Aboelenin, M., Elmaghawry, L., Aldaydamony, M., Elawady, W. (2023). Measurement of Left Atrial Function by Speckle Tracking Echocardiography in Atrial Fibrillation Patients after Percutaneous Coronary Intervention in Zagazig University Hospital.. test, 29(1.2), 186-193. doi: 10.21608/zumj.2020.38813.1919
Mohamed Aboelenin; Laila Elmaghawry; Mohamed Mustafa Aldaydamony; Waleed Salim Elawady. "Measurement of Left Atrial Function by Speckle Tracking Echocardiography in Atrial Fibrillation Patients after Percutaneous Coronary Intervention in Zagazig University Hospital.". test, 29, 1.2, 2023, 186-193. doi: 10.21608/zumj.2020.38813.1919
Aboelenin, M., Elmaghawry, L., Aldaydamony, M., Elawady, W. (2023). 'Measurement of Left Atrial Function by Speckle Tracking Echocardiography in Atrial Fibrillation Patients after Percutaneous Coronary Intervention in Zagazig University Hospital.', test, 29(1.2), pp. 186-193. doi: 10.21608/zumj.2020.38813.1919
Aboelenin, M., Elmaghawry, L., Aldaydamony, M., Elawady, W. Measurement of Left Atrial Function by Speckle Tracking Echocardiography in Atrial Fibrillation Patients after Percutaneous Coronary Intervention in Zagazig University Hospital.. test, 2023; 29(1.2): 186-193. doi: 10.21608/zumj.2020.38813.1919

Measurement of Left Atrial Function by Speckle Tracking Echocardiography in Atrial Fibrillation Patients after Percutaneous Coronary Intervention in Zagazig University Hospital.

Zagazig University Medical Journal
Article 577, Volume 29, Issue 1.2, January 2023, Pages 186-193    PDF (434.42 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.38813.1919
Authors
Mohamed Aboelenin* 1; Laila Elmaghawry2; Mohamed Mustafa Aldaydamony3; Waleed Salim Elawady4
1Cardiology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
2cardiology department,zagazig university
3Cardiology department, Faculty of medicine, Zagazig University, Zagazig, Egypt.
4Cardiology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt
Abstract
Background:
Echocardiography can provide comprehensive information concerning thromboembolic risk in patients with atrial fibrillation (AF). Global LA strain associated with a higher prevalence of left atrial stasis and is superior to conventional parameters of LA analysis as thromboembolic risk stratification of AF. The aim of this work is to demonstrate the importance of global LA Strain as predictor of stroke risk in patients with AF after PCI.

Patients and methods:
This work included 63 consecutive coronary artery disease patients who were admitted for elective PCI (42 with permanent AF as case group & 21 with sinus rhythm as control group). All patients were evaluated by history, examination, 2D and Doppler echocardiography and 2D-speckle tracking echocardiography (2D-STE). Patients with permanent AF only were evaluated by CHA2DS2-VASc Risk Score calculation, INR & TEE to detect echocardiographic features of high stroke risk.

Results:
The results showed that the global LA strain was highly statistically significantly lower in patients in case group than patients in control group (16.01±7.43 vs. 33.25±11.21, P< 0.001). 9 patients had abnormalities on TEE. The global LA strain was highly statistically significantly lower in patients with high risk features of stroke than patients without these features (6.8 ± 1.1 vs. 18.2 ± 6.5, P
Keywords
speckle tracking echocardiography; percutaneous coronary intervention; atrial fibrillation; left atrial function
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