Atrio-ventricular kinetics in patients with coronary heart disease and atrial fibrillation

Aim. To investigate myocardial kinetics in atrio-ventricular junction (AVJ) area among patients with persistent atrial fibrillation (PAF).Material and methods. The main group included 34 patients with PAF, the comparison group - 20 patients with coronary heart disease (CHD) without myocardial infarc...

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Main Authors: N. S. Volkova, L. I. Kuznetsova, E. V. Parkhonyuk, Yu. G. Shwarts
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2008-06-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/1384
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author N. S. Volkova
L. I. Kuznetsova
E. V. Parkhonyuk
Yu. G. Shwarts
author_facet N. S. Volkova
L. I. Kuznetsova
E. V. Parkhonyuk
Yu. G. Shwarts
author_sort N. S. Volkova
collection DOAJ
description Aim. To investigate myocardial kinetics in atrio-ventricular junction (AVJ) area among patients with persistent atrial fibrillation (PAF).Material and methods. The main group included 34 patients with PAF, the comparison group - 20 patients with coronary heart disease (CHD) without myocardial infarction or arrhythmias in anamnesis, the control group -20 healthy people. General clinical examination and Doppler tissue imaging (DTI) echocardiography were performed. The difference in velocity of lower interatrial septum segment and upper interventricular septum segment (asynchronism) along longitudinal cardial axis in various cardiac cycle phases was studied. Univariate dispersion and non-parametric correlation methods were used for statistical analysis.Results. Asynchronism severity was weakly related to standard parameters of systolic and diastolic myocardial function. In CHD patients, regardless of arrhythmia type, asynchronism was significantly less manifested during ventricular isovolumic relaxation (+ and - waves) and passive filling periods, comparing to healthy individuals. Similar tendencies were observed for other cardiac cycle phases. In patients with CHD and PAF, asynchronism was even less manifested, observed mainly in pre-ejection and ejection periods.Conclusion. The results obtained reflected morphologically verified fibrosis, typical for PAF, and demonstrated satisfactory diagnostic potential of DTI method.
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institution Kabale University
issn 1728-8800
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language Russian
publishDate 2008-06-01
publisher «SILICEA-POLIGRAF» LLC
record_format Article
series Кардиоваскулярная терапия и профилактика
spelling doaj-art-4a852ca5ad9b45c9beacbbe14063d8e92025-08-20T03:57:09Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252008-06-017346501094Atrio-ventricular kinetics in patients with coronary heart disease and atrial fibrillationN. S. Volkova0L. I. Kuznetsova1E. V. Parkhonyuk2Yu. G. Shwarts3Saratov State Medical University. SaratovSaratov State Medical University. SaratovSaratov State Medical University. SaratovSaratov State Medical University. SaratovAim. To investigate myocardial kinetics in atrio-ventricular junction (AVJ) area among patients with persistent atrial fibrillation (PAF).Material and methods. The main group included 34 patients with PAF, the comparison group - 20 patients with coronary heart disease (CHD) without myocardial infarction or arrhythmias in anamnesis, the control group -20 healthy people. General clinical examination and Doppler tissue imaging (DTI) echocardiography were performed. The difference in velocity of lower interatrial septum segment and upper interventricular septum segment (asynchronism) along longitudinal cardial axis in various cardiac cycle phases was studied. Univariate dispersion and non-parametric correlation methods were used for statistical analysis.Results. Asynchronism severity was weakly related to standard parameters of systolic and diastolic myocardial function. In CHD patients, regardless of arrhythmia type, asynchronism was significantly less manifested during ventricular isovolumic relaxation (+ and - waves) and passive filling periods, comparing to healthy individuals. Similar tendencies were observed for other cardiac cycle phases. In patients with CHD and PAF, asynchronism was even less manifested, observed mainly in pre-ejection and ejection periods.Conclusion. The results obtained reflected morphologically verified fibrosis, typical for PAF, and demonstrated satisfactory diagnostic potential of DTI method.https://cardiovascular.elpub.ru/jour/article/view/1384coronary heart diseaseatrial fibrillationdoppler tissue imaginginterventricular septuminteratrial septum
spellingShingle N. S. Volkova
L. I. Kuznetsova
E. V. Parkhonyuk
Yu. G. Shwarts
Atrio-ventricular kinetics in patients with coronary heart disease and atrial fibrillation
Кардиоваскулярная терапия и профилактика
coronary heart disease
atrial fibrillation
doppler tissue imaging
interventricular septum
interatrial septum
title Atrio-ventricular kinetics in patients with coronary heart disease and atrial fibrillation
title_full Atrio-ventricular kinetics in patients with coronary heart disease and atrial fibrillation
title_fullStr Atrio-ventricular kinetics in patients with coronary heart disease and atrial fibrillation
title_full_unstemmed Atrio-ventricular kinetics in patients with coronary heart disease and atrial fibrillation
title_short Atrio-ventricular kinetics in patients with coronary heart disease and atrial fibrillation
title_sort atrio ventricular kinetics in patients with coronary heart disease and atrial fibrillation
topic coronary heart disease
atrial fibrillation
doppler tissue imaging
interventricular septum
interatrial septum
url https://cardiovascular.elpub.ru/jour/article/view/1384
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AT likuznetsova atrioventricularkineticsinpatientswithcoronaryheartdiseaseandatrialfibrillation
AT evparkhonyuk atrioventricularkineticsinpatientswithcoronaryheartdiseaseandatrialfibrillation
AT yugshwarts atrioventricularkineticsinpatientswithcoronaryheartdiseaseandatrialfibrillation