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Erschienen in: The International Journal of Cardiovascular Imaging 1/2019

30.07.2018 | Original Paper

Long term evaluation of electromechanical delay in patients with atrial septal defect after transcatheter closure

verfasst von: Ahmet Öz, Emre Aruğaslan, Tufan Çınar, Muhammed Keskin, Mert Ilker Hayıroğlu, Şahin Avşar, Mehmet Baran Karataş, Berat Arıkan Aydın, Koray Demir, Barış Güngör, Osman Bolca

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 1/2019

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Abstract

Some studies have been showed that electromechanical delay, which may pose an increased tendency to atrial fibrillation, may prolong in patients with various clinical conditions. In addition, the electromechanical delay in patients with secundum type atrial septal defect (ASD) compared to healthy people have been reported previously. Therefore, in the present study, we prospectively evaluated the mid-term and long-term effects of the transcatheter closure of secundum type ASD on the lateral atrial conduction time (PA), septal PA, tricuspid PA, left and right intra-atrial electromechanical delay (ILeft-EMD and IRight-EMD, respectively) and inter-atrial electromechanical delay (IA-EMD) measured by means of Doppler echocardiography. Our prospective study included a total of 45 secundum type ASD patients who undergone percutaneous transcatheter closure from December 2012 to April 2015. All patients underwent transthoracic echocardiography (TTE) before the closure, at sixth and twelfth months after the closure. In comparison of the EMD sixth months after the device closure, there were statistically significant decrease in lateral PA, septal PA, tricuspid PA, ILeft-EMD, IRight-EMD and IA-EMD compared to pre-device closure values. Twelfth months after the device closure, we also observed statistically significant decrease in lateral PA, septal PA, tricuspid PA, ILeft-EMD, IRight-EMD and IA-EMD compared to 6-month post-device closure values. In the present study, we observed that the atrial EMD improves after device closure and continues to improve after twelfth month following post-device closure.
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Metadaten
Titel
Long term evaluation of electromechanical delay in patients with atrial septal defect after transcatheter closure
verfasst von
Ahmet Öz
Emre Aruğaslan
Tufan Çınar
Muhammed Keskin
Mert Ilker Hayıroğlu
Şahin Avşar
Mehmet Baran Karataş
Berat Arıkan Aydın
Koray Demir
Barış Güngör
Osman Bolca
Publikationsdatum
30.07.2018
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 1/2019
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-018-1426-x

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