Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1401
10
1
gregorian
2023
1
1
14
1
online
1
fulltext
en
Conventional and two-dimensional strain echocardiography in predicting postoperative atrial fibrillation after coronary artery bypass grafting surgery
Cardiology
Cardiology
Original Article
Original Article
<div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:14pt"><b><i><span style="color:blue">Background</span></i></b><i><span style="color:blue">:</span></i> 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.<span style="font-size:9.0pt"></span></span><br>
<span style="line-height:14pt"><b><i><span style="color:blue">Methods:</span></i></b> 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.<span style="font-size:10.0pt"></span></span><br>
<span style="line-height:14pt"><b><i><span style="color:blue">Results:</span></i></b> 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.<span style="font-size:10.0pt"></span></span><br>
<span style="line-height:14pt"><b><i><span style="color:blue">Conclusion</span></i></b><i><span style="color:blue">:</span></i> Compared to conventional echocardiography, 2D-strain echocardiography is a more effective diagnostic method to predict the possibility of post-CABG AF.<b><i><span style="color:#0033cc"></span></i></b></span></span></span></div>
Conventional echocardiography, LA 2D-strain echocardiography, Atrial fibrillation, Coronary artery bypass grafting
60
68
http://caspjim.com/browse.php?a_code=A-10-2529-1&slc_lang=en&sid=1
Seyed Arash
Bagherinejad Somesara
arash.bagherinezhad@gmail.com
100319475328460040813
100319475328460040813
No
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Leili
Faridi
li.faridi@yahoo.com
100319475328460040814
100319475328460040814
No
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Kamran
Mohammadi
Kamran.mohammadi2@gmail.com
100319475328460040815
100319475328460040815
No
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Babak
Kazemi Arbat
100319475328460040816
100319475328460040816
No
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Mehran
Rahimi
rahimimehran95@gmail.com
100319475328460040817
100319475328460040817
No
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Razieh
Parizad
r_parizad2003@yahoo.com
100319475328460040818
100319475328460040818
No
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Mehrnoush
Toufan Tabrizi
mtoufan@gmail.com
100319475328460040819
100319475328460040819
Yes
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran