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Background: Atrial fibrillation (AF) can be a risk factor for development of significant tricuspid regurgitation (TR). We investigated which clinical and echocardiographic parameters were related to severity of functional TR in patients with lone AF.

Methods: A total of 89 patients with lone AF were enrolled (75 ± 11 years; 48% male): 13 patients with severe TR, 36 patients with moderate TR, and 40 consecutive patients with less than mild TR. Clinical parameters and echocardiographic measurements including right ventricular (RV) remodeling and function were evaluated.

Results: Patients with more severe TR were older and had more frequently persistent AF (each p < 0.001). TR severity was related to right atrial area and tricuspid annular systolic diameter (all p < 0.001). The patients with moderate or severe TR had larger left atrial (LA) volume and increased systolic pulmonary artery pressure (SPAP) than the patients with mild TR (p = 0.04 for LA volume; p < 0.001 for SPAP). RV remodeling represented by enlarged RV area and increased tenting height was more prominent in severe TR than mild or moderate TR (all p < 0.001). Multivariate analysis showed type of AF, LA volume, tricuspid annular diameter and tenting height remained as a significant determinants of severe TR. In addition, tenting height was independently associated with the presence of severe TR (p = 0.04).

Conclusion: In patients with lone AF, TR was related to type of AF, LA volume, tricuspid annular diameter and RV remodeling. Especially, tricuspid valvular tethering seemed to be independently associated with development of severe functional TR.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Impaired Diastolic Recovery after Acute Myocardial Infarction as a Predictor of Adverse Events 윤현주, 김계훈, 김종윤, 조재영, 윤남식, 박형욱, 홍영준, 김주한, 안영근, 정명호, 조정관, 박종춘 pp.150-157

Normal Echocardiographic Measurements in a Korean Population Study. Part1, Cardiac Chamber and Great Artery Evaluation 최진오, 신미승, 김미정, 정해억, 박정랑, 손일석, 김형섭, 박성미, 유남진, 최정현, 김형관, 조구영, 이미래, 박진선, 심지영, 김대희, 신대희, 신길자, 신성희, 김계훈, 박재형, 이상엽, 김우식, 박승우 pp.158-172

Clinical and Echocardiographic Factors Affecting Tricuspid Regurgitation Severity in the Patients with Lone Atrial Fibrillation 박재형, 신성희, 이만종, 이명동, 심현익, 윤재웅, 오세환, 김대혁, 박상돈, 권성우, 우성일, 박금수, 권준 pp.136-142

A Rare Case of Iatrogenic Deep Neck Infection Secondary to Hypopharyngeal Injury Caused by the Transesophageal Echocardiography 김형윤, 이상철, 박성지, 최진오, 장성아, 김성목, 최연현, 오재건, 박승우 pp.181-185

Tricuspid Regurgitation, Isn't It Time to Look Around the Valve Rather Than the Valve Itself? 이승표 pp.134-135
Clinical Use of Doppler Echocardiography in Organic Mitral Regurgitation : From Diagnosis to Patients' Management Francesco Grigioni, Antonio Russo, Ferdinando Pasquale, Elena Biagini, Francesco Barberini, Marinella Ferlito, Ornella Leone, Claudio Rapezzi pp.121-133

Arrhythmogenic Noncompaction Cardiomyopathy : Is There an Echocardiographic Phenotypic Overlap of Two Distinct Cardiomyopathies? Dursun Aras, Ozcan Ozeke, Serkan Cay, Firat Ozcan, Kazım Baser, Umuttan Dogan, Murat Unlu, Burcu Demirkan, Omac Tufekcioglu, Serkan Topaloglu pp.186-190

Ventricular Septal Rupture in a Case Suspected as Stress Induced Cardiomyopathy 류효인, 박태호, 한지은, 김무현, 김영대 pp.173-176

Blooming Flower in Misty Left Atrium Shivashankara Tarikere Hemaraju, Amjad Ali, Manjunath Cholenahally Nanjappa pp.191-192

What Did Happen during the Device Closure of the Patent Foramen Ovale? 최시완, 박재형, 김제, 나명훈 pp.193-194

A Potential Echocardiographic Classification for Constrictive Pericarditis Based on Analysis of Abnormal Septal Motion Dilesh Jogia, Michael Liang, Zaw Lin, David S. Celemajer pp.143-149

Post-Operative Multiple Thrombosis Associated with Patent Foramen Ovale : Embolic Stroke, Right Atrial Thrombi, Pulmonary Embolism and Deep Vein Thrombosis 조선영, 윤호중, 박미연, 심병주, 이성재, 김정호, 박정구, 오창열, 안소현, 조우현 pp.177-180

참고문헌 (24건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Assessment of functional tricuspid regurgitation. 네이버 미소장
2 Impact of tricuspid regurgitation on long-term survival 네이버 미소장
3 Clinical context and mechanism of functional tricuspid regurgitation in patients with and without pulmonary hypertension. 네이버 미소장
4 Echocardiography-based spectrum of severe tricuspid regurgitation: the frequency of apparently idiopathic tricuspid regurgitation. 네이버 미소장
5 Determinants of functional tricuspid regurgitation in incomplete tricuspid valve closure: Doppler color flow study of 109 patients 네이버 미소장
6 Tricuspid regurgitation: clinical importance and its optimal surgical timing. 소장
7 Impact of Atrial Fibrillation on Tricuspid and Mitral Annular Dilatation and Valvular Regurgitation 네이버 미소장
8 Predictors for the development of severe tricuspid regurgitation with anatomically normal valve in patients with atrial fibrillation. 네이버 미소장
9 Severe tricuspid regurgitation in the aged: atrial remodeling associated with long-standing atrial fibrillation. 네이버 미소장
10 Atrial enlargement as a consequence of atrial fibrillation. A prospective echocardiographic study. 네이버 미소장
11 Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. 네이버 미소장
12 Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. 네이버 미소장
13 Echocardiographic insights into atrial and ventricular mechanisms of functional tricuspid regurgitation 네이버 미소장
14 Prevalence and clinical determinants of mitral, tricuspid, and aortic regurgitation (the Framingham Heart Study) 네이버 미소장
15 Clinical Outcome of Isolated Tricuspid Regurgitation 네이버 미소장
16 Determinants of the Severity of Functional Tricuspid Regurgitation 네이버 미소장
17 Right Ventricular Remodeling and Dysfunction With Subsequent Annular Dilatation and Tethering as a Mechanism of Isolated Tricuspid Regurgitation 네이버 미소장
18 Geometric Determinants of Functional Tricuspid Regurgitation: Insights From 3-Dimensional Echocardiography 네이버 미소장
19 Correlates of tricuspid regurgitation as determined by 3D echocardiography: pulmonary arterial pressure, ventricle geometry, annular dilatation, and papillary muscle displacement. 네이버 미소장
20 The Pathogenesis of Functional Tricuspid Regurgitation 네이버 미소장
21 Tricuspid Valve Tethering Predicts Residual Tricuspid Regurgitation After Tricuspid Annuloplasty 네이버 미소장
22 Mechanisms for development of functional tricuspid regurgitation determined by pulsed Doppler and two-dimensional echocardiography 네이버 미소장
23 Recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and Doppler echocardiography. 네이버 미소장
24 European Association of Echocardiography recommendations for assessment of valvular regurgitation: a correction 네이버 미소장

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