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Left Atrial Wall Motion Velocity Assessed during Atrial Fibrillation Predicts Sinus Rhythm Maintenance after Electrical Cardioversion in Patients with Persistent Atrial Fibrillation

Author

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  • Paweł Wałek

    (Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland
    1st Clinic of Cardiology and Electrotherapy, Swietokrzyskie Cardiology Centre, 25-736 Kielce, Poland)

  • Joanna Roskal-Wałek

    (Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland
    Ophthalmology Clinic, Voivodeship Regional Hospital, 25-736 Kielce, Poland)

  • Patryk Dłubis

    (Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland)

  • Justyna Tracz

    (Clinic of Neurology, Swietokrzyskie Neurology Center, 25-736 Kielce, Poland)

  • Beata Wożakowska-Kapłon

    (Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland
    1st Clinic of Cardiology and Electrotherapy, Swietokrzyskie Cardiology Centre, 25-736 Kielce, Poland)

Abstract

Reduced left atrial wall motion velocity measured during AF (LAWMV) indicates left atrial remodeling. The aim of this study was to investigate whether LAWMV assessed with tissue Doppler imaging during atrial fibrillation (AF) predicts sinus rhythm (SR) maintenance after direct current cardioversion (DCCV) for persistent AF. The study included 126 patients who underwent DCCV and were followed for 12 months. At 12 months, maintained SR was reported in 55 patients (43.7%). We noted that LAWMV was higher in patients with maintained SR at 12 months than in those with recurrent AF (3.69 ± 0.84 vs. 2.86 ± 1.09; p < 0.001). In the multivariable regression model containing echocardiographic variables, LAWMV was an independent predictor of SR maintenance at 12 months (odds ratio [OR] 1.72, 95% confidence interval [CI] 1.1–2.69; p = 0.017). Similarly, LAWMW was an independent predictor of SR maintenance at 12 months (OR 1.81, 95% CI 1.19–2.77; p = 0.006) in the multivariate regression model containing both echocardiographic and clinical variables. LAWMV predicts SR maintenance after DCCV for persistent AF. Echocardiographic markers of left atrial mechanical remodeling are better at predicting SR maintenance than markers of structural remodeling.

Suggested Citation

  • Paweł Wałek & Joanna Roskal-Wałek & Patryk Dłubis & Justyna Tracz & Beata Wożakowska-Kapłon, 2022. "Left Atrial Wall Motion Velocity Assessed during Atrial Fibrillation Predicts Sinus Rhythm Maintenance after Electrical Cardioversion in Patients with Persistent Atrial Fibrillation," IJERPH, MDPI, vol. 19(23), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15508-:d:981249
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    References listed on IDEAS

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    1. Paweł Wałek & Iwona Gorczyca & Janusz Sielski & Beata Wożakowska-Kapłon, 2020. "Left atrial emptying fraction determined during atrial fibrillation predicts maintenance of sinus rhythm after direct current cardioversion in patients with persistent atrial fibrillation," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-13, August.
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