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
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- EP ID EP556799
- DOI 10.17140/HROJ-2-108
- Views 162
- Downloads 0
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