Predictors for reduced flow velocity in left atrial appendage during sinus rhythm in patients with atrial fibrillation

Discontinuation of anticoagulation therapy after catheter ablation (CA) for atrial fibrillation (AF) remains controversial. While decreased left atrial appendage flow velocity (LAAFV) during AF leads to left atrial appendage thrombus and embolic events, some AF patients show decreased LAAFV even dur...

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Veröffentlicht in:Heart and vessels 2021-03, Vol.36 (3), p.393-400
Hauptverfasser: Fukuhara, Eiji, Mine, Takanao, Kishima, Hideyuki, Ishihara, Masaharu
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Sprache:eng
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Zusammenfassung:Discontinuation of anticoagulation therapy after catheter ablation (CA) for atrial fibrillation (AF) remains controversial. While decreased left atrial appendage flow velocity (LAAFV) during AF leads to left atrial appendage thrombus and embolic events, some AF patients show decreased LAAFV even during sinus rhythm (SR). We studied 392 patients (256 males, 68 ± 10 years) who exhibited SR during transesophageal echocardiography (TEE) before CA for AF. Clinical factors, transthoracic echocardiography, and blood samples were obtained before TEE. Reduced LAAFV was defined as 
ISSN:0910-8327
1615-2573
DOI:10.1007/s00380-020-01702-0