Articles producció científica> Medicina i Cirurgia

Echocardiography and Electrocardiography in Detecting Atrial Cardiomyopathy: A Promising Path to Predicting Cardioembolic Strokes and Atrial Fibrillation

  • Identification data

    Identifier: imarina:9332891
  • Authors:

    Gentille-Lorente, D
    Hernández-Pinilla, A
    Satue-Gracia, E
    Muria-Subirats, E
    Forcadell-Peris, MJ
    Gentille-Lorente, J
    Ballesta-Ors, J
    Martín-Lujan, FM
    Clua-Espuny, JL
  • Others:

    Author, as appears in the article.: Gentille-Lorente, D; Hernández-Pinilla, A; Satue-Gracia, E; Muria-Subirats, E; Forcadell-Peris, MJ; Gentille-Lorente, J; Ballesta-Ors, J; Martín-Lujan, FM; Clua-Espuny, JL
    Department: Medicina i Cirurgia
    URV's Author/s: Martín Lujan, Francisco Manuel
    Keywords: advanced interatrial block american society atrial fibrillation atrial strain bayes's syndrome cardioembolic stroke clinical-implications cognitive impairment consensus electrocardiogram embolic stroke of unknown source european association interatrial block ischemic-stroke reservoir strain risk strain transthoracic echocardiogram update Advanced interatrial block Atrial cardiomyopathy Atrial fibrillation Atrial strain Bayés’s syndrome Cardioembolic stroke Electrocardiogram Embolic stroke of unknown source Interatrial block Reservoir strain Transthoracic echocardiogram
    Abstract: (1) Background: Atrial cardiomyopathy constitutes an intrinsically prothrombotic atrial substrate that may promote atrial fibrillation and thromboembolic events, especially stroke, independently of the arrhythmia. Atrial reservoir strain is the echocardiography marker with the most robust evidence supporting its prognostic utility. The main aim of this study is to identify atrial cardiomyopathy by investigating the association between left atrial dysfunction in echocardiography and P-wave abnormalities in the surface electrocardiogram. (2) Methods: This is a community-based, multicenter, prospective cohort study. A randomized sample of 100 patients at a high risk of developing atrial fibrillation were evaluated using diverse echocardiography imaging techniques, and a standard electrocardiogram. (3) Results: Significant left atrial dysfunction, expressed by a left atrial reservoir strain < 26%, showed a relationship with the dilation of the left atrium (p < 0.001), the left atrial ejection fraction < 50% (p < 0.001), the presence of advanced interatrial block (p = 0.032), P-wave voltage in lead I < 0.1 mV (p = 0.008), and MVP ECG score (p = 0.036). (4) Conclusions: A significant relationship was observed between left atrial dysfunction and the presence of left atrial enlargement and other electrocardiography markers; all of them are non-invasive biomarkers of atrial cardiomyopathy.
    Thematic Areas: Medicine (all) Medicine (miscellaneous) Medicine, general & internal
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: paco.martin@urv.cat
    Author identifier: 0000-0003-0359-3588
    Record's date: 2024-01-13
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.mdpi.com/2077-0383/12/23/7315
    Papper original source: Journal Of Clinical Medicine. 12 (23):
    APA: Gentille-Lorente, D; Hernández-Pinilla, A; Satue-Gracia, E; Muria-Subirats, E; Forcadell-Peris, MJ; Gentille-Lorente, J; Ballesta-Ors, J; Martín-Lujan (2023). Echocardiography and Electrocardiography in Detecting Atrial Cardiomyopathy: A Promising Path to Predicting Cardioembolic Strokes and Atrial Fibrillation. Journal Of Clinical Medicine, 12(23), -. DOI: 10.3390/jcm12237315
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Article's DOI: 10.3390/jcm12237315
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications
  • Keywords:

    Medicine (Miscellaneous),Medicine, General & Internal
    advanced interatrial block
    american society
    atrial fibrillation
    atrial strain
    bayes's syndrome
    cardioembolic stroke
    clinical-implications
    cognitive impairment
    consensus
    electrocardiogram
    embolic stroke of unknown source
    european association
    interatrial block
    ischemic-stroke
    reservoir strain
    risk
    strain
    transthoracic echocardiogram
    update
    Advanced interatrial block
    Atrial cardiomyopathy
    Atrial fibrillation
    Atrial strain
    Bayés’s syndrome
    Cardioembolic stroke
    Electrocardiogram
    Embolic stroke of unknown source
    Interatrial block
    Reservoir strain
    Transthoracic echocardiogram
    Medicine (all)
    Medicine (miscellaneous)
    Medicine, general & internal
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