Disparity Between Two-Dimensional Echocardiographic and Electroanatomic Left and Right Atrial Volumes in Patients Undergoing Catheter Ablation for Long-Standing Persistent Atrial Fibrillation

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14110%2F17%3A00113802" target="_blank" >RIV/00216224:14110/17:00113802 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/17:10332402 RIV/00023001:_____/17:00075883 RIV/00064165:_____/17:10332402 RIV/65269705:_____/17:00074194

Result on the web

<a href="http://www.biomed.cas.cz/physiolres/pdf/66/66_241.pdf" target="_blank" >http://www.biomed.cas.cz/physiolres/pdf/66/66_241.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.33549/physiolres.933314" target="_blank" >10.33549/physiolres.933314</a>

Result language

angličtina

Original language name

Disparity Between Two-Dimensional Echocardiographic and Electroanatomic Left and Right Atrial Volumes in Patients Undergoing Catheter Ablation for Long-Standing Persistent Atrial Fibrillation

Original language description

Left atrial (LA) volume (LAV) is used for the selection of patients with atrial fibrillation (AF) to rhythm control strategies. Calculation of LAV from the LA diameters and areas by two-dimensional (2D) echocardiography may result in significant error. Accuracy of atrial volume assessment has never been studied in patients with long-standing persistent AF (LSPAF) and significant atrial remodeling. This study investigated correlation and agreement between 2D echocardiographic (Simpson method) and electroanatomic (CARTO, Biosense Webster) left and right atrial (RA) volumes (LAV(ECHO) vs. LAV(CARTO) and RAV(ECHO) vs. RAV(CARTO)) in patients undergoing catheter ablation for LSPAF. The study enrolled 173 consecutive subjects (females: 21 %, age: 59 +/- 9 years). There was only modest correlation between LAVECHO (92 +/- 31 ml) and LAV(CARTO) (178 +/- 37 ml) (R= 0.57), and RAV(ECHO) (71 +/- 29 ml) and RAV(CARTO) (173 +/- 34 ml) (R= 0.42), respectively. LAV(ECHO) and RAV(ECHO) underestimated LAV(CARTO) and RAV(CARTO) with the absolute bias (+/- 1.96 standard deviation) of -85 (-148; -22) ml and -102 (-169; -35) ml, respectively, and with the relative bias of -48 (-75; -21) % and -59 (-88; -30) %, respectively (all P&lt;0.000001 for their mutual difference). Significant confounders of this difference were not identified. In patients with LSPAF, 2D echocardiography significantly underestimated both LA and RA volumes as compared with electroanatomic reference. This disagreement was independent of clinical, echocardiographic and mapping characteristics.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30105 - Physiology (including cytology)

Project

<a href="/en/project/NR9143" target="_blank" >NR9143: Clinical benefit of right atrial lesions additional to the circumferential and linear lesions in the left atrium in ablative treatment of chronic atrial fibrillation - a prospective randomized study</a><br>

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Physiological research

ISSN

0862-8408

e-ISSN

—

Volume of the periodical

66

Issue of the periodical within the volume

2

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

9

Pages from-to

241-249

UT code for WoS article

000404258800007

EID of the result in the Scopus database

2-s2.0-85019235935