[Studies on atrial arrhythmias in atrial septal defect. The influences of aging on atrial fibrillation]
Open accessAbstract
Clinical characteristics of aging in congenital atrial septal defect (ASD) without significant right-to-left shunt (> 10%), were examined especially focusing on atrial arrhythmias such as atrial fibrillation (Af) and atrial premature contraction (PAC) in serial 48 patients, aged 42.6 +/- 2.3, ranging 16-67 years, Af was found in 12 (25%) out of 48 patients. Comparing patients with Af and those without Af, the average age (52.8 +/- 2.6 vs 38.6 +/- 2.8 years, p < 0.05), functional class of New York Heart Association (2.0 +/- 0.2 vs 1.6 +/- 0.1, p < 0.05) and left atrial dimension (41.4 +/- 1.1 vs 34.7 +/- 1.2 mm, p < 0.01) were significantly higher in the patients with Af than those without Af. Hemodynamic variables, i.e., mean right or left atrial pressure, Pp/Ps, Qp/Qs, left-to-right shunt, electrocardiographic R/S ratio in the lead V1 and tricuspid regurgitation had no relation either with aging or Af. Furthermore, daily PAC counts on Holter electrocardiograms significantly correlated with the age of the patients (r = 0.642, p < 0.05). These results suggest that the incidence of Af in congenital ASD is significantly related with aging/duration of ASD, but not with hemodynamic variables.
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Atrial flutter and fibrillation occur in 14-22% of adults with unoperated atrial septal defects, especially in older patients, and can lead to heart failure.
“Atrial flutter and fibrillation occur in 14-22% of adults with unoperated atrial septal defects, especially in older patients, 971 and can lead to heart failure. 972”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [971]
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2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P. F., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castellà, M., Diener, H., Heidbüchel, H., Hendriks, J., et al. (2016) · EP Europace · doi:10.1093/europace/euw295 · Cited by 6,438 · see citing works
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw210 · Cited by 6,418 · see citing works
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezw313 · Cited by 1,403 · see citing works
2020 Clinical guidelines for Atrial fibrillation and atrial flutter
Arakelyan, M. S., Bockeria, L. A., Vasilieva, E., Sp, G., Golukhova, E. Z., Gorev, M. V., Davtyan, K. V., Drapkina, O. M., Станиславовна, К. Е., Kuchinskaya, Е. А., et al. (2021) · Russian Journal of Cardiology · doi:10.15829/1560-4071-2021-4594 · Cited by 255 · see citing works
Left-to-right cardiac shunt: perioperative anesthetic considerations.
Kaye, A. D., Stout, T. B., Padnos, I. W., et al. (2012) · PubMed · Cited by 13 · see citing works
Sunumu, O., Akdağ, S., Ali, H., et al. (2011)
Pregnancy with both secundum type atrial septal defect and pulmonary hypertension
Şahin, M., Akdağ, S., Gümrükçüoğlu, H. A., et al. (2011) · Journal of Clinical and Experimental Investigations · doi:10.5799/ahinjs.01.2011.04.0094
- Authors
- Nagao, K., Tsuchihashi, K., Tanaka, S., & Iimura, O.
- Affiliations
- Sapporo Medical University (JP)
- Venue
- Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics
- Publisher
- The Japan Geriatrics Society
- Published
- 1995
- Volume
- 32
- Issue
- 1
- Pages
- 27-32
- ISSN
- 0300-9173 (ISSN-L)
- OpenAlex
- W2335350073
- Cited by
- 7
- References
- 0
- Citations by year
- 2021: 1 · 2016: 3 · 2012: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- ja
- Open access
- diamond
- doi.org
- Locations
- Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cardiovascular and Diving-Related Complications
- Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Keywords
- atrial septal defect, atrial fibrillation, atrial arrhythmias, premature atrial contractions, aging, congenital heart disease, left atrial diameter, NYHA functional class, Holter monitoring, right-to-left shunt, tricuspid regurgitation
- MeSH terms
- Adolescent, Adult, Aged, Aging, Atrial Fibrillation, Female, Heart Septal Defects, Atrial, Hemodynamics, Humans, Male, Middle Aged
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