Atrial Remodeling and Atrial Tachyarrhythmias in Arrhythmogenic Right Ventricular Cardiomyopathy
Abstract Less is known about atrial remodeling and atrial tachyarrhythmias (ATa) in arrhythmogenic right ventricular cardiomyopathy (ARVC), this cross-sectional study aimed to determine the prevalence, characterization and predictors of atrial remodeling and ATa in a large series of patients with AR...
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| Veröffentlicht in: | The American journal of cardiology 2016-09, Vol.118 (5), p.750-753 |
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| creator | Wu, Lingmin, MD, PhD Guo, Jinrui, MD Zheng, Lihui, MD, PhD Chen, Gang, MD Ding, Ligang, MD, PhD Qiao, Yu, MD Sun, Wei, MD Yao, Yan, MD, PhD Zhang, Shu, MD, PhD |
| description | Abstract Less is known about atrial remodeling and atrial tachyarrhythmias (ATa) in arrhythmogenic right ventricular cardiomyopathy (ARVC), this cross-sectional study aimed to determine the prevalence, characterization and predictors of atrial remodeling and ATa in a large series of patients with ARVC. From February 2004 to September 2014, 294 consecutive patients who met the task force criteria for ARVC were enrolled. The prevalence, characterization and predictors of atrial dilation and ATa were investigated. Right atrium (RA) dilation was identified in 160 (54.4%) patients, and left atrium (LA) dilation in 66 (22.4%) patients. Both RA and LA dilation were found in 44 (15.0%) patients. Twenty-five (8.5%) patients had atrial fibrillation (AF), while 19 (6.5%) patients had atrial flutter (AFL). Among which, 7 (2.4%) patients had both AF and AFL. Multivariate analysis showed that AFL (OR: 10.309; 95% CI: 2.770 to 38.462; p < 0.001), Hypertension (OR: 9.174; 95% CI: 2.364 to 35.714; p = 0.001) and RA dilation (OR: 6.993; 95% CI: 1.623 to 30.303; p = 0.009) were associated with increased risk for AF. AF (OR: 10.526; 95% CI: 2.786 to 40.000; p = 0.001) increased the risk of AFL. In conclusion, atrial remodeling and ATa were common in patients with ARVC. |
| doi_str_mv | 10.1016/j.amjcard.2016.06.003 |
| format | Article |
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From February 2004 to September 2014, 294 consecutive patients who met the task force criteria for ARVC were enrolled. The prevalence, characterization and predictors of atrial dilation and ATa were investigated. Right atrium (RA) dilation was identified in 160 (54.4%) patients, and left atrium (LA) dilation in 66 (22.4%) patients. Both RA and LA dilation were found in 44 (15.0%) patients. Twenty-five (8.5%) patients had atrial fibrillation (AF), while 19 (6.5%) patients had atrial flutter (AFL). Among which, 7 (2.4%) patients had both AF and AFL. Multivariate analysis showed that AFL (OR: 10.309; 95% CI: 2.770 to 38.462; p < 0.001), Hypertension (OR: 9.174; 95% CI: 2.364 to 35.714; p = 0.001) and RA dilation (OR: 6.993; 95% CI: 1.623 to 30.303; p = 0.009) were associated with increased risk for AF. AF (OR: 10.526; 95% CI: 2.786 to 40.000; p = 0.001) increased the risk of AFL. In conclusion, atrial remodeling and ATa were common in patients with ARVC.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2016.06.003</identifier><identifier>PMID: 27378141</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age ; Arrhythmogenic Right Ventricular Dysplasia - diagnosis ; Arrhythmogenic Right Ventricular Dysplasia - epidemiology ; Atrial Remodeling ; Body Mass Index ; Cardiac arrhythmia ; Cardiomyopathy ; Cardiovascular ; China - epidemiology ; Confidence intervals ; Cross-Sectional Studies ; Diabetes ; Echocardiography - methods ; Electrocardiography ; Female ; Humans ; Hypertension ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Multivariate analysis ; NMR ; Nuclear magnetic resonance ; Prevalence ; Tachycardia - diagnosis ; Tachycardia - epidemiology ; Task forces ; Thromboembolism</subject><ispartof>The American journal of cardiology, 2016-09, Vol.118 (5), p.750-753</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Sep 1, 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c547t-77d1f4855a86cef7aee77a9aa089b1b6deed31501b6350c3770a51806b30d6c93</citedby><cites>FETCH-LOGICAL-c547t-77d1f4855a86cef7aee77a9aa089b1b6deed31501b6350c3770a51806b30d6c93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1814188506?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27378141$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Lingmin, MD, PhD</creatorcontrib><creatorcontrib>Guo, Jinrui, MD</creatorcontrib><creatorcontrib>Zheng, Lihui, MD, PhD</creatorcontrib><creatorcontrib>Chen, Gang, MD</creatorcontrib><creatorcontrib>Ding, Ligang, MD, PhD</creatorcontrib><creatorcontrib>Qiao, Yu, MD</creatorcontrib><creatorcontrib>Sun, Wei, MD</creatorcontrib><creatorcontrib>Yao, Yan, MD, PhD</creatorcontrib><creatorcontrib>Zhang, Shu, MD, PhD</creatorcontrib><title>Atrial Remodeling and Atrial Tachyarrhythmias in Arrhythmogenic Right Ventricular Cardiomyopathy</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Abstract Less is known about atrial remodeling and atrial tachyarrhythmias (ATa) in arrhythmogenic right ventricular cardiomyopathy (ARVC), this cross-sectional study aimed to determine the prevalence, characterization and predictors of atrial remodeling and ATa in a large series of patients with ARVC. From February 2004 to September 2014, 