Modern methods of echocardiographic assessment of the functional status of the left atrium in atrial fibrillation
M. Kadirova,
E. V. Yalova,
F. S. Shebzuhova,
A. A. Botasheva,
E. D. Strebkova,
G. G. Kаrmаzаnovsky,
A. Sh. Revishvili https://doi.org/10.24835/1607-0763-1360
Abstract
Atrial fibrillation (AF) is the most common cardiac arrhythmia, accompanied by significant morbidity and mortality among the entire population. In AF, it is the left atrium (LA) that is considered as a critical indicator of the development of adverse cardiovascular events. LA dilation followed by electrophysiological remodeling is a frequent observation in patients with AF.
Thus, echocardiography (EchoCG) is of particular interest, in particular, the use of two-dimensional and threedimensional Speckle tracking echocardiography (STE) to study the morphofunctional state of LA at the patient's bedside.
Currently, several major lecture reviews on echocardiographic assessment of LA function are presented in the domestic literature, but individual methods of radiation imaging and their correlation with each other have not been studied, there are only a couple of foreign meta-analyses on the assessment and analysis of the functional state of LA in patients with AF. This problem is relevant, since the establishment of predictors of AF at an early stage, in particular with its latent course, makes it possible to prevent the development of a number of complications associated with arrhythmia from ischemic strokes to sudden cardiac death.
The purpose of this literature review is to present the data of recent studies on the assessment of the structure and function of LA using STE to identify patients with asymptomatic AF or a high risk of its recurrence after ablation procedures.
About the Authors
M. Kadirova
A.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Madina Kadirova – Cand. of Sci. (Med.), Head of the Department of Ultrasound diagnostics,
27, Bolshaya Serpukhovskaya str., Moscow 117997
E. V. Yalova
A.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Evgenia V. Yalova – junior researcher of the Department of Ultrasound diagnostics,
27, Bolshaya Serpukhovskaya str., Moscow 117997
F. S. Shebzuhova
A.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Fatima S. Shebzuhova – resident of the Department of Ultrasound diagnostics,
27, Bolshaya Serpukhovskaya str., Moscow 117997
A. A. Botasheva
A.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Aida A. Botasheva – resident of the Department of Ultrasound diagnostics,
27, Bolshaya Serpukhovskaya str., Moscow 117997
E. D. Strebkova
A.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Elizaveta D. Strebkova – junior researcher departments of electrophysiological X-ray endovascular methods of diagnostics and treatment of arrhythmias, 27, Bolshaya Serpukhovskaya str., Moscow 117997;
postgraduate student of cardiovascular surgery specialty of the Department of Angiology, Cardiovascular, Endovascular Surgery and Arrhythmology, 2/1, bld. 1, Barrikadnaya str., Moscow 125993
G. G. Kаrmаzаnovsky
A.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian Federation;
Pirogov Russian National Research Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Grigory G. Kаrmаzаnovsky – Academician of the Russiаn Асаdemy of Sсienсes, Dr. of Sci. (Med.), Professor, Heаd of the Department of Radiation Methods of Diagnostics, 27, Bolshaya Serpukhovskaya str., Moscow 117997;
Professor of radiology department, house 1, Ostrivityanova str., Moscow 117997
A. Sh. Revishvili
A.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Amiran Sh. Revishvili – Academician of the Russian Academy of Science, Dr. of Sci. (Med.), Professor, Director, 27, Bolshaya Serpukhovskaya str., Moscow 117997;
Head of the Department of Angiology, Cardiovascular, Endovascular Surgery and Arrhythmology named after A.V. Pokrovsky, 2/1, bld. 1, Barrikadnaya str., Moscow 125993
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Kadirova M., Yalova E.V., Shebzuhova F.S., Botasheva A.A., Strebkova E.D., Kаrmаzаnovsky G.G., Revishvili A.Sh. Modern methods of echocardiographic assessment of the functional status of the left atrium in atrial fibrillation. Medical Visualization. 2023;27(3):24-40. (In Russ.) https://doi.org/10.24835/1607-0763-1360
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