ArticleJournal of cardiovascular echography
Echocardiographic Parameters of Atrial High-rate Episodes in Patients with Cardiac Implantable Electronic Devices.
Article in Journal of cardiovascular echography. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
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Abstract
Background: Atrial high-rate episodes (AHREs) detected by cardiac implantable electronic devices (CIEDs) are associated with adverse cardiovascular outcomes, including atrial fibrillation and thromboembolism. This study aims to identify echocardiographic parameters of AHREs in patients with CIEDs and explore the diagnostic value of strain metrics and structural parameters. Patients and Methods: This cross-sectional study included 140 patients with CIEDs, divided into AHRE and non-AHRE groups. Comprehensive echocardiographic assessments, including left atrial (LA) strain and left ventricular (LV) parameters, were performed. ROC curve analysis was used to evaluate predictive accuracy. Univariate and multivariate logistic regression analyses identified independent parameters. Results: Patients with AHREs showed significant differences in echocardiographic parameters. Diastolic wall strain (DWS) was markedly reduced (0.29 ± 0.03 vs. 0.38 ± 0.05, Conclusions: Echocardiographic parameters, particularly DWS, LA strain metrics, and SDd, are important parameters in patients with AHREs. The integration of strain and structural metrics enhances diagnostic accuracy, offering valuable insights into AHRE pathophysiology.
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