Association between Morphodynamic Variables by Transesophageal Echocardiography and CHA2DS2-Vasc Values
Int. j. cardiovasc. sci. (Impr.)
; 32(5): 460-470, Sept-Oct. 2019. tab, graf, graf
Artigo
em Inglês
| LILACS, Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1040110
Biblioteca responsável:
BR44.1
Localização: BR44.1
ABSTRACT
In atrial fibrillation (AF), the CHA2DS2-VASc score calculates the risk for stroke. Di Biase classified the left atrial appendage (LAA), using magnetic resonance imaging, into 4 morphological types and correlated it with cerebrovascular events. Transesophageal echocardiography (TEE) also evaluates LAA and is a more widespread technique. Objective:
To evaluate, using TEE, the possibility of characterizing LAA and to analyze its morphological aspects using the CHA2DS2VASc score.Methodology:
A total of 247 patients were divided into three groups considering the CHA2DS2-VASc score Group 1 0 and 1; Group 2 2 and 3 and, Group 3 ≥ 4 points. TEE produced the echocardiographic data. LAA was classified into thrombogenic and non-thrombogenic morphologies. In the analysis of statistical tests, a significance level of 5% was adopted.Results:
The average age was 50 and 16.2% presented AF. In Group 1, we observed normal variables with a lower prevalence of AF (8.7%, p < 0.001). In group 2, spontaneous contrast was detected in 26.7%, (p < 0.001), thrombus in 6.7% (p = 0.079) and flow velocity in LAA < 0.4 m/s in 22.7% (p < 0.001) of the cases. Group 3 presented the highest percentages of AF (31.8%, p < 0.001), stroke/TIA (77.3%, p < 0.001), EF < 55% (18.2%, p = 0.010) and higher prevalence of thrombogenic type LAA (72.7%, p = 0.014). A higher occurrence of stroke/TIA was observed in patients with thrombogenic LAA (25.2%) compared to the non-thrombogenic group (11.2%), (p = 0.005).Conclusions:
The thrombogenic morphology of LAA identified in TEE presented a higher risk of stroke regardless of the CHA2DS2VASc score. Patients with higher scores had greater abnormalities in echocardiographic variables
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Brasil
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Hipertensão Arterial
/
Doença Cardiovascular
/
Doença Cerebrovascular
/
Doenças do Sistema Endócrino
/
Outras Doenças Circulatórias
Base de dados:
LILACS
/
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Assunto principal:
Fibrilação Atrial
/
Trombose
/
Ecocardiografia Transesofagiana
/
Acidente Vascular Cerebral
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Int. j. cardiovasc. sci. (Impr.)
Ano de publicação:
2019
Tipo de documento:
Artigo
Instituição/País de afiliação:
A+BR
/
Instituto Dante Pazzanese de Cardiologia/BR