Frequency and Associated Clinical Features of Functional Tricuspid Regurgitation in Patients with Chronic Atrial Fibrillation

Abstract Significant functional tricuspid regurgitation (TR) can develop in some but not all patients with chronic atrial fibrillation (AF). This study sought to identify factors likely to be involved in determining the severity of TR in patients with chronic AF. In this retrospective cohort study o...

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Veröffentlicht in:	The American journal of cardiology 2017-05, Vol.119 (9), p.1371-1377
Hauptverfasser:	Zhao, Susan X., MD, Soltanzad, Nima, MD, Swaminathan, Aravind, MD, Ogden, W. David, MD, Schiller, Nelson B., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Age Age Factors Aged Aged, 80 and over Anatomy Atrial Fibrillation - diagnostic imaging Atrial Fibrillation - epidemiology Atrium Blood Pressure Body mass Body mass index Body size Cardiac arrhythmia Cardiomyopathy Cardiovascular Cardiovascular disease Cardiovascular diseases Chronic Disease Cohort Studies Collagen Color Congestive heart failure Convergence Coronary artery disease Data processing Diabetes mellitus Doppler effect Drugs Echocardiography Echocardiography, Doppler Echocardiography, Doppler, Color Electrocardiography Evaluation Female Fibrillation Gender Health care Heart diseases Humans Hypertension Immunoglobulin A Logistic Models Lung diseases Male Mercury Middle Aged Older people Parameter identification Regression models Respiration Retrospective Studies Risk Factors Sex Factors Statistical analysis Systolic pressure Tethering Transient ischemic attack Tricuspid Valve Insufficiency - diagnostic imaging Tricuspid Valve Insufficiency - epidemiology Ultrasonic imaging Ultrasound Valleys Variability Ventricle
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Zusammenfassung:	Abstract Significant functional tricuspid regurgitation (TR) can develop in some but not all patients with chronic atrial fibrillation (AF). This study sought to identify factors likely to be involved in determining the severity of TR in patients with chronic AF. In this retrospective cohort study of adult patients referred for transthoracic echocardiogram (TTE) for evaluation of AF between 2004 and 2015, we identified 170 patients with chronic AF in the absence of structural or known coronary heart disease. Patients were classified into non-severe (89 patients) vs severe TR (81 patients) groups based on a comprehensive assessment of color Doppler, spectral Doppler as well as morphological parameters of the tricuspid valve and right side of the heart. Severe TR patients were significantly older (76±10 vs 70±11, p
ISSN:	0002-9149 1879-1913
DOI:	10.1016/j.amjcard.2017.01.037