Echocardiographic and Hemodynamic Findings in Patients With Mitral Stenosis Undergoing Percutaneous Mitral Commissurotomy Comparing Those With Chronic Atrial Fibrillation Versus Those With Normal Sinus Rhythm

Hyung Kwan Kim; Yong Jin Kim; Jung Im Shin; Seok Jae Hwang; Sang Ho Jo; Jin Shik Park; Hyuk Jae Chang; Dae Won Sohn; Byung Hee Oh; Young Bae Park; Yun Shik Choi

doi:10.1016/j.amjcard.2007.04.060

Echocardiographic and Hemodynamic Findings in Patients With Mitral Stenosis Undergoing Percutaneous Mitral Commissurotomy Comparing Those With Chronic Atrial Fibrillation Versus Those With Normal Sinus Rhythm

Hyung Kwan Kim, Yong Jin Kim, Jung Im Shin, Seok Jae Hwang, Sang Ho Jo, Jin Shik Park, Hyuk Jae Chang, Dae Won Sohn, Byung Hee Oh, Young Bae Park, Yun Shik Choi

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

Chronic atrial fibrillation (AF) is common in patients with mitral stenosis (MS). Because AF induces electrical and mechanical remodeling of the left atrium, left atrial (LA) compliance is likely to be changed in its presence. This study was performed to investigate the influence of AF on LA compliance in patients with moderate to severe MS. Data were analyzed for 356 patients (282 women; mean age 40 ± 11 years; range 17 to ∼71) who were registered in the percutaneous mitral commissurotomy database. Mean LA pressure was lower (21 ± 7 vs 26 ± 8 mm Hg; p <0.001), but LA volume was higher in the AF than sinus-rhythm group (126 ± 62 vs 74 ± 27 ml; p <0.001), indicating higher LA compliance, which was further confirmed by lower LA v wave at catheterization in the AF group (27 ± 9 for AF vs 32 ± 10 mm Hg for sinus rhythm; p <0.001). In conclusion, the presence of AF has a significant influence on LA compliance in patients with moderate to severe MS.

Original language	English (US)
Pages (from-to)	1153-1156
Number of pages	4
Journal	American Journal of Cardiology
Volume	100
Issue number	7
DOIs	https://doi.org/10.1016/j.amjcard.2007.04.060
State	Published - Oct 1 2007
Externally published	Yes

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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Kim, H. K., Kim, Y. J., Shin, J. I., Hwang, S. J., Jo, S. H., Park, J. S., Chang, H. J., Sohn, D. W., Oh, B. H., Park, Y. B., & Choi, Y. S. (2007). Echocardiographic and Hemodynamic Findings in Patients With Mitral Stenosis Undergoing Percutaneous Mitral Commissurotomy Comparing Those With Chronic Atrial Fibrillation Versus Those With Normal Sinus Rhythm. American Journal of Cardiology, 100(7), 1153-1156. https://doi.org/10.1016/j.amjcard.2007.04.060

Echocardiographic and Hemodynamic Findings in Patients With Mitral Stenosis Undergoing Percutaneous Mitral Commissurotomy Comparing Those With Chronic Atrial Fibrillation Versus Those With Normal Sinus Rhythm. / Kim, Hyung Kwan; Kim, Yong Jin; Shin, Jung Im et al.
In: American Journal of Cardiology, Vol. 100, No. 7, 01.10.2007, p. 1153-1156.

Research output: Contribution to journal › Article › peer-review

Kim, HK, Kim, YJ, Shin, JI, Hwang, SJ, Jo, SH, Park, JS, Chang, HJ, Sohn, DW, Oh, BH, Park, YB & Choi, YS 2007, 'Echocardiographic and Hemodynamic Findings in Patients With Mitral Stenosis Undergoing Percutaneous Mitral Commissurotomy Comparing Those With Chronic Atrial Fibrillation Versus Those With Normal Sinus Rhythm', American Journal of Cardiology, vol. 100, no. 7, pp. 1153-1156. https://doi.org/10.1016/j.amjcard.2007.04.060

