Al-Shimaa Mohamed Sabry
Egypt
Research Article
The Correlation between Left Atrial Deformation Indices and the CHA2DS2 - VASc Risk Score in Patients with Atrial Fibrillation
Author(s): Al-Shimaa Mohamed Sabry, Hisham Mohamed Abo El Enin, Mohamed Ahmed Hamoda, Shimaa Ahmed Mostafa and Sherin Mostafa AhmedAl-Shimaa Mohamed Sabry, Hisham Mohamed Abo El Enin, Mohamed Ahmed Hamoda, Shimaa Ahmed Mostafa and Sherin Mostafa Ahmed
Objectives: To assess the relation between left atrial systolic strain and CHA2DS2 -VASc score in patients with non valvular atrial fibrillation and to assess whether it can be used in guiding the decision for oral anticoagulation.
Methods: The study included 100 patients with non- valvular persistent AF (group I) compared to 100 individuals with sinus rhythm of matching age and gender (group II). Standard two-dimensional echocardiography, PW Doppler and TDI derived velocity and strains were used to assess LA function then its correlation with CHA2DS2-VASc score in group I was evaluated.
Results: The prevalence of DM (P<0.001), HTN (P=0.001), prior stroke (P<0.001), heart failure (P < 0.001) and peripheral vascular disease (P < 0.001) was increased in patients in group I. Group I showed significant incr.. View More»