Could premature ventricular contractions lead to atrial remodeling?

• DOI: 10.1111/echo.15485
• Publication Date: 2022-11-30T06:09:33Z
• Authors: Nursen Keles; Erkan Kahraman; Kemal Emrecan Par...; Murat Bastopcu; Mesut Karatas; Nizamettin Selcuk...
• Keywords: Premature atrial contraction; Lead (geology); Atrium (architecture)

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