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Could Premature Ventricular Contractions Lead to Atrial Remodeling?
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  • Kemal Emrecan Parsova,
  • Nursen keles,
  • Erkan Kahraman,
  • Murat Bastopcu,
  • Mesut Karatas,
  • Nizamettin Selcuk Yelgec
Kemal Emrecan Parsova
Tokat Devlet Hastanesi
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Nursen keles
Istanbul Dr Siyami Ersek Gogus Kalp ve Damar Cerrahisi Egitim ve Arastirma Hastanesi
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Erkan Kahraman
Istanbul Dr Siyami Ersek Gogus Kalp ve Damar Cerrahisi Egitim ve Arastirma Hastanesi
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Murat Bastopcu
Istanbul Dr Siyami Ersek Gogus Kalp ve Damar Cerrahisi Egitim ve Arastirma Hastanesi
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Mesut Karatas
Kartal Kosuyolu Yuksek Ihtisas Egitim ve Arastirma Hastanesi
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Nizamettin Selcuk Yelgec
Istanbul Dr Siyami Ersek Gogus Kalp ve Damar Cerrahisi Egitim ve Arastirma Hastanesi
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Abstract

Background Premature ventricular contraction (PVC) is a frequent kind of arrhythmia that affects around %1 of the general population. While PVC most frequently impairs ventricular function in structurally normal heart, retrograde ventriculo-atrial conduction can occur in people with PVC. These retrograde atrial activations may mimic pulmonary vein-derived atrial ectopies. As a result, PVC may raise the risk of AF by retrograde ventriculo-atrial conduction. The Four-Dimensional Automated Left Atrial Quantification (4D Auto LAQ) tool is a left atrial analytical approach that utilizes three-dimensional volume data to quantify the volume, as well as LA longitudinal and circumferential strains. The purpose of this study was to determine if clinical diagnosis of PVC is connected with abnormal LA function as determined by LA strain evaluation utilizing a 4D Auto LAQ compared to the healthy population. Methods The 58 patients with frequent PVCs and 53 healthy volunteers as a control group were enrolled in the study. Imaging was performed using the GE Vivid E95 echocardiography equipment (GE Healthcare; Vingmed Ultrasound, Horten, Norway) equipped with an M5S probe (frequency range: 1.5–4.6 MHz) and a 4V probe (frequency range: 1.5–4.0 MHz). Images were imported into and were selected for analysis using the EchoPAC203 software (GE Healthcare). The analysis mode was selected, followed by the volume and 4D Auto LAQ submodes. Following that, the sample point was positioned in the center of the mitral orifice in each of the three planes. The review function was used to acquire the LA parameters measured by 4D Auto LAQ, including volume and strain parameters. Results The maximum left atrial volume (LAVmax) and minimal left atrial volume (LAVmin) were signifcantly higher in the patient group (38.91 ± 9.72 vs. 46.31 ± 10.22, 17.75 ± 4.52 vs. 23.10 ± 7.13 respectively, all p values <0,001). On the other hand left atrial reservoir longitudinal strain (LASr), conduit longitudinal strain (LAScd), contraction longitudinal strain (LASct), reservoir circumferential strain (LASr-c), conduit circumferential strain (LAScd-c), and contraction circumferential strain (LASct-c) were signifcantly lower in patient group (26.64 ± 5.64 vs.19.16 ± 4.58, -19.53 ± 3.72vs.-11.28 ± 3.47, -10.34 ± 1.56 vs.-4.59 ± 1.49, 30.72 ± 4.04 vs.19.31 ± 2.60, -19.91 ± 1.78 vs. -13.38 ± 2.85,-15.89 ± 6.37vs.-9.24 ± 1.63 , respectively, all p values <0,001). Conclusions The present study found that premature ventricular complexes can lead to atrial remodeling as well as ventricular remodeling in patients with PVC and 4D LAQ technology can quantitatively examine left atrial function and determine these alterations early.
01 Aug 2022Submitted to Echocardiography
03 Aug 2022Assigned to Editor
03 Aug 2022Submission Checks Completed
22 Aug 2022Reviewer(s) Assigned
02 Oct 2022Editorial Decision: Revise Minor
05 Oct 20221st Revision Received