Open AccessAtrial electromechanical delay in patients undergoing heart transplantation
Author(s) -
Bulut Mustafa,
Evlice Mert,
Celik Mehmet,
Eren Hayati,
Savluk Ömer F.,
Acar Rezzan D.,
Tabakci Mustafa,
Emiroglu Mehmet Y.,
Otcu Nurse Ozlem,
Kargin Ramazan,
Balkanay Mehmet,
Akcakoyun Mustafa
Publication year - 2017
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2016.07.015
Subject(s) - medicine , atrial fibrillation , cardiology , heart transplantation , transplantation , population , anastomosis , surgery , environmental health
Background We aimed to assess atrial electromechanical delay (AEMD) in patients who had undergone heart transplantation. Methods A total of 32 patients who underwent biatrial anastomosis heart transplantation (24 men, 8 women; mean age: 42±11 years) and 30 healthy volunteers (20 men, 10 women; mean age: 36±13 years) were included in the study. Atrial electromechanical coupling (PA), intra‐AEMD, and inter‐AEMD were measured. Results PA lateral (68±7 vs. 51±11 ms, p <0.01), PA septal (50±5 vs. 42±8 ms, p < 0.01) and PA tricuspid (39±6 vs. 36±9 ms, p <0.01), inter‐AEMD (PA lateral–PA tricuspid) (27±7 vs. 10±4 ms, p <0.01), left intra‐AEMD (PA lateral–PA septal) (18±7 vs. 10±4 ms, p <0.01), right intra‐AEMD (PA septal–PA tricuspid) (13±5 vs. 5±3 ms, p <0.01) values were higher in patients who underwent heart transplantation than in a control population. Conclusion Inter‐AEMD and intra‐AEMD were prolonged in patients who underwent heart transplantation as compared to a control population. This may explain the increased atrial fibrillation and other atrial arrhythmia incidences associated with the biatrial anastomosis heart transplantation technique and may contribute to the treatment of atrial fibrillation in this special patient group.