Application of transesophageal echocardiography in the assessment of left atrial ear volume and function changes in patients with patent foramen ovale and atrial fibrillation

WANG Junwei; DU Lijun; WANG Xu; ZENG Ling; SHEN Zhao; HOU Bo

doi:10.7619/jcmp.20240126

Journal of Clinical Medicine in Practice > 2024 > 28(9): 20-24. > DOI: 10.7619/jcmp.20240126

WANG Junwei, DU Lijun, WANG Xu, ZENG Ling, SHEN Zhao, HOU Bo. Application of transesophageal echocardiography in the assessment of left atrial ear volume and function changes in patients with patent foramen ovale and atrial fibrillation[J]. Journal of Clinical Medicine in Practice, 2024, 28(9): 20-24. DOI: 10.7619/jcmp.20240126

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Application of transesophageal echocardiography in the assessment of left atrial ear volume and function changes in patients with patent foramen ovale and atrial fibrillation

1.
Department of Ultrasound Medicine, the First Hospital of Handan City in Hebei Province, Handan, Hebei, 056002
2.
Ultrasonic Department, Fengfeng General Hospital of North China Medical and Health Group, Handan, Hebei, 056002
3.
Department of Radiology, Shahe People's Hospital of Hebei Province, Xingtai, Hebei, 054100
4.
Department of CT Room, Handan Central Hospital in Hebei Province, Handan, Hebei, 056002

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Received Date: January 07, 2024
Revised Date: March 10, 2024
Available Online: May 14, 2024

Graphical Abstract

Abstract

Abstract

Objective
To investigate the application of transesophageal echocardiography in the evaluation of left atrial ear volume and function changes in patients with patent foramen ovale and atrial fibrillation.
Methods
Eighty patients with patent foramen ovale were selected as the study objects, and were divided into atrial fibrillation group (n=44) and non-atrial fibrillation group (n=36), and 30 healthy subjects were selected as control group. Transesophageal echocardiography was performed in three groups. The left atrial appendage volume and changes of function in three groups were compared.
Results
The left atrial appendage maximum volume (LAAV_max), left atrial appendage minimum volume (LAAV_min), left atrial appendage opening maximum area (MA) and left atrial appendage opening maximum length diameter (MD) in the atrial fibrillation group and non-atrial fibrillation group were significantly higher, and the left atrial appendage maximum emptying velocity (LAAeV) and left atrial appendage maximum filling velocity (LAAfV) were significantly lower than those of the control group (P < 0.05). The LAAV_max, LAAV_min as well as MA and MD of left auricular opening in patients with left auricular spontaneous imaging (SEC) in the atrial fibrillation group were significantly higher than those in the non-atrial fibrillation group, and LAAeV and LAAfV were significantly lower than those in the non-atrial fibrillation group (P < 0.05). After treatment, the incidence of end-point events in the atrial fibrillation was significantly higher than that in the non-atrial fibrillation group (P < 0.05).
Conclusion
The application of transesophageal echocardiography in the evaluation of left atrial ear volume and function changes in patients with patent foramen ovale and atrial fibrillation is effective. The left atrial appendage function of patients with atrial fibrillation is worse than that of patients without atrial fibrillation.

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References (18)

References

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Application of transesophageal echocardiography in the assessment of left atrial ear volume and function changes in patients with patent foramen ovale and atrial fibrillation