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 153
- Downloads 0
Antibody Based Therapy in Coronary Artery Disease and Heart Failure
The function of the immune system is to protect the host against disease. Antibodies are a key part of the adaptive response, recognising specific antigens and invading pathogens and marking them for destruction or block...
Forgotten, but Not Gone
A 65 year old woman, an Asian immigrant to USA, with the history of surgical mitral valvuloplasty through left thoracotomy performed 30 years ago in India for severe rheumatic mitral stenosis, history of embolic occlusio...
Primary Angioplasty Using a Renal Stent in a Severly Ectactic and Occluded Left Anterior Descending Coronary Artery
Revascularization of ectatic coronary arteries in the setting of acute myocardial infarction poses great challenges for the operator. We report a case, where a peripheral renal stent was used successfully to treat the cl...
Evidence-Based Practice in Irregular Cornea Patients’ Management With Contact Lenses
Contact lenses (CLs) are safe and commonly used method to correct the refractive errors. Rigid gas permeable (RGP) CLs are the first option in visual rehabilitation of patients with irregular cornea, helping to further d...
Carcinoid Heart Disease and Review of Literature
Carcinoid Heart Disease (CHD) is one of the rare causes of acquired valvular heart disease. CHD develops as a systemic manifestation of metastatic neuroendocrine tumors (NETs). When these tumors metastasize to the liver,...