294 consecutive patients who met the task force criteria for ARVC were enrolled. The prevalence, characterization and predictors of atrial dilation and ATa were investigated. Right atrium (RA) dilation was identified in 160 (54.4%) patients, and left atrium (LA) dilation in 66 (22.4%) patients. Both RA and LA dilation were found in 44 (15.0%) patients. Twenty-five (8.5%) patients had atrial fibrillation (AF), while 19 (6.5%) patients had atrial flutter (AFL). Among which, 7 (2.4%) patients had both AF and AFL. Multivariate analysis showed that AFL (OR: 10.309; 95% CI: 2.770 to 38.462; p < 0.001), Hypertension (OR: 9.174; 95% CI: 2.364 to 35.714; p = 0.001) and RA dilation (OR: 6.993; 95% CI: 1.623 to 30.303; p = 0.009) were associated with increased risk for AF. AF (OR: 10.526; 95% CI: 2.786 to 40.000; p = 0.001) increased the risk of AFL. In conclusion, atrial remodeling and ATa were common in patients with ARVC.</description><subject>Adult</subject><subject>Age</subject><subject>Arrhythmogenic Right Ventricular Dysplasia - diagnosis</subject><subject>Arrhythmogenic Right Ventricular Dysplasia - epidemiology</subject><subject>Atrial Remodeling</subject><subject>Body Mass Index</subject><subject>Cardiac arrhythmia</subject><subject>Cardiomyopathy</subject><subject>Cardiovascular</subject><subject>China - epidemiology</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Echocardiography - methods</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Prevalence</subject><subject>Tachycardia - 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diagnosis</topic><topic>Arrhythmogenic Right Ventricular Dysplasia - epidemiology</topic><topic>Atrial Remodeling</topic><topic>Body Mass Index</topic><topic>Cardiac arrhythmia</topic><topic>Cardiomyopathy</topic><topic>Cardiovascular</topic><topic>China - epidemiology</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Echocardiography - methods</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Prevalence</topic><topic>Tachycardia - diagnosis</topic><topic>Tachycardia - epidemiology</topic><topic>Task forces</topic><topic>Thromboembolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Lingmin, MD, PhD</creatorcontrib><creatorcontrib>Guo, Jinrui, MD</creatorcontrib><creatorcontrib>Zheng, Lihui, MD, PhD</creatorcontrib><creatorcontrib>Chen, Gang, MD</creatorcontrib><creatorcontrib>Ding, Ligang, MD, PhD</creatorcontrib><creatorcontrib>Qiao, Yu, MD</creatorcontrib><creatorcontrib>Sun, Wei, MD</creatorcontrib><creatorcontrib>Yao, Yan, MD, PhD</creatorcontrib><creatorcontrib>Zhang, Shu, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biochemistry Abstracts 1</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Lingmin, MD, PhD</au><au>Guo, Jinrui, MD</au><au>Zheng, Lihui, MD, PhD</au><au>Chen, Gang, MD</au><au>Ding, Ligang, MD, PhD</au><au>Qiao, Yu, MD</au><au>Sun, Wei, MD</au><au>Yao, Yan, MD, PhD</au><au>Zhang, Shu, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atrial Remodeling and Atrial Tachyarrhythmias in Arrhythmogenic Right Ventricular Cardiomyopathy</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>118</volume><issue>5</issue><spage>750</spage><epage>753</epage><pages>750-753</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Abstract Less is known about atrial remodeling and atrial tachyarrhythmias (ATa) in arrhythmogenic right ventricular cardiomyopathy (ARVC), this cross-sectional study aimed to determine the prevalence, characterization and predictors of atrial remodeling and ATa in a large series of patients with ARVC. From February 2004 to September 2014, 294 consecutive patients who met the task force criteria for ARVC were enrolled. The prevalence, characterization and predictors of atrial dilation and ATa were investigated. Right atrium (RA) dilation was identified in 160 (54.4%) patients, and left atrium (LA) dilation in 66 (22.4%) patients. Both RA and LA dilation were found in 44 (15.0%) patients. Twenty-five (8.5%) patients had atrial fibrillation (AF), while 19 (6.5%) patients had atrial flutter (AFL). Among which, 7 (2.4%) patients had both AF and AFL. Multivariate analysis showed that AFL (OR: 10.309; 95% CI: 2.770 to 38.462; p < 0.001), Hypertension (OR: 9.174; 95% CI: 2.364 to 35.714; p = 0.001) and RA dilation (OR: 6.993; 95% CI: 1.623 to 30.303; p = 0.009) were associated with increased risk for AF. AF (OR: 10.526; 95% CI: 2.786 to 40.000; p = 0.001) increased the risk of AFL. In conclusion, atrial remodeling and ATa were common in patients with ARVC.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27378141</pmid><doi>10.1016/j.amjcard.2016.06.003</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Age Arrhythmogenic Right Ventricular Dysplasia - diagnosis Arrhythmogenic Right Ventricular Dysplasia - epidemiology Atrial Remodeling Body Mass Index Cardiac arrhythmia Cardiomyopathy Cardiovascular China - epidemiology Confidence intervals Cross-Sectional Studies Diabetes Echocardiography - methods Electrocardiography Female Humans Hypertension Magnetic Resonance Imaging Male Middle Aged Multivariate analysis NMR Nuclear magnetic resonance Prevalence Tachycardia - diagnosis Tachycardia - epidemiology Task forces Thromboembolism |
| title | Atrial Remodeling and Atrial Tachyarrhythmias in Arrhythmogenic Right Ventricular Cardiomyopathy |
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