Transesophageal echocardiographic evidence of more pronounced left atrial stunning after chemical (propafenone) rather than electrical attempts at cardioversion from atrial fibrillation

被引：42

作者：

Antonielli, E ^{[1
]}

Pizzuti, A ^{[1
]}

Bassignana, A ^{[1
]}

Tanga, M ^{[1
]}

Baralis, G ^{[1
]}

Rovere, ME ^{[1
]}

Di Leo, M ^{[1
]}

机构：

[1] Osped SS Annunziato, Div Cardiol, I-12038 Savigliano, Italy

来源：

AMERICAN JOURNAL OF CARDIOLOGY | 1999年 / 84卷 / 09期

关键词：

D O I：

10.1016/S0002-9149(99)00508-1

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We studied left atrial function in 55 patients undergoing electrical (n = 23) or chemical (intravenous administration of propafenone, n = 32) attempts at cardioversion from atrial fibrillation. Chemical attempts at cardioversion revealed a significant increase in spontaneous echo contrast and a significant decrease in left atrial appendage Doppler flow, even in patients who did not have successful conversion to sinus rhythm.

引用

页码：1092 / +

页数：7

共 15 条

[1] LEFT ATRIAL SPONTANEOUS ECHO CONTRAST - A CLINICAL AND ECHOCARDIOGRAPHIC ANALYSIS [J].

BLACK, IW ;

HOPKINS, AP ;

LEE, LCL ;

WALSH, WF ;

JACOBSON, BM .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (02) :398-404

[2] EXCLUSION OF ATRIAL THROMBUS BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY DOES NOT PRECLUDE EMBOLISM AFTER CARDIOVERSION OF ATRIAL-FIBRILLATION - A MULTICENTER STUDY [J].

BLACK, IW ;

FATKIN, D ;

SAGAR, KB ;

KHANDHERIA, BK ;

LEUNG, DY ;

GALLOWAY, JM ;

FENELEY, MP ;

WALSH, WF ;

GRIMM, RA ;

STOLLBERGER, C ;

VERHORST, PMJ ;

KLEIN, AL .

CIRCULATION, 1994, 89 (06) :2509-2513

[3] Transesophageal echocardiographic evaluation of left atrial appendage function and spontaneous contrast formation after chemical or electrical cardioversion of atrial fibrillation [J].

Falcone, RA ;

Morady, F ;

Armstrong, WF .

AMERICAN JOURNAL OF CARDIOLOGY, 1996, 78 (04) :435-439

[4] Accuracy of biplane transesophageal echocardiography in detecting left atrial thrombus [J].

Fatkin, D ;

Scalia, G ;

Jacobs, N ;

Burstow, D ;

Leung, D ;

Walsh, W ;

Feneley, M .

AMERICAN JOURNAL OF CARDIOLOGY, 1996, 77 (04) :321-&

[5] TRANSESOPHAGEAL ECHOCARDIOGRAPHY BEFORE AND DURING DIRECT-CURRENT CARDIOVERSION OF ATRIAL-FIBRILLATION - EVIDENCE FOR ATRIAL STUNNING AS A MECHANISM OF THROMBOEMBOLIC COMPLICATIONS [J].

FATKIN, D ;

KUCHAR, DL ;

THORBURN, CW ;

FENELEY, MP .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1994, 23 (02) :307-316

[6] IMPACT OF ELECTRICAL CARDIOVERSION FOR ATRIAL-FIBRILLATION ON LEFT ATRIAL APPENDAGE FUNCTION AND SPONTANEOUS ECHO CONTRAST - CHARACTERIZATION BY SIMULTANEOUS TRANSESOPHAGEAL ECHOCARDIOGRAPHY [J].

GRIMM, RA ;

STEWART, WJ ;

MALONEY, JD ;

COHEN, GI ;

PEARCE, GL ;

SALCEDO, EE ;

KLEIN, AL .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1993, 22 (05) :1359-1366

[7] LEFT ATRIAL APPENDAGE STUNNING AFTER SPONTANEOUS CONVERSION OF ATRIAL-FIBRILLATION DEMONSTRATED BY TRANSESOPHAGEAL DOPPLER-ECHOCARDIOGRAPHY [J].

GRIMM, RA ;

LEUNG, DY ;

BLACK, IW ;

STEWART, WJ ;

THOMAS, JD ;

KLEIN, AL .

AMERICAN HEART JOURNAL, 1995, 130 (01) :174-176

[8] Clinical variables affecting recovery of left atrial mechanical function after cardioversion from atrial fibrillation [J].

Harjai, KJ ;

Mobarek, SK ;

Cheirif, J ;

Boulos, LM ;

Murgo, JP ;

AbiSamra, F .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 30 (02) :481-486

[9] COLOR DOPPLER ASSESSMENT OF MITRAL REGURGITATION WITH ORTHOGONAL PLANES [J].

HELMCKE, F ;

NANDA, NC ;

HSIUNG, MC ;

SOTO, B ;

ADEY, CK ;

GOYAL, RG ;

GATEWOOD, RP .

CIRCULATION, 1987, 75 (01) :175-183

[10] TEMPORAL DEPENDENCE OF THE RETURN OF ATRIAL MECHANICAL FUNCTION ON THE MODE OF CARDIOVERSION ATRIAL-FIBRILLATION TO SINUS RHYTHM [J].

MANNING, WJ ;

SILVERMAN, DI ;

KATZ, SE ;

RILEY, MF ;

DOHERTY, RM ;

MUNSON, JT ;

DOUGLAS, PS .

AMERICAN JOURNAL OF CARDIOLOGY, 1995, 75 (08) :624-626

← 1 2 →