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Long term evaluation of electromechanical delay in patients with atrial septal defect after transcatheter closure

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Abstract

Some studies have been showed that electromechanical delay, which may pose an increased tendency to atrial fibrillation, may prolong in patients with various clinical conditions. In addition, the electromechanical delay in patients with secundum type atrial septal defect (ASD) compared to healthy people have been reported previously. Therefore, in the present study, we prospectively evaluated the mid-term and long-term effects of the transcatheter closure of secundum type ASD on the lateral atrial conduction time (PA), septal PA, tricuspid PA, left and right intra-atrial electromechanical delay (ILeft-EMD and IRight-EMD, respectively) and inter-atrial electromechanical delay (IA-EMD) measured by means of Doppler echocardiography. Our prospective study included a total of 45 secundum type ASD patients who undergone percutaneous transcatheter closure from December 2012 to April 2015. All patients underwent transthoracic echocardiography (TTE) before the closure, at sixth and twelfth months after the closure. In comparison of the EMD sixth months after the device closure, there were statistically significant decrease in lateral PA, septal PA, tricuspid PA, ILeft-EMD, IRight-EMD and IA-EMD compared to pre-device closure values. Twelfth months after the device closure, we also observed statistically significant decrease in lateral PA, septal PA, tricuspid PA, ILeft-EMD, IRight-EMD and IA-EMD compared to 6-month post-device closure values. In the present study, we observed that the atrial EMD improves after device closure and continues to improve after twelfth month following post-device closure.

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Authors and Affiliations

  1. Department of Cardiology, Sultan Abdülhamid Han Training and Research Hospital, Health Sciences University, Tibbiye Street, Uskudar/Istanbul, Turkey

    Ahmet Öz, Tufan Çınar, Muhammed Keskin & Mert Ilker Hayıroğlu

  2. Department of Cardiology, Sivas Numune Hospital, Sivas, Turkey

    Emre Aruğaslan

  3. Department of Cardiology, Urla State Hospital, Izmir, Turkey

    Şahin Avşar

  4. Department of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Research and Training Hospital, Health Sciences University, Istanbul, Turkey

    Mehmet Baran Karataş, Barış Güngör & Osman Bolca

  5. Department of Cardiology, Sinop State Hospital, Sinop, Turkey

    Berat Arıkan Aydın

  6. Department of Cardiology, Muş State Hospital, Muş, Turkey

    Koray Demir

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  1. Ahmet Öz
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  2. Emre Aruğaslan
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Correspondence to Ahmet Öz.

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Öz, A., Aruğaslan, E., Çınar, T. et al. Long term evaluation of electromechanical delay in patients with atrial septal defect after transcatheter closure. Int J Cardiovasc Imaging 35, 33–39 (2019). https://doi.org/10.1007/s10554-018-1426-x

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  • DOI: https://doi.org/10.1007/s10554-018-1426-x

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