Sciences, Kaunas, LithuaniaCorrespondence: Rasa KaraliuteLaboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Eiveniu St. 4, Kaunas LT-50161, LithuaniaTel +37067766157Email rasa.karaliute@lsmuni.ltPurpose: Spectral tissue Doppler-derived E/e’ ratio has been proposed as the best parameter for prediction of atrial fibrillation (AF). Relaxation and contraction are equivalent parts of a continuous cardiac cycle, where systolic and diastolic abnormalities have a variable contribution to the left ventricle (LV) failure. The aim of this study was to investigate whether the E/(e’xs’) ratio is a better index than E/e‘ to predict AF recurrence and to determine the changes of spectral tissue Doppler indices 1 month after the electrical cardioversion (ECV).Patients and Methods: The study included 77 persistent AF patients with restored sinus rhythm (SR) after ECV. Only patients with normal LV ejection fraction (EF) were included. Echocardiography and NT-proBNP laboratory findings were performed. A primary outcome was the early (within 1 month) recurrence of AF.Results: After a 1 month follow-up period, 39 patients (50.6%) were in SR. E/e′ (HR=1.74, P=0.001) and E/(e’×s’) ratios (HR=8.17, P=0.01) were significant predictors of AF recurrence. E/(e’×s’) in combination with LV end-diastolic diameter > 49.3 mm and NT-proBNP > 2000 ng/L demonstrated a higher contribution in the model to predict AF recurrence compared to the E/e’ ratio (18.94, P=0.005 vs 1.95, P=0.001). On ROC analysis, E/(e’×s’) and E/e′ showed similar diagnostic accuracy (E/(e’×s’), AUC=0.71, P=0.002 and E/e′, AUC=0.75, P< 0.0001). Average e‘ value significantly decreased after 1 month in SR (from 10.76± 1.24 to 8.96± 1.47 cm/s, P=0.01), E wave did not change significantly and E/e′ ratio tended to improve. A decrease of average e‘ and an increase of average s‘ values led to significant improvement of E/(e’xs’) ratio.Conclusion: E/(e’xs’) and E/e’ ratios are comparable to predict early AF recurrence after ECV in patients with persistent AF. The e’ value decreased significantly after 1 month follow-up period after ECV for persistent AF patients.Keywords: diastolic function, E/(e‘xs‘), E/e‘, NT-proBNP, left ventricular end-diastolic diameterKaraliute RJureviciute JJurgaityte JRimkute AMizariene VBaksyte GKazakevicius TUrboniene DKavoliuniene ADove Medical Pressarticlediastolic functione/(e‘ x s‘)e/e‘nt-probnpleft ventricular end-diastolic diameterGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1917-1925 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	diastolic function e/(e‘ x s‘) e/e‘ nt-probnp left ventricular end-diastolic diameter Geriatrics RC952-954.6
spellingShingle	diastolic function e/(e‘ x s‘) e/e‘ nt-probnp left ventricular end-diastolic diameter Geriatrics RC952-954.6 Karaliute R Jureviciute J Jurgaityte J Rimkute A Mizariene V Baksyte G Kazakevicius T Urboniene D Kavoliuniene A The Predictive Value of Tissue Doppler Indices for Early Recurrence of Atrial Fibrillation After Electrical Cardioversion
description	Rasa Karaliute,1,2 Justina Jureviciute,2 Julija Jurgaityte,2 Agne Rimkute,2 Vaida Mizariene,2 Giedre Baksyte,2 Tomas Kazakevicius,2 Daiva Urboniene,3 Ausra Kavoliuniene2 1Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Kaunas, Lithuania; 2Department of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania; 3Department of Laboratory Medicine, Lithuanian University of Health Sciences, Kaunas, LithuaniaCorrespondence: Rasa KaraliuteLaboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Eiveniu St. 4, Kaunas LT-50161, LithuaniaTel +37067766157Email rasa.karaliute@lsmuni.ltPurpose: Spectral tissue Doppler-derived E/e’ ratio has been proposed as the best parameter for prediction of atrial fibrillation (AF). Relaxation and contraction are equivalent parts of a continuous cardiac cycle, where systolic and diastolic abnormalities have a variable contribution to the left ventricle (LV) failure. The aim of this study was to investigate whether the E/(e’xs’) ratio is a better index than E/e‘ to predict AF recurrence and to determine the changes of spectral tissue Doppler indices 1 month after the electrical cardioversion (ECV).Patients and Methods: The study included 77 persistent AF patients with restored sinus rhythm (SR) after ECV. Only patients with normal LV ejection fraction (EF) were included. Echocardiography and NT-proBNP laboratory findings were performed. A primary outcome was the early (within 1 month) recurrence of AF.Results: After a 1 month follow-up period, 39 patients (50.6%) were in SR. E/e′ (HR=1.74, P=0.001) and E/(e’×s’) ratios (HR=8.17, P=0.01) were significant predictors of AF recurrence. E/(e’×s’) in combination with LV end-diastolic diameter > 49.3 mm and NT-proBNP > 2000 ng/L demonstrated a higher contribution in the model to predict AF recurrence compared to the E/e’ ratio (18.94, P=0.005 vs 1.95, P=0.001). On ROC analysis, E/(e’×s’) and E/e′ showed similar diagnostic accuracy (E/(e’×s’), AUC=0.71, P=0.002 and E/e′, AUC=0.75, P< 0.0001). Average e‘ value significantly decreased after 1 month in SR (from 10.76± 1.24 to 8.96± 1.47 cm/s, P=0.01), E wave did not change significantly and E/e′ ratio tended to improve. A decrease of average e‘ and an increase of average s‘ values led to significant improvement of E/(e’xs’) ratio.Conclusion: E/(e’xs’) and E/e’ ratios are comparable to predict early AF recurrence after ECV in patients with persistent AF. The e’ value decreased significantly after 1 month follow-up period after ECV for persistent AF patients.Keywords: diastolic function, E/(e‘xs‘), E/e‘, NT-proBNP, left ventricular end-diastolic diameter
format	article
author	Karaliute R Jureviciute J Jurgaityte J Rimkute A Mizariene V Baksyte G Kazakevicius T Urboniene D Kavoliuniene A
author_facet	Karaliute R Jureviciute J Jurgaityte J Rimkute A Mizariene V Baksyte G Kazakevicius T Urboniene D Kavoliuniene A
author_sort	Karaliute R
title	The Predictive Value of Tissue Doppler Indices for Early Recurrence of Atrial Fibrillation After Electrical Cardioversion
title_short	The Predictive Value of Tissue Doppler Indices for Early Recurrence of Atrial Fibrillation After Electrical Cardioversion
title_full	The Predictive Value of Tissue Doppler Indices for Early Recurrence of Atrial Fibrillation After Electrical Cardioversion
title_fullStr	The Predictive Value of Tissue Doppler Indices for Early Recurrence of Atrial Fibrillation After Electrical Cardioversion
title_full_unstemmed	The Predictive Value of Tissue Doppler Indices for Early Recurrence of Atrial Fibrillation After Electrical Cardioversion
title_sort	predictive value of tissue doppler indices for early recurrence of atrial fibrillation after electrical cardioversion
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/8478b0df24cc47199b6c2451ef4e2055
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The Predictive Value of Tissue Doppler Indices for Early Recurrence of Atrial Fibrillation After Electrical Cardioversion

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