Circulation, Vol 82, 792-797, Copyright © 1990 by American Heart Association
AJ Sanfilippo, VM Abascal, M Sheehan, LB Oertel, P Harrigan, RA Hughes and AE Weyman
To test the hypothesis that atrial enlargement can develop as a consequence
of atrial fibrillation, left and right atrial dimensions were measured
echocardiographically at two different time points in patients with atrial
fibrillation. Patients were selected who initially had normal atrial sizes
and who had no evidence of significant structural or functional cardiac
abnormalities other than atrial fibrillation either by history or
two-dimensional and Doppler echocardiography. Fifteen patients were studied
(12 men and three women; mean age, 67.3 years). Average time between
studies was 20.6 months. Three orthogonal left atrial dimensions and two
right atrial dimensions were measured, and all were found to increase
significantly between studies. Also, highly significant increases in
calculated left atrial volume (from 45.2 to 64.1 cm3, p less than 0.001)
and right atrial volume (from 49.2 to 66.2 cm3, p less than 0.001) were
observed. The relative extents of left and right atrial volume increase did
not differ, and left ventricular size did not change significantly between
studies. These results indicate that atrial enlargement can occur as a
consequence of atrial fibrillation. The maintenance of sinus rhythm,
therefore, may prevent atrial enlargement and its adverse clinical effects.
ARTICLES
Atrial enlargement as a consequence of atrial fibrillation. A prospective echocardiographic study
Cardiac Unit, Massachusetts General Hospital, Harvard Medical School, Boston.
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M. Pozzoli, G. Cioffi, E. Traversi, G. D. Pinna, F. Cobelli, and L. Tavazzi Predictors of primary atrial fibrillation and concomitant clinical and hemodynamic changes in patients with chronic heart failure: a prospective study in 344 patients with baseline sinus rhythm J. Am. Coll. Cardiol., July 1, 1998; 32(1): 197 - 204. [Abstract] [Full Text] [PDF]
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J. C. Nielsen, H. R. Andersen, P. E. B. Thomsen, L. Thuesen, P. T. Mortensen, T. Vesterlund, and A. K. Pedersen Heart Failure and Echocardiographic Changes During Long-term Follow-up of Patients With Sick Sinus Syndrome Randomized to Single-Chamber Atrial or Ventricular Pacing Circulation, March 17, 1998; 97(10): 987 - 995. [Abstract] [Full Text] [PDF]
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M. C. E. F. Wijffels, C. J. H. J. Kirchhof, R. Dorland, J. Power, and M. A. Allessie Electrical Remodeling due to Atrial Fibrillation in Chronically Instrumented Conscious Goats : Roles of Neurohumoral Changes, Ischemia, Atrial Stretch, and High Rate of Electrical Activation Circulation, November 18, 1997; 96(10): 3710 - 3720. [Abstract] [Full Text]
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J. F. Obadia, M. E. Farra, O. H. Bastien, M. Lievre, Y. Martelloni, and J. F. Chassignolle OUTCOME OF ATRIAL FIBRILLATION AFTER MITRAL VALVE REPAIR J. Thorac. Cardiovasc. Surg., August 1, 1997; 114(2): 179 - 185. [Abstract] [Full Text]
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M. D. Cheitlin, J. S. Alpert, W. F. Armstrong, G. P. Aurigemma, G. A. Beller, F. Z. Bierman, T. W. Davidson, J. L. Davis, P. S. Douglas, L. D. Gillam, et al. ACC/AHA Guidelines for the Clinical Application of Echocardiography : A Report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Committee on Clinical Application of Echocardiography) Developed in Collaboration With the American Society of Echocardiography Circulation, March 18, 1997; 95(6): 1686 - 1744. [Full Text]
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A. Elvan, K. Wylie, and D. P. Zipes Pacing-Induced Chronic Atrial Fibrillation Impairs Sinus Node Function in Dogs: Electrophysiological Remodeling Circulation, December 1, 1996; 94(11): 2953 - 2960. [Abstract] [Full Text]
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S. F. Nagueh, H. A. Kopelen, and M. A. Quinones Assessment of Left Ventricular Filling Pressures by Doppler in the Presence of Atrial Fibrillation Circulation, November 1, 1996; 94(9): 2138 - 2145. [Abstract] [Full Text]
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B. S. Stambler, M. A. Wood, K. A. Ellenbogen, K. T. Perry, L. K. Wakefield, and J. T. VanderLugt Efficacy and Safety of Repeated Intravenous Doses of Ibutilide for Rapid Conversion of Atrial Flutter or Fibrillation Circulation, October 1, 1996; 94(7): 1613 - 1621. [Abstract] [Full Text]
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C. Rostagno, G. Olivo, M. Comeglio, G. Bertini, G. F. Gensini, and G. Galanti Left Atrial Size Changes in Patients with Paroxysmal Lone Atrial Fibrillation: An Echocardiographic Follow-up Angiology, August 1, 1996; 47(8): 797 - 801. [Abstract] [PDF]
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Y. L. Chua, H. V. Schaff, T. A. Orszulak, and J. J. Morris Outcome of mitral valve repair in patients with preoperative atrial fibrillationShould the maze procedure be combined with mitral valvuloplasty? J. Thorac. Cardiovasc. Surg., February 1, 1994; 107(2): 408 - 415. [Abstract] [Full Text]
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M. Arndt, U. Lendeckel, C. Rocken, K. Nepple, C. Wolke, A. Spiess, C. Huth, S. Ansorge, H. U. Klein, and A. Goette Altered Expression of ADAMs (A Disintegrin And Metalloproteinase) in Fibrillating Human Atria Circulation, February 12, 2002; 105(6): 720 - 725. [Abstract] [Full Text] [PDF]
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