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  1. Bulletin of Osaka Medical and Pharmaceutical University
  2. vol.68_1-2 (Dec 2022)

Left Atrial Relaxation Index is an Independent Predictor of the Presence of a Left Atrial Low Voltage Zone in Patients with Atrial Fibrillation

https://ompu.repo.nii.ac.jp/records/318
https://ompu.repo.nii.ac.jp/records/318
6e57b64d-1bbb-41d8-9467-3015188a8dbd
名前 / ファイル ライセンス アクション
bullompu68_1-2_1 bullompu68_1-2_1 NOMURA.pdf (4.1 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2023-03-03
タイトル
タイトル Left Atrial Relaxation Index is an Independent Predictor of the Presence of a Left Atrial Low Voltage Zone in Patients with Atrial Fibrillation
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
著者 NOMURA, Hisafumi

× NOMURA, Hisafumi

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en NOMURA, Hisafumi

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MIYAMURA, Masatoshi

× MIYAMURA, Masatoshi

WEKO 591

en MIYAMURA, Masatoshi

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KANZAKI, Yumiko

× KANZAKI, Yumiko

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en KANZAKI, Yumiko

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HOSHIGA, Masaaki

× HOSHIGA, Masaaki

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en HOSHIGA, Masaaki

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内容記述タイプ Abstract
内容記述 In atrial fibrillation (AF), low voltage zones (LVZs) on cardiac electro-anatomic mapping reflect atrial fibrosis and are associated with difficulty in maintaining sinus rhythm after catheter ablation (CA). Although left atrial (LA) remodeling is associated with an increment in left atrial pressure (LAP), the importance of assessing LAP and relaxation index as a marker of early left atrial reservoir function in patients who undergo CA for AF is not known. We retrospectively evaluated 102 patients (68 males, age: 67.6 ± 11.4 years) who underwent CA between January and December 2019. We measured LAP during sinus rhythm and the total area of LVZs on the electro-anatomical map during pacing from the coronary sinus, and calculated the relaxation index. We defined LVZs as being significant when they occupied an area of more than 10 % of the entire LA. Seventeen patients (16.7 %) who had significant LVZs were compared with patients without significant LVZs. Age, sex, LA volume index and relaxation index differed significantly between the two groups. In multiple regression analysis, relaxation index was significantly lower in the group with compared to without LVZs (OR 0.22, p = 0.015). In conclusion, relaxation index might be a marker of not only early LA reservoir function, but also LVZs, reflecting LA fibrosis.
言語 en
書誌情報 en : Bulletin of Osaka Medical and Pharmaceutical University

巻 68, 号 1-2, p. 1-8, 発行日 2022-12
出版者
出版者 Osaka Medical and Pharmaceutical University
言語 en
ISSN
収録物識別子タイプ ISSN
収録物識別子 2436-4673
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