The Related Factors and Clinical Predictive Value of Left Atrial Spontaneous Echo Contrast in Patient with Nonvalvular Chronic Atrial Fibrillation
Journal Title: Heart Research – Open Journal - Year 2015, Vol 2, Issue 1
Abstract
Background: To investigate left atrial or left atrial appendage spontaneous echo by transesophageal echocardiography for clinical risk assessment, providing an important basis for guiding treatment and so on. Methods: Select 113 atrial fibrillation patients who did not have formal warfarin treatment in 2011-2014 and did transesophageal echocardiography, after excluding substandard patients, 92 patients were divided into LASEC positive group (n=63) and negative group (n=29). Analyses the clinical features and echocardiographic parameters. Evaluate the diagnostic value with results of multivariate analysis. Results: The study found a significant difference (P<0.05) between the two groups in the type of AF (permanent AF), hypertension, left atrial diameter, left ventricular diastolic function, among these factors, persistent atrial fibrillation, left atrial diameter >40 mm and hypertension have a extremely significant difference (P<0.01). CHA2 DS2 -VASC score, D-dimer in plasma have a predictive value for LASEC patients with atrial fibrillation. Conclusion: Patients with persistent AF have a higher LASEC incidence, LASEC has clinical predictive value, there are certain guiding significance in clinical practice.
Authors and Affiliations
Yanmin Xu
Keywords
Related Articles
- EP ID EP556799
- DOI 10.17140/HROJ-2-108
- Views 140
- Downloads 0
Autonomic Dysfunction, Sympathetic Hyperactivity and the Development of End-Organ Damage in Hypertension: Multiple Benefits of Exercise Training
Autonomic dysfunction is closely related to the development of hypertension, which is characterized by increased sympathetic activity, decreased vagal tonus and baroreflex dysfunction. The hypertension-induced maladaptiv...
Visual Processing Disorder in Children
The minute persons think of eyesight, they generally think about accuracy, as in normal, 6/6 (or 20/20) vision. However, it is much more than that as the brain really processes the visual world, including things like sym...
A Case Report of the Management of Residual Cardiovascular Risk in a Dyslipidaemic Patient with Metabolic Syndrome
Metabolic Syndrome (MS) is a clustering of metabolic and underlying risk factors which doubles the risk of therosclerotic cardiovascular disease. It is more prevalent in some ethnic groups, especially in the Asian world....
Effects of Iterative Reconstruction on the Diagnostic Assessment of Coronary Calcium Scores
Coronary Artery Calcium (CAC) score is a widely used indicator to determine disease severity and predict the risk of severe cardiac events. However, radiation dose associated with coronary CT scanning for CAC scoring rai...
Dimethyl Sulfoxide Reduces Microvascular Obstruction and Intramyocardial Hemorrhage in a Porcine Ischemia-Reperfusion Model
Background: Microvascular obstruction (MVO) and Intramyocardial hemorrhage (IMH) are associated with myocardial reperfusion injury and recognized as predictors of adverse left ventricular remodeling in acute myocardial i...