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

The result's identifiers

  • 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>

Alternative languages

  • 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

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30105 - Physiology (including cytology)

Result continuities

  • 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

Others

  • Publication year

    2017

  • Confidentiality

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

Data specific for result type

  • 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