Cited by 739Atrial Fibrillation Management and OutcomesCardiovascular Function and Risk FactorsCardiac Arrhythmias and Treatments

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Atrial enlargement as a consequence of atrial fibrillation. A prospective echocardiographic study.

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Sanfilippo, A J, Abascal, V M, Sheehan, M, Oertel, L B, Harrigan, P, Hughes, R A, Weyman, A E·1990·Circulation

DOI 10.1161/01.cir.82.3.792

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Abstract

To test the hypothesis that atrial enlargement can develop as a consequence of atrial fibrillation, left and right atrial dimensions were measured echocardiographically at two different time points in patients with atrial fibrillation. Patients were selected who initially had normal atrial sizes and who had no evidence of significant structural or functional cardiac abnormalities other than atrial fibrillation either by history or two-dimensional and Doppler echocardiography. Fifteen patients were studied (12 men and three women; mean age, 67.3 years). Average time between studies was 20.6 months. Three orthogonal left atrial dimensions and two right atrial dimensions were measured, and all were found to increase significantly between studies. Also, highly significant increases in calculated left atrial volume (from 45.2 to 64.1 cm3, p less than 0.001) and right atrial volume (from 49.2 to 66.2 cm3, p less than 0.001) were observed. The relative extents of left and right atrial volume increase did not differ, and left ventricular size did not change significantly between studies. These results indicate that atrial enlargement can occur as a consequence of atrial fibrillation. The maintenance of sinus rhythm, therefore, may prevent atrial enlargement and its adverse clinical effects.

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Background
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“Anticoagulant use, n (%) 63 (2) 41 (38) 13 (4) 76 (72) <0.”
Influential
Left atrial asynchrony is a major predictor of 1-year recurrence of atrial fibrillation after electrical cardioversion
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“Previous studies have failed to demonstrate an association between baseline and follow-up LA size, and arrhythmia onset and paroxysmal episodes, supporting the hypothesis that LA enlargement occurs only if AF becomes chronic (14,15).”
Result
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“Despite the contribution of LA enlargement to the occurrence and progression of AF, the assessment of LA volume (LAV)—the most robust marker of LA size— is not recommended for routine use in risk evaluation, because its predictive value seems lower than expected.(14,15) LA functional evaluation might improve the ident…”
Background
A simplified method for the determination of left atrial size and function using cine magnetic resonance imaging
Järvinen, V. M., Kupari, M. M., Poutanen, V.-P., et al. (1996) · Magnetic Resonance Imaging · doi:10.1016/0730-725x(95)02098-e · Cited by 33
Effect of Race on the Frequency of Postoperative Atrial Fibrillation Following Coronary Artery Bypass Grafting
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Mitral regurgitation recovery and atrial reverse remodeling following pulmonary vein isolation procedure in patients with atrial fibrillation: a clinical observation proof-of-concept cardiac MRI study
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“Moreover, the presence of left atrial dilation, abnormalities in diastolic filling, and the existence of a blind ended passage (appendage) in the left atrium, contribute to increased risk of thrombus formation and thromboembolic events during AF [97,98].”
Background

Authors: Sanfilippo, A. J., Abascal, V. M., Sheehan, M., Oertel, L. B., Harrigan, P., Hughes, R. A., & Weyman, A. E.
Affiliations: Harvard University (US)
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1990-09
Volume: 82
Issue: 3
Pages: 792-797
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/01.cir.82.3.792
OpenAlex: W2102450596
Cited by: 739
References: 0
Citations by year: 2026: 11 · 2025: 17 · 2024: 28 · 2023: 21 · 2022: 23 · 2021: 16 · 2020: 32 · 2019: 17 · 2018: 21 · 2017: 27 · 2016: 28 · 2015: 22 · 2014: 28 · 2013: 24 · 2012: 30
FWCI: 7.96
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Keywords: atrial fibrillation, atrial enlargement, left atrial volume, right atrial volume, left atrial diameter, left ventricular dimensions, sinus rhythm maintenance, atrial remodeling
MeSH terms: Aged, Atrial Fibrillation, Echocardiography, Female, Heart Atria, Cardiomegaly, Heart Ventricles, Humans, Male, Middle Aged, Mitral Valve Insufficiency, Myocardium, Prospective Studies, Observer Variation

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Atrial enlargement as a consequence of atrial fibrillation. A prospective echocardiographic study.

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