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Circulation. 1990;82:792-797

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Circulation, Vol 82, 792-797, Copyright © 1990 by American Heart Association


ARTICLES

Atrial enlargement as a consequence of atrial fibrillation. A prospective echocardiographic study

AJ Sanfilippo, VM Abascal, M Sheehan, LB Oertel, P Harrigan, RA Hughes and AE Weyman
Cardiac Unit, Massachusetts General Hospital, Harvard Medical School, Boston.

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.


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Eur. J. Cardiothorac. Surg., September 1, 1999; 16(3): 306 - 311.
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Eur. J. Cardiothorac. Surg.Home page
P.R. Vogt, H.P. Brunner-LaRocca, M. Rist, G. Zund, M. Genoni, M. Lachat, U. Niederhauser, and M.I. Turina
Preoperative predictors of recurrent atrial fibrillation late after successful mitral valve reconstruction
Eur. J. Cardiothorac. Surg., June 1, 1999; 13(6): 619 - 624.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
S. Nattel
Atrial electrophysiological remodeling caused by rapid atrial activation: underlying mechanisms and clinical relevance to atrial fibrillation
Cardiovasc Res, May 1, 1999; 42(2): 298 - 308.
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Ann. Thorac. Surg.Home page
R. A.K. Kalil, C. B. Maratia, A. D'Avila, and F. B. Ludwig
Predictive factors for persistence of atrial fibrillation after mitral valve operation
Ann. Thorac. Surg., March 1, 1999; 67(3): 614 - 617.
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CirculationHome page
D. I. Silverman and W. J. Manning
Role of Echocardiography in Patients Undergoing Elective Cardioversion of Atrial Fibrillation
Circulation, August 4, 1998; 98(5): 479 - 486.
[Abstract] [Full Text] [PDF]


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ANGIOLOGYHome page
G. Galanti, G. Bertini, G. Olivo, G. F. Gensini, and C. Rostagno
Doppler Echocardiography in Suspected Lone Atrial Fibrillation
Angiology, August 1, 1998; 49(8): 637 - 640.
[Abstract] [PDF]


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J Am Coll CardiolHome page
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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CirculationHome page
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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CirculationHome page
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. Thorac. Cardiovasc. Surg.Home page
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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CirculationHome page
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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CirculationHome page
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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CirculationHome page
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.
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CirculationHome page
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.
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ANGIOLOGYHome page
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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J. Thorac. Cardiovasc. Surg.Home page
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.
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CirculationHome page
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]