Paroksismal atriyal fibrilasyonu olan hastalarda paroksismal atriyal fibrilasyonun öngörülmesinde doku Doppler görüntüleme ve zirve hızlanma süresi

Year 2020, 2020 Özel Sayı, 61 - 67, 26.02.2020

Fikret Keleş Mustafa Çelik , Recep Karatas Ahmet Erseçgin Ahmet Yilmaz , Nazif Aygul , Ahmet Avcı

https://doi.org/10.18663/tjcl.615645

Abstract

Amaç: Atriyal fibrilasyon, popülasyonda
en sık görülen aritmidir ve prevalansı yaşla artar  ayrıca en sık
rastlanılan morbidite ve mortalite oluşturan aritmidir. Genellikle persistan
atriyal fibrilasyonun başlangıcı paroksismal atriyal fibrilasyonun (PAF)
tekrarlayan bölümleridir. Paroksismal atriyal fibrilasyonun öngörülmesi, bu
aritminin önlenmesine ve dolayısıyla olumsuz sonuçların önlenmesine neden
olabilir. Bu çalışmada paroksismal atriyal fibrilasyonu öngörebilecek doku
Doppler görüntüleme (TDI) ve pik hızlanma süresi (pkAcc) parametrelerini
araştırmayı amaçladık.

Gereç ve Yönetemler: 20-73 yaşları arasında (ortalama
47,5) PAF tanısı almış 50 kişi ile hasta grubu oluşturuldu.. Hasta grubu ile
benzer temel demografik özelliklere sahip olan ve persistan veya PAF bulunmayan
50 kişi ile kontrol grubu oluşturuldu.Tüm kontrol ve çalışma gruplarına
transtorasik ekokardiyografik (TTE) değerlendirme yapıldı. Doku Doppler
parametreleri ve pkAcc TTE'de ölçüldü ve istatistiksel analizler yapıldı.

Bulgular: TTE değerlendirmesinde, hasta
grubunda sol atriyum ejeksiyon fraksiyonu çalışma grubundan daha düşüktü (%
50,6 vs.% 59,2, p <0,001). TDI değerlendirmesinde, sol ventrikülün
anterior, inferior, lateral ve septal duvarlarından ölçülen E / E 'nin
ortalaması; Hasta grubunda kontrol grubuna göre daha yüksek bulundu (8,17 ve
7,04; p = 0,004). İki grup pkAcc açısından karşılaştırıldığında, hasta grubunun
daha yüksek olduğu bulundu ancak bu fark istatistiksel olarak anlamlı bulunmadı
(1063'e karşı 994, p = 0,14). 

Sonuç: TDI değerlendirmesi paroksismal
atriyal fibrilasyonun öngörülmesinde önemli bir rol oynayabilir.

Keywords

zirve hızlanma süresi, paroksismal atriyal fibrilasyon, doku Doppler görüntüleme

Value of tissue Doppler imaging and peak acceleration time in prediction of paroxysmal atrial fibrillation in patients with paroxysmal atrial fibrillation

Abstract

Aim: Atrial
fibrillation is the most common arrhythmia in the population and its prevalance
increases with age; and also is the most morbid and mortal arrhythmia. Usually
the beginning of the persistant atrial fibrillation is recurrent episodes of
the paroxysmal atrial fibrillation (PAF). Prediction of the paroxysmal atrial
fibrillation can cause prevention of this arrhythmia and thus prevention of the
adverse outcomes. We aimed to investigate tissue Doppler imaging (TDI) and peak
acceleration time (pkAcc) parameters that can predict the paroxysmal atrial
fibrillation in this study.

Material and Methods: 20-73
years old (mean 47,5) 50 individuals that are diagnosed with PAF included the
patient group. 50 individuals who have the similar baseline demographic
charasteristics with patient group and who have no persistant or PAF included
the control group. Transthoracic echocardiogaphic (TTE) evaluation is applied
all of the control and study groups. Tissue Doppler parameters and pkAcc is
measured in TTE and statistical analyses is performed.

Results: In
TTE evaluation, left atrium ejection fraction is lower in the patient group
than the study group (%50,6 vs. %59,2, p<0,001). In TDI evaluation, the
average of E/E’ which was measured from the anterior, inferior, lateral and
septal walls of the left ventricle; is found higher in the patient group
compared to the control group (8,17 vs. 7,04; p=0,004).  When two groups are compared in terms of
pkAcc, it was found that patient group is higher, but this difference did not
reach the statistical significance (1063 vs. 994, p=0,14).         

Conclusions: TDI
evaluation can play an important role in prediction of paroxysmal atrial
fibrillation. 

Keywords

peak acceleration time, paroxysmal atrial fibrillation, tissue Doppler imaging

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