Chronic atrial fibrillation (CAF) in the elderly: echocardiogram evaluation of left ventricle

Authors

  • Armando Miguel Junior

Keywords:

arrhythmia, atrial fibrillation, Aged, echocardiography, heart ventricle.

Abstract

The objective of this paper was to analyze the structure of left ventricle (LV) and its relationship with CAF, through the study of 20 patients (11 males) with age > 60 years and CAF. The method applied was M-mode echocardiogram in double-blind clinical trial. Patients were compared in two studies: I. groups A and B respectively with and without cardiomegