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Long-term prognostic significance of three-dimensional echocardiographic parameters of the left ventricle and left atrium.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Caselli, Stefano Canali, Emanuele Foschi, María Laura Santini, Donatella Angelantonio, Emanuele Di Pandian, Natesa G. Castro, Stefano De |
| Copyright Year | 2010 |
| Abstract | AIMS We sought to investigate the long-term prognostic significance of two- and three-dimensional echocardiography. METHODS AND RESULTS One hundred and seventy-eight consecutive outpatients underwent two-dimensional echocardiography and three-dimensional echocardiography for the assessment of LV volumes, mass, ejection fraction, and LA maximum and minimum volumes. After 45 months of follow-up, 31 patients (17%) had major cardiovascular events (death, myocardial infarctions, or stroke). From the two-dimensional echocardiography data, a significant time relationship to cardiovascular events was achieved only by LV end-systolic volume [hazard ratio (HR): 1.047; 95% confidence interval (CI): 0.994-1.083; P = 0.031] and mass (HR: 1.038; CI: 0.993-1.082; P = 0.019), whereas from three-dimensional echocardiography, all the examined variables: LV end-diastolic (HR: 1.014; CI: 1.003-1.025; P = 0.014) and end-systolic volume (HR:1.018; CI: 1.006-1.029; P = 0.003), ejection fraction (HR: 0.032; CI: 0.002-0.565; P = 0.019), mass (HR: 1.030; CI: 1.016-1.045; P < 0.001), LA maximum (HR: 1.055; CI: 1.031-1.080; P < 0.001) and minimum (HR: 1.049; CI: 1.028-1.070; P < 0.001) volumes, were found to bear a significant relationship to cardiovascular events. By multivariate analysis, three-dimensional echocardiography derived LA minimum volume was identified as the best independent predictor of adverse cardiovascular events (HR: 1.217; CI: 1.075-1.378; P = 0.002). CONCLUSION Owing to a superior accuracy, three-dimensional echocardiography derived parameters and most notably LA minimum volume provide more relevant information on outpatient prognosis. |
| Starting Page | 1565 |
| Ending Page | 1571 |
| Page Count | 7 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://oup.silverchair-cdn.com/oup/backfile/Content_public/Journal/ehjcimaging/11/3/10.1093_ejechocard_jep198/2/jep198.pdf?Expires=1492394355&Key-Pair-Id=APKAIUCZBIA4LVPAVW3Q&Signature=L3EK6ObWjcVxx2Ny8SwEw5B9waw4Y~rYjbgckPIsxy2sZP78Vk6ziKjvokDGglirWa536i6J2tZv9neaFLpLkL8UmwgSAjC0zBC-sic93P0rqo371-6usydobzaOZLS92fIN2~yV8Z~Hf4wjW7KFKKpUlIJEuP0WYWwUgjAzuW-~bWwWzGkWCRo6umeeXjkt0fsGAunMsmII6JoW5KGYHKCLv7SEjQVoJGvADtdZf8FWhE~5Hq68jLkeTsmEoBSncp5JgGxtah9N8EmAeR49tngzDjXSb3p1Tn4yV3FjcnNjwmRfCDPJz1v5DjQWMW4mUK6GxR06sDe7Gi9ZoZZEpQ__ |
| PubMed reference number | 19995801v1 |
| Alternate Webpage(s) | https://doi.org/10.1093/ejechocard/jep198 |
| DOI | 10.1093/ejechocard/jep198 |
| Journal | European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology |
| Volume Number | 11 |
| Issue Number | 3 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | 2D Doppler Echocardiography Cardiovascular Diseases Cerebrovascular accident Cessation of life Confidence Intervals Diastole Echocardiography, Three-Dimensional Ejection fraction (procedure) Forecast of outcome Hazard Ratio Heart Ventricle Lactic acid Left atrial structure Left ventricular structure Myocardial Infarction Outpatients Patients |
| Content Type | Text |
| Resource Type | Article |
