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
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/
Entity: Universitat Rovira i Virgili
Journal publication year: 2023
Publication Type: Journal Publications
Repositori URV