title: Comparison of Tricuspid Annular Plane Systolic Excursion in Patients With Atrial Fibrillation Versus Sinus Rhythm.
abstract: Echocardiography now plays a central guiding role in the management of patients with atrial fibrillation (AF). However, the current guidelines mention little about the presence AF during the assessment of echocardiographic variables in the clinical setting. AF itself may impact on tricuspid annular plane systolic excursion (TAPSE) as a right ventricular systolic function compared with sinus rhythm (SR). The aim of this study was to compare and assess the echocardiographic parameters including TAPSE in patients with AF and SR. From January 1, 2013, to September 30, 2014, patients with AF without any cardiovascular disease were retrospectively evaluated using echocardiography. Age-, gender-, and left ventricular ejection fraction-matched patients with SR were selected from our database on the basis of a comprehensive history, physical examination, and echocardiographic findings. During the study period, we identified 239 patients with AF (74 ± 9 years; 65% men) and without any cardiac disease who underwent echocardiography. We also included 281 patients in the SR group (74 ± 8 years; 67% men). In all study subjects, TAPSE in AF was smaller than in SR regardless of age (17 ± 3 vs 20 ± 3 mm, p <0.001). In the stepwise multiple regression model, TAPSE was strongly associated with the presence of AF (standardized β = -0.362, p <0.001) and stroke volume index (standardized β = 0.173, p <0.001) after adjustment for age, gender, heart rate, left ventricular ejection fraction, and tricuspid regurgitant grade. In conclusions, patients with AF had lower TAPSE than those with SR regardless of age. When we assess TAPSE in the clinical setting, we must pay attention to the presence of AF.
authors.affiliation: Ultrasound Examination Center, Tokushima University Hospital, Tokushima, Japan.
authors.forename: Yuta
authors.initials: Y
authors.lastname: Torii
authors.affiliation: Department of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan.
authors.forename: Kenya
authors.initials: K
authors.lastname: Kusunose
authors.affiliation: Department of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan. Electronic address: yamadah@tokushima-u.ac.jp.
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Yamada
authors.affiliation: Ultrasound Examination Center, Tokushima University Hospital, Tokushima, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Nishio
authors.affiliation: Ultrasound Examination Center, Tokushima University Hospital, Tokushima, Japan.
authors.forename: Yukina
authors.initials: Y
authors.lastname: Hirata
authors.affiliation: Ultrasound Examination Center, Tokushima University Hospital, Tokushima, Japan.
authors.forename: Rie
authors.initials: R
authors.lastname: Amano
authors.affiliation: Ultrasound Examination Center, Tokushima University Hospital, Tokushima, Japan.
authors.forename: Masami
authors.initials: M
authors.lastname: Yamao
authors.affiliation: Department of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan.
authors.forename: Mika
authors.initials: M
authors.lastname: Bando
authors.affiliation: Department of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan.
authors.forename: Shuji
authors.initials: S
authors.lastname: Hayashi
authors.affiliation: Department of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan.
authors.forename: Masataka
authors.initials: M
authors.lastname: Sata
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D004452:Echocardiography / Q000379:methods*; D005260:Female; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D008297:Male; D011379:Prognosis; D012189:Retrospective Studies; D013318:Stroke Volume; D013599:Systole; D014261:Tricuspid Valve / Q000000981:diagnostic imaging*; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D016277:Ventricular Function, Left; D016278:Ventricular Function, Right / Q000502:physiology*