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Heart and Vessels

22-09-2023 | Echocardiography | Original Article

Postoperative evaluation of left atrial stiffness in patients with congenital heart diseases

Authors: Hideharu Oka, Kouichi Nakau, Yuki Shibagaki, Keita Ito, Yuki Sasaki, Rina Imanishi, Sorachi Shimada, Satoru Takahashi

Published in: Heart and Vessels

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Abstract

Left atrial (LA) stiffness is one of the most important factors involved in LA remodeling. LA stiffness has rarely been studied postoperatively in patients with congenital heart diseases (CHDs). This study aimed to evaluate LA stiffness in CHD patients postoperatively. Seventy-five patients (CHDs, 67; controls, 8; age range, 10–41 years) who underwent cardiac catheterization at our institution were included in this study. From the pulmonary artery wedge pressure waveform obtained during cardiac catheterization, the pressure range between the v wave and x trough was determined, and this value was divided by the LA reservoir strain obtained by echocardiography to calculate LA stiffness, as previously reported. LA stiffness was significantly higher in postoperative CHD patients than in controls (0.28 ± 0.17 vs. 0.13 ± 0.03, p = 0.001). Nineteen of 52 (37%) patients in their teens, 8 of 11 (73%) patients in their 20 s, and 1 of 4 (25%) patients aged > 30 years had elevated LA stiffness values. In particular, all patients with an LA reservoir strain < 20% had elevated LA stiffness. In postoperative CHD patients, LA stiffness was frequently elevated from a young age. CHD patients with elevated LA stiffness should be cautious of possible LA dysfunction in the future.
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Metadata
Title
Postoperative evaluation of left atrial stiffness in patients with congenital heart diseases
Authors
Hideharu Oka
Kouichi Nakau
Yuki Shibagaki
Keita Ito
Yuki Sasaki
Rina Imanishi
Sorachi Shimada
Satoru Takahashi
Publication date
22-09-2023
Publisher
Springer Japan
Published in
Heart and Vessels
Print ISSN: 0910-8327
Electronic ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-023-02313-1
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