Journal of Electrocardiology
Volume 43, Issue 4 , Pages 344-350 , July 2010

Assessment of atrial electromechanical delay by tissue Doppler echocardiography in patients with nonischemic dilated cardiomyopathy

  • Selcuk Pala, MD

      Affiliations

    • Cardiology Division, Kartal Kosuyou Heart and Research Hospital, Istanbul, Turkey
  • ,
  • Kursat Tigen, MD

      Affiliations

    • Cardiology Division, Kartal Kosuyou Heart and Research Hospital, Istanbul, Turkey
    • Corresponding Author InformationCorresponding author. Cardiology Division, Kartal Kosuyou Heart and Research Hospital, Kartal Koşuyolu Kalp Egt. ve Arst. Hastanesi, Denizer Cad. Cevizli, Kartal, Istanbul, Türkiye.
  • ,
  • Tansu Karaahmet, MD

      Affiliations

    • Cardiology Division, Kartal Kosuyou Heart and Research Hospital, Istanbul, Turkey
  • ,
  • Cihan Dundar, MD

      Affiliations

    • Cardiology Division, Kartal Kosuyou Heart and Research Hospital, Istanbul, Turkey
  • ,
  • Alev Kilicgedik, MD

      Affiliations

    • Cardiology Division, Kartal Kosuyou Heart and Research Hospital, Istanbul, Turkey
  • ,
  • Ahmet Güler, MD

      Affiliations

    • Cardiology Division, Kartal Kosuyou Heart and Research Hospital, Istanbul, Turkey
  • ,
  • Cihan Cevik, MD

      Affiliations

    • Texas Tech University Health Sciences Center, Lubbock, TX, USA
  • ,
  • Cevat Kirma, MD

      Affiliations

    • Cardiology Division, Kartal Kosuyou Heart and Research Hospital, Istanbul, Turkey
  • ,
  • Yelda Basaran, MD