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title = "Echocardiographic and Hemodynamic Findings in Patients With Mitral Stenosis Undergoing Percutaneous Mitral Commissurotomy Comparing Those With Chronic Atrial Fibrillation Versus Those With Normal Sinus Rhythm",

abstract = "Chronic atrial fibrillation (AF) is common in patients with mitral stenosis (MS). Because AF induces electrical and mechanical remodeling of the left atrium, left atrial (LA) compliance is likely to be changed in its presence. This study was performed to investigate the influence of AF on LA compliance in patients with moderate to severe MS. Data were analyzed for 356 patients (282 women; mean age 40 ± 11 years; range 17 to ∼71) who were registered in the percutaneous mitral commissurotomy database. Mean LA pressure was lower (21 ± 7 vs 26 ± 8 mm Hg; p <0.001), but LA volume was higher in the AF than sinus-rhythm group (126 ± 62 vs 74 ± 27 ml; p <0.001), indicating higher LA compliance, which was further confirmed by lower LA v wave at catheterization in the AF group (27 ± 9 for AF vs 32 ± 10 mm Hg for sinus rhythm; p <0.001). In conclusion, the presence of AF has a significant influence on LA compliance in patients with moderate to severe MS.",

author = "Kim, {Hyung Kwan} and Kim, {Yong Jin} and Shin, {Jung Im} and Hwang, {Seok Jae} and Jo, {Sang Ho} and Park, {Jin Shik} and Chang, {Hyuk Jae} and Sohn, {Dae Won} and Oh, {Byung Hee} and Park, {Young Bae} and Choi, {Yun Shik}",

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AU - Kim, Yong Jin

AU - Shin, Jung Im

AU - Hwang, Seok Jae

AU - Jo, Sang Ho

AU - Park, Jin Shik

AU - Chang, Hyuk Jae

AU - Sohn, Dae Won

AU - Oh, Byung Hee

AU - Park, Young Bae

AU - Choi, Yun Shik

PY - 2007/10/1

Y1 - 2007/10/1

N2 - Chronic atrial fibrillation (AF) is common in patients with mitral stenosis (MS). Because AF induces electrical and mechanical remodeling of the left atrium, left atrial (LA) compliance is likely to be changed in its presence. This study was performed to investigate the influence of AF on LA compliance in patients with moderate to severe MS. Data were analyzed for 356 patients (282 women; mean age 40 ± 11 years; range 17 to ∼71) who were registered in the percutaneous mitral commissurotomy database. Mean LA pressure was lower (21 ± 7 vs 26 ± 8 mm Hg; p <0.001), but LA volume was higher in the AF than sinus-rhythm group (126 ± 62 vs 74 ± 27 ml; p <0.001), indicating higher LA compliance, which was further confirmed by lower LA v wave at catheterization in the AF group (27 ± 9 for AF vs 32 ± 10 mm Hg for sinus rhythm; p <0.001). In conclusion, the presence of AF has a significant influence on LA compliance in patients with moderate to severe MS.

AB - Chronic atrial fibrillation (AF) is common in patients with mitral stenosis (MS). Because AF induces electrical and mechanical remodeling of the left atrium, left atrial (LA) compliance is likely to be changed in its presence. This study was performed to investigate the influence of AF on LA compliance in patients with moderate to severe MS. Data were analyzed for 356 patients (282 women; mean age 40 ± 11 years; range 17 to ∼71) who were registered in the percutaneous mitral commissurotomy database. Mean LA pressure was lower (21 ± 7 vs 26 ± 8 mm Hg; p <0.001), but LA volume was higher in the AF than sinus-rhythm group (126 ± 62 vs 74 ± 27 ml; p <0.001), indicating higher LA compliance, which was further confirmed by lower LA v wave at catheterization in the AF group (27 ± 9 for AF vs 32 ± 10 mm Hg for sinus rhythm; p <0.001). In conclusion, the presence of AF has a significant influence on LA compliance in patients with moderate to severe MS.

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Echocardiographic and Hemodynamic Findings in Patients With Mitral Stenosis Undergoing Percutaneous Mitral Commissurotomy Comparing Those With Chronic Atrial Fibrillation Versus Those With Normal Sinus Rhythm

Abstract

ASJC Scopus subject areas

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