PMID- 21616772 OWN - NLM STAT- MEDLINE DCOM- 20110714 LR - 20161125 IS - 0231-424X (Print) IS - 0231-424X (Linking) VI - 98 IP - 2 DP - 2011 Jun TI - Left atrial and left atrial appendage function in paroxysmal atrial fibrillation. PG - 137-46 LID - 10.1556/APhysiol.98.2011.2.5 [doi] AB - PURPOSE: In patients with paroxysmal atrial fibrillation (PAF) little information is available about left atrial (LA)function, and there is less information about LA appendage (LAA) function, and about their relations. METHODS AND RESULTS: 46 patients were selected for catheter ablation (CA) because of nonvalvular PAF.Transthoracic, tissue Doppler and transoesophageal echocardiography was performed before CA. LA volumes and volume index (LAVI) were calculated. LA function was assessed by LA filling fraction (LAFF), LA emptying fraction (LAEF), systolic fraction of pulmonary venous flow (PVSF) and late diastolic velocities of mitral annulus(Aa,, A5at) LAA function was assessed by peak LAA emptying flow velocity (PLAAEFV). Diastolic dysfunction(DD) was also assessed. Dilated LAVI in 32, LA dysfunction in 20, DD with elevated LV filling pressure in 19 patients was found. Aa,at and Aa,p correlated with LAFF (r:0.53; p<0.001 and r:0.43; p<0.05), LAEF (r:0.51;p<0.001 and r:0.63; p<0.001), PVSF (r:0.49; p<0.001 and r:0.46; p<0.005) and PLAAEFV (r:0.58; p<0.001 and r:0.45; p<0.01). CONCLUSIONS: In PAF patients Aa velocity is useful to assess LA function and correlates positively with other TTE derived LA functional parameters and LAA function by TEE derived PLAAEFV. FAU - Erdei, T AU - Erdei T AD - Gottsegen Hungarian Institute of Cardiology, Budapest, Hungary. dr.erdei.tamas@freemail.hu FAU - Denes, M AU - Denes M FAU - Kardos, A AU - Kardos A FAU - Foldesi, C AU - Foldesi C FAU - Temesvari, A AU - Temesvari A FAU - Lengyel, M AU - Lengyel M LA - eng PT - Comparative Study PT - Journal Article PL - Hungary TA - Acta Physiol Hung JT - Acta physiologica Hungarica JID - 8309201 SB - IM EIN - Acta Physiol Hung. 2011 Sep;98(3):367. Erdei, Tamas [corrected to Erdei, T]; Foldesi, A [corrected to Foldesi, C]; Temesvari, M [corrected to Temesvari, A] MH - Aged MH - Atrial Appendage/diagnostic imaging/*physiopathology MH - Atrial Fibrillation/diagnostic imaging/*physiopathology/surgery MH - Blood Flow Velocity/physiology MH - Catheter Ablation MH - Diastole/physiology MH - Echocardiography MH - Echocardiography, Transesophageal MH - Female MH - Heart Atria/diagnostic imaging/*physiopathology MH - Humans MH - Male MH - Middle Aged MH - Mitral Valve/physiopathology MH - Prospective Studies EDAT- 2011/05/28 06:00 MHDA- 2011/07/16 06:00 CRDT- 2011/05/28 06:00 PHST- 2011/05/28 06:00 [entrez] PHST- 2011/05/28 06:00 [pubmed] PHST- 2011/07/16 06:00 [medline] AID - A334T6377424G097 [pii] AID - 10.1556/APhysiol.98.2011.2.5 [doi] PST - ppublish SO - Acta Physiol Hung. 2011 Jun;98(2):137-46. doi: 10.1556/APhysiol.98.2011.2.5.