Assessment of the atrial electromechanical properties of patients with human immunodeficiency virus.
The relationship between atrial fibrillation and human immunodeficiency virus (HIV) infection was evaluated. Electro-echocardiographic methods can be used to predict the development of atrial fibrillation (AF). In this study, we aimed to investigate the atrial electromechanical delay (AEMD) parameters of HIV (+) patients. Forty-two HIV (+) patients and 40 HIV (-) healthy volunteers were prospectively enrolled in this study. The electromechanical properties of the subjects' atria were evaluated with tissue Doppler imaging. The left-AEMD, right-AEMD and inter-AEMD were increased in the HIV (+) patients relative to the controls (p=0.003, p<0.001, and p<0.001, respectively). The CD4 count was inversely correlated with the inter-AEMD (r=-0.428, p<0.001). The CD4 count was an independent predictor of the inter-AEMD (β=0.523, p=0.007). Our study demonstrated that both the inter- and intra-atrial electromechanical delays were prolonged in the patients with HIV. This non-invasive and simple technique may provide significant contributions to the assessment of the risk of atrial arrhythmia in patients with HIV.
Türkiye Yüksek İhtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey. Electronic address: agertem@hotmail.com.
Ahmet G
AG
Ertem
Türkiye Yüksek İhtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
Çağrı
Ç
Yayla
Türkiye Yüksek İhtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
Burak
B
Açar
Türkiye Yüksek İhtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
Sefa
S
Ünal
Türkiye Yüksek İhtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
Mehmet A
MA
Erdol
Ankara Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey.
Meliha Ç
MÇ
Sonmezer
Ankara Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey.
Esra
E
Kaya Kiliç
Ankara Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey.
Çiğdem
Ç
Ataman Hatipoglu
Türkiye Yüksek İhtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
Serkan
S
Gokaslan
Türkiye Yüksek İhtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
Habibe
H
Kafes
Türkiye Yüksek İhtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
Mehmet K
MK
Akboga
Türkiye Yüksek İhtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
Pelin
P
Aladag
Türkiye Yüksek İhtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
Koray
K
Demirtas
Ankara Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey.
Necla
N
Tulek
Ankara Education and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey.
Fatma S
FS
Erdinç
Türkiye Yüksek İhtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
Sinan
S
Aydogdu
D000328:Adult; D001281:Atrial Fibrillation / Q000000981:diagnostic imaging / Q000453:epidemiology*; D015150:Echocardiography, Doppler; D055724:Electrophysiological Phenomena; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D055595:Mechanical Phenomena; D011446:Prospective Studies; D018570:Risk Assessment
Atrial electromechanical delay; Echocardiography; Human immunodeficiency virus