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2002 | 07 | 2 |

Tytuł artykułu

Ehocardiographic evaluation of regional left atrial function after rapid atrial pacing

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Rapid regular atrial pacing (RAP) produces changes in atrial function similar to those caused by atrial fibrillation in animal models. Left atrial appendage (LAA) function represents regional atrial function. The aim of our study was to investigate the influence of RAP on left atrial regional function and to evaluate the reversibility of changes after terminationtermination of pacing in a canine model. Eight dogs were subjected to RAP (400 bpm) for 16 days. Transesophageal echocardiography was performed at baseline, immediately after RAP and weeks after the terminationtermination of RAP. The LAA peak late emptying velocity (LAA-E) and filling wave (LAA-f) were measured. LAA-E velocities were significantly reduced and filling wave velocities (LAA-f) were significantly less negative after RAP compared with the baseline values. Four weeks after terminationtermination of pacing, the LAA-E and LAA-f velocities were normal. RAP results in impaired regional atrial systolic and diastolic function. The changes were completely reversible 4 weeks after terminationtermination of pacing. These results suggest that the LAA is mechanically stunned after RAP.

Wydawca

-

Rocznik

Tom

07

Numer

2

Opis fizyczny

p.371-373

Twórcy

autor
  • University Medical Centre, Zaloska 7, Ljubljana, Slovenia
autor
autor
autor
autor

Bibliografia

  • 1. Ho, S.Y. and Sanchez-Quintana, D. Structure of the left atrium. Eur. Heart J. 2 (2000) (Suppl K) K4-K8.
  • 2. Zeppellini, R., Schon, F., Gheno, G. Drozdz, J., Balzereit, A., Cucchini, F. and Erbel, R. Left atrial appendage systolic forward flow. Am. J. Cardiol. 75 (1995) 204-206.
  • 3. Pollick, C. and Taylor, D. Assessment of atrial appendage function by transesophageal echocardiography. Implications for the development of thrombus. Circulation 84 (1991) 223-231.
  • 4. Ito, T., Suwa, M., Otake, Y., Kobashi, A., Hirota, Y., Ando, H. and Kawamura, K. Assessment of left atrial appendage function after cardioversion of atrial fibrillation: Relation to left atrial mechanical function. Am. Heart J 135 (1998) 1020-1026.
  • 5. Louie, E. K., Liu, D., Reynertson, S., Loeb, H. S., McKierman, T. L., Scanlon, P. J. and Hariman, R. J. “Stunning” of the left atrium after spontaneous conversion of atrial fibrillation to sinus rhythm. J. Am. Coll. Cardiol. 32 (1998) 2081-2086.
  • 6. Manning, W. J., Silverman, D. I., Katz, S. E., Riley, M. F., Come, P. C., Doherty, R. M., Munson,. J. T. and Douglas, P. S. Impairment left atrial mechanical function after cardioversion: Relation to the duration of atrial fibrillation. J. Am. Coll. Cardiol. 23 (1994) 1535-1540.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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