      Affiliations

    • Cardiology Division, Marmara University Hospital, Istanbul, Turkey

Received 8 September 2009

References 

  1. Rossi A, Cicoira M, Zanolla L, et al. Determinants and prognostic value of left atrial volume in patients with dilated cardiomyopathy. J Am Coll Cardiol. 2002;40:1425
  2. Li D, Fareh S, Leung TK, Nattel S. Promotion of atrial fibrillation by heart failure in dogs: atrial remodeling of a different sort. Circulation. 1999;100:87
  3. Sanders P, Morton J, Davidson N, et al. Electrical remodeling of the atria in congestive heart failure. Electrophysiological and electroanatomical mapping in humans. Circulation. 2003;108:1461
  4. Rein AJ, O'Donnell CP, Colan SD, Marx GR. Tissue velocity Doppler assessment of atrial and ventricular electromechanical coupling and atrioventricular time intervals in normal subjects. Am J Cardiol. 2003;92:1347
  5. Ozer N, Yavuz B, Can I, et al. Doppler tissue evaluation of intra-atrial and interatrial electromechanical delay and comparison with P-wave dispersion in patients with mitral stenosis. J Am Soc Echocardiogr. 2005;18:945
  6. Omi W, Nagai H, Takamura M, et al. Doppler tissue analysis of atrial electromechanical coupling in paroxysmal atrial fibrillation. J Am Soc Echocardiogr. 2005;18:39
  7. Acar G, Sayarlioglu M, Akcay A, et al. Assessment of atrial electromechanical coupling characteristics in patients with ankylosing spondylitis. Echocardiography. 2009;26:549
  8. Acar G, Akcay A, Sokmen A, et al. Assessment of atrial electromechanical delay, diastolic functions, and left atrial mechanical functions in patients with type 1 diabetes mellitus. J Am Soc Echocardiogr. 2009;22:732
  9. Akcay A, Acar G, Suner A, et al. Effects of slow coronary artery flow on P-wave dispersion and atrial electromechanical coupling. J Electrocardiol. 2009;42:328
  10. Elliott P, Andersson B, Arbustini E, et al. Classification of the cardiomyopathies: a position statement from the European Society Of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2008;29:270
  11. Schiller NB, Shah PM, Crawford M, et al. Recommendations for quantitation of the left ventricle by two-dimensional echocardiography: American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of the Two-Dimensional Echocardiograms. J Am Soc Echocardiogr. 1989;2:358
  12. Miyatake K, Yamagishi M, Tanaka N, et al. New method for evaluating left ventricular wall motion by color-coded tissue Doppler imaging: in vitro and in vivo studies. J Am Coll Cardiol. 1995;25:717
  13. Gorcsan J, Strum DP, Mandarino WA, Gulati VK, Pinsky MR. Quantitative assessment of alterations in regional left ventricular contractility with color-coded tissue Doppler echocardiography. Comparison with sonomicrometry and pressure-volume relations. Circulation. 1997;95:2423
  14. Waggoner AD, Kalathiveetil S, Spence KE, Dávila-Román VG, de las Fuentes L. Interatrial conduction time and left atrial function in patients with left ventricular systolic dysfunction: effects of cardiac resynchronization therapy. J Am Soc Echocardiogr. 2009;22:472
  15. Van Beeumen K, Duytschaever M, Tavernier R, Van de Veire N, De Sutter J. Intra- and interatrial asynchrony in patients with heart failure. Am J Cardiol. 2007;99:79
  16. Salustri A, Cerquetani E, Piccoli M, et al. Relationship between B-type natriuretic peptide levels and echocardiographic indices of left ventricular filling pressures in post-cardiac surgery. Cardiovasc Ultrasound. 2009;7:49
  17. Kim H, Jun DW, Cho YK, et al. The correlation of left atrial volume index to the level of N-terminal pro-BNP in heart failure with a preserved ejection fraction. Echocardiography. 2008;25:961
  18. Rossi A, Temporelli PL, Quintana M, et al. MeRGE Heart Failure Collaborators Independent relationship of left atrial size and mortality in patients with heart failure: an individual patient meta-analysis of longitudinal data (MeRGE Heart Failure). Eur J Heart Fail. 2009;11:929
  19. Yoshimura M, Yasue H, Okumura K, et al. Different secretion patterns of atrial natriuretic peptide and brain natriuretic peptide in patients with congestive heart failure. Circulation. 1993;87:464
  20. Kazanegra R, Cheng V, Garcia A, et al. A rapid test for B-type natriuretic peptide correlates with falling wedge pressures in patients treated for decompensated heart failure: a pilot study. J Card Fail. 2001;7:21
  21. Giannuzzi P, Temporelli PL, Bosimini E, et al. Independent and incremental prognostic value of Doppler-derived mitral deceleration time of early filling in both symptomatic and asymptomatic patients with left ventricular dysfunction. J Am Coll Cardiol. 1996;28:383
  22. Pinamonti B, Di Lenarda A, Sinagra G, Camerini F. Restrictive ventricular filling pattern in dilated cardiomyopathy assessed by Doppler echocardiography: clinical, echocardiographic and hemodynamic correlation and prognostic implication. J Am Coll Cardiol. 1993;22:808
  23. Quiñones MA, Greenberg BH, Kopelen HA, et al. Echocardiographic predictors of clinical outcome in patients with left ventricular dysfunction enrolled in the SOLVD registry and trials: significance of left ventricular hypertrophy. Studies of Left Ventricular Dysfunction. J Am Coll Cardiol. 2000;35:1237
  24. Boixel C, Fontaine V, Rucker-Martin C, et al. Fibrosis of the left atria during progression of heart failure is associated with increased matrix metalloproteinases in rat. J Am Coll Cardiol. 2003;42:336
  25. Li D, Melnyk P, Feng J, et al. Effects of experimental heart failure on atrial cellular and ionic electrophysiology. Circulation. 1999;100:87
  26. Allessie M, Ausma J, Schotten U. Electrical, contractile and structural remodeling during atrial fibrillation. Cardiovasc Res. 2002;54:230
  27. Nezuo S, Nakao M, Samukawa M, et al. Clinical significance of electrocardiographic P-terminal force in V1 in patients with hypertrophic cardiomyopathy. J Cardiol. 1988;18:1061
  28. Guntekin U, Gunes Y, Tuncer M, Gunes A, Sahin M, Simsek H. Long-term follow-up of P-wave duration and dispersion in patients with mitral stenosis. Pacing Clin Electrophysiol. 2008;31:1620
  29. Dixen U, Joens C, Rasmussen B, Parner J, Jensen G. Signal-averaged P-wave duration and the dimensions of the atria. Ann Noninvasive Electrocardiol. 2004;9:309
  30. Liu Z, Hayano M, Hirata T, et al. Abnormalities of electrocardiographic P wave morphology and the relationship to electrophysiological parameters of the atrium in patients with idiopathic paroxysmal atrial fibrillation. J Cardiol. 1998;32:189
  31. De Vos CB, Weijs B, Crijns HJ, et al. Atrial tissue Doppler imaging for prediction of new-onset atrial fibrillation. Heart. 2009;95:835
  32. Cui QQ, Zhang W, Wang H, et al. Assessment of atrial electromechanical coupling and influential factors in nonrheumatic paroxysmal atrial fibrillation. Clin Cardiol. 2008;31:74
  33. Kinay O, Nazli C, Ergene O, et al. Time interval from the initiation of the electrocardiographic P wave to the start of left atrial appendage ejection flow: a novel method for predicting atrial fibrillation recurrence. J Am Soc Echocardiogr. 2002;15:1479

 There is no conflict of interest to be declared in this work.

PII: S0022-0736(09)00599-8

doi: 10.1016/j.jelectrocard.2009.11.004

Journal of Electrocardiology
Volume 43, Issue 4 , Pages 344-350 , July 2010