ATRIAL STUNNING AS STAGE OF ATRIAL REVERSE REMODELLING AFTER THE SINUS RHYTHM RECOVERY IN PATIENTS WITH IDIOPATHIC ATRIAL FIBRILLATION
Abstract
To study the time of the atrial contractile function recovery, peculiar features of atrial remodelling, and factors affecting the duration of atrial stunning in patients with idiopathic atrial fibrillation after the sinus rhythm recovery, 33 patients with idiopathic persistent AF (20 men and 13 women) aged 48±2 years after the sinus rhythm recovery by electric cardioversion.
About the Authors
K. V. Strakhova
ГОУ ВПО Тверская государственная медицинская академия Росздрава
Russian Federation
Russian Federation
I. V. Velikova
ГОУ ВПО Тверская государственная медицинская академия Росздрава
Russian Federation
Russian Federation
V. V. Mazur
ГОУ ВПО Тверская государственная медицинская академия Росздрава
Russian Federation
Russian Federation
E. S. Mazur
ГОУ ВПО Тверская государственная медицинская академия Росздрава
Russian Federation
Russian Federation
References
1. Канорский С.Г., Зингилевский К.Б., Мироненко М.Ю. Восстановление функции левого предсердия после кардиоверсии мерцательной аритмии: роль некоторых клинических и эхокардиографических факторов // Кардиология. - 2002. - № 2. - С. 46-51.
2. Мазур Е.С., Мазур В.В. Казакова Н.Ю. Предикторы эффективности электроимпульсной терапии при персистирующей фибрилляции предсердий у больных артериальной гипертензией. // Верхневолжский медицинский журнал. - 2010. - Т.8. - вып. 1. - С. 3-5.
3. Agmon Y., Khandheria B.K., Gentile F., Seward J.B. Clinical and echocardiographic characteristics of patients with left atrial thrombus and sinus rhythm: experience in 20 643 consecutive transesophageal echocardiographic examinations // Circulation. - 2002. - Vol. 105. - P. 27-31.
4. Dunn MI, Marcum JL. Atrial mechanical performance following internal and external cardioversion of atrial fibrillation: its relationship to peripheral embolization and acute cerebrovascular accident. // Chest. - 2002. - Vol.121. - P.1-3.
5. Gosselink AT, Crijns HJ, Hamer HP, et al. Changes in left and right atrial size after cardioversion of atrial fibrillation: role of mitral valve disease. //J Am Coll Cardiol. - 1993. - Vol. 22. - Р.1666-72.
6. Grimm R.A., Stewart W.J., Arheart K. et al. Left atrial appendage stunning after electrical cardioversion of atrial flutter: an attenuated response compared with atrial fibrillation as the mechanism for lower susceptibility to thromboembolic events // J. Amer. Coll. Cardiology. - 1997. -Vol. 29. - P. 582-589.
7. Grimm RA, Stewart WJ, Maloney JD, et al. Impact of electrical cardioversion for atrial fibrillation on left atrial appendage function and spontaneous echo contrast: characterization by simultaneous transesophageal echocardiography.// J Am Coll Cardiol. - 1993. - Vol. 22. -Р.1359-66.
8. Ijaz A.K. Transient atrial mechanical dysfunction (stunning) after cardioversion of atrial fibrillation and flutter // Amer. Heart J. - 2002. - Vol. 144. - P. 11-22.
9. Khan I.A. Atrial stunning: basics and clinical considerations // Int. J. Cardiology. - 2003. - Vol. 92. - P. 113-128.
10. Khan IA. Atrial stunning: determinants and cellular mechanisms. //Am Heart J. - 2003. - Vol.145. - Р.787-94.
11. Louie E.K., Liu D., Reynertson S.I. et al. «Stunning» of the left atrium after spontaneous conversion of atrium fibrillation to sinus rhythm: demonstration by trasesophagel Doppler techniques in a canine model.// J Am Coll Cardiol. - 1998. - Vol. 32 - Р. 2081-2086.
12. Manning WJ, Leeman DE, Gotch PJ, et al. Pulsed Doppler evaluation of atrial mechanical function after electrical cardioversion of atrial fibrillation.// J Am Coll Cardiol. - 1989. - Vol.13. - Р. 617-23.
13. Manning WJ, Silverman DI, Katz SE, et al. Impaired left atrial mechanical function after cardioversion: relation to the duration of atrial fibrillation.// J Am Coll Cardiol. - 1994. - Vol. 23. - Р.1535-40.
14. Mattioli A.V., CastelliA., AndriaA., MattioliG. Clinical and echocardiographic features influencing recovery ofatrial function after cardioversion of atrial fibrillation. // Am J Cardiol. - 1998. - Vol. 82. - Р. 1368-1371.
15. Sanfilippo AJ, Abascal VM, Sheehan M, et al. Atrial enlargement as a consequence of atrial fibrillation. A prospective echocardiographic study. //Circulation. - 1990. -Vol.82. - Р.792-7.
16. Stefanidis P., Derneles J., Toutouzas I. A clinical appraisal left atrial function // Eur. Heart J. - 2001. - Vol. 22. - P. 22-36.
17. Stellbrink D., Hanrath P. Optimal management cardioversion atrial fibrillation and flutter: still a stunning problem // Eur. Heart J. - 2000. - Vol. 21. - P. 793-798.
18. Yamada H., Kim Y.J., Tabata T. et al. Correlation of left atrial mechanical and electrical remodeling following short duration atrial fibrillation // J. Amer. Coll. Cardiology. - 2002. - Vol. 39 (Suppl. A). - Р. 25-34.
19. Yang S., Huang C., Hu X. et al. Predictors of left atrial appendage stunning after electrical cardioversion of nonvalvular atrial fibrillation // Chin. Med. J. - 2003. - Vol. 116. - P. 1445-1450.
Review
For citations:
Strakhova K.V., Velikova I.V., Mazur V.V., Mazur E.S. ATRIAL STUNNING AS STAGE OF ATRIAL REVERSE REMODELLING AFTER THE SINUS RHYTHM RECOVERY IN PATIENTS WITH IDIOPATHIC ATRIAL FIBRILLATION. Journal of Arrhythmology. 2010;62(62):37-40. (In Russ.)
Views:
278
Email this article 