Transesophageal echocardiographic evidence of more pronounced left atrial stunning after chemical (propafenone) rather than electrical attempts at cardioversion from atrial fibrillation

被引:41
作者
Antonielli, E [1 ]
Pizzuti, A [1 ]
Bassignana, A [1 ]
Tanga, M [1 ]
Baralis, G [1 ]
Rovere, ME [1 ]
Di Leo, M [1 ]
机构
[1] Osped SS Annunziato, Div Cardiol, I-12038 Savigliano, Italy
关键词
D O I
10.1016/S0002-9149(99)00508-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We studied left atrial function in 55 patients undergoing electrical (n = 23) or chemical (intravenous administration of propafenone, n = 32) attempts at cardioversion from atrial fibrillation. Chemical attempts at cardioversion revealed a significant increase in spontaneous echo contrast and a significant decrease in left atrial appendage Doppler flow, even in patients who did not have successful conversion to sinus rhythm.
引用
收藏
页码:1092 / +
页数:7
相关论文
共 15 条
  • [1] LEFT ATRIAL SPONTANEOUS ECHO CONTRAST - A CLINICAL AND ECHOCARDIOGRAPHIC ANALYSIS
    BLACK, IW
    HOPKINS, AP
    LEE, LCL
    WALSH, WF
    JACOBSON, BM
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (02) : 398 - 404
  • [2] EXCLUSION OF ATRIAL THROMBUS BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY DOES NOT PRECLUDE EMBOLISM AFTER CARDIOVERSION OF ATRIAL-FIBRILLATION - A MULTICENTER STUDY
    BLACK, IW
    FATKIN, D
    SAGAR, KB
    KHANDHERIA, BK
    LEUNG, DY
    GALLOWAY, JM
    FENELEY, MP
    WALSH, WF
    GRIMM, RA
    STOLLBERGER, C
    VERHORST, PMJ
    KLEIN, AL
    [J]. CIRCULATION, 1994, 89 (06) : 2509 - 2513
  • [3] Transesophageal echocardiographic evaluation of left atrial appendage function and spontaneous contrast formation after chemical or electrical cardioversion of atrial fibrillation
    Falcone, RA
    Morady, F
    Armstrong, WF
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1996, 78 (04) : 435 - 439
  • [4] Accuracy of biplane transesophageal echocardiography in detecting left atrial thrombus
    Fatkin, D
    Scalia, G
    Jacobs, N
    Burstow, D
    Leung, D
    Walsh, W
    Feneley, M
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1996, 77 (04) : 321 - &
  • [5] TRANSESOPHAGEAL ECHOCARDIOGRAPHY BEFORE AND DURING DIRECT-CURRENT CARDIOVERSION OF ATRIAL-FIBRILLATION - EVIDENCE FOR ATRIAL STUNNING AS A MECHANISM OF THROMBOEMBOLIC COMPLICATIONS
    FATKIN, D
    KUCHAR, DL
    THORBURN, CW
    FENELEY, MP
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1994, 23 (02) : 307 - 316
  • [6] IMPACT OF ELECTRICAL CARDIOVERSION FOR ATRIAL-FIBRILLATION ON LEFT ATRIAL APPENDAGE FUNCTION AND SPONTANEOUS ECHO CONTRAST - CHARACTERIZATION BY SIMULTANEOUS TRANSESOPHAGEAL ECHOCARDIOGRAPHY
    GRIMM, RA
    STEWART, WJ
    MALONEY, JD
    COHEN, GI
    PEARCE, GL
    SALCEDO, EE
    KLEIN, AL
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1993, 22 (05) : 1359 - 1366
  • [7] LEFT ATRIAL APPENDAGE STUNNING AFTER SPONTANEOUS CONVERSION OF ATRIAL-FIBRILLATION DEMONSTRATED BY TRANSESOPHAGEAL DOPPLER-ECHOCARDIOGRAPHY
    GRIMM, RA
    LEUNG, DY
    BLACK, IW
    STEWART, WJ
    THOMAS, JD
    KLEIN, AL
    [J]. AMERICAN HEART JOURNAL, 1995, 130 (01) : 174 - 176
  • [8] Clinical variables affecting recovery of left atrial mechanical function after cardioversion from atrial fibrillation
    Harjai, KJ
    Mobarek, SK
    Cheirif, J
    Boulos, LM
    Murgo, JP
    AbiSamra, F
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 30 (02) : 481 - 486
  • [9] COLOR DOPPLER ASSESSMENT OF MITRAL REGURGITATION WITH ORTHOGONAL PLANES
    HELMCKE, F
    NANDA, NC
    HSIUNG, MC
    SOTO, B
    ADEY, CK
    GOYAL, RG
    GATEWOOD, RP
    [J]. CIRCULATION, 1987, 75 (01) : 175 - 183
  • [10] TEMPORAL DEPENDENCE OF THE RETURN OF ATRIAL MECHANICAL FUNCTION ON THE MODE OF CARDIOVERSION ATRIAL-FIBRILLATION TO SINUS RHYTHM
    MANNING, WJ
    SILVERMAN, DI
    KATZ, SE
    RILEY, MF
    DOHERTY, RM
    MUNSON, JT
    DOUGLAS, PS
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1995, 75 (08) : 624 - 626