Caspian Journal of Internal Medicine
Babol University of Medical Sciences
Tue, Mar 18, 2025
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Volume 14, Issue 1 (Winter 2023)
Caspian J Intern Med 2023, 14(1): 60-68 |
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Bagherinejad Somesara S A, Faridi L, Mohammadi K, Kazemi Arbat B, Rahimi M, Parizad R et al . Conventional and two-dimensional strain echocardiography in predicting postoperative atrial fibrillation after coronary artery bypass grafting surgery. Caspian J Intern Med 2023; 14 (1) :60-68
URL: http://caspjim.com/article-1-3199-en.html
URL: http://caspjim.com/article-1-3199-en.html
Seyed Arash Bagherinejad Somesara 
, Leili Faridi , Kamran Mohammadi , Babak Kazemi Arbat , Mehran Rahimi , Razieh Parizad , Mehrnoush Toufan Tabrizi *
, Leili Faridi , Kamran Mohammadi , Babak Kazemi Arbat , Mehran Rahimi , Razieh Parizad , Mehrnoush Toufan Tabrizi *
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran , mtoufan@gmail.com
Abstract: (2193 Views)
Background: Atrial fibrillation (AF) is a common complication after heart surgeries. Advances in imaging technologies and an understanding of the pathophysiology of preoperative left atrial (LA) dysfunction can lead to more definitive potential therapeutic approaches. This study aimed to determine the role of conventional echocardiography and LA two-dimensional (2D) strain echocardiography in assessing LA function and predicting POAF after CABG surgery.
Methods: All patients with sinus rhythm who underwent CABG surgery were enrolled. All the patients had undergone conventional echocardiography and LA 2D-strain echocardiography 24 hours before surgery. In addition to demographic, clinical, and perioperative features, electrocardiogram (ECG) and Holter monitoring were recorded.
Results: Of the 105 patients included, 85 patients (81%) were men with a mean age of 60.26±10.61 years. POAF was seen in 22.9% of patients during hospitalization, and AF duration was 10 hours (median; IQR: 2.0-19.5). AF patients had a higher LA volume index (LAVI) than patients with sinus rhythm (p=0.018). Patients with sinus rhythm had higher rates of LA reservoir (26.97±6.87 VS. 20.46±4.27, p<0.001), LA contractile (14.98±3.68 VS. 12.76±3.72, p =0.012) and LA global strain (24.28±6.57 VS. 17.71±4.11, p<0.001) than AF patients. The results of the multivariate logistic regression showed that LAVI (p=0.014) and LA global strain (p=0.027) were independent predictors of AF detection.
Conclusion: Compared to conventional echocardiography, 2D-strain echocardiography is a more effective diagnostic method to predict the possibility of post-CABG AF.
Methods: All patients with sinus rhythm who underwent CABG surgery were enrolled. All the patients had undergone conventional echocardiography and LA 2D-strain echocardiography 24 hours before surgery. In addition to demographic, clinical, and perioperative features, electrocardiogram (ECG) and Holter monitoring were recorded.
Results: Of the 105 patients included, 85 patients (81%) were men with a mean age of 60.26±10.61 years. POAF was seen in 22.9% of patients during hospitalization, and AF duration was 10 hours (median; IQR: 2.0-19.5). AF patients had a higher LA volume index (LAVI) than patients with sinus rhythm (p=0.018). Patients with sinus rhythm had higher rates of LA reservoir (26.97±6.87 VS. 20.46±4.27, p<0.001), LA contractile (14.98±3.68 VS. 12.76±3.72, p =0.012) and LA global strain (24.28±6.57 VS. 17.71±4.11, p<0.001) than AF patients. The results of the multivariate logistic regression showed that LAVI (p=0.014) and LA global strain (p=0.027) were independent predictors of AF detection.
Conclusion: Compared to conventional echocardiography, 2D-strain echocardiography is a more effective diagnostic method to predict the possibility of post-CABG AF.
Keywords: Conventional echocardiography, LA 2D-strain echocardiography, Atrial fibrillation, Coronary artery bypass grafting
Type of Study: Original Article |
Subject:
Cardiology
Received: 2021/11/8 | Accepted: 2022/01/29 | Published: 2023/01/21
Received: 2021/11/8 | Accepted: 2022/01/29 | Published: 2023/01/21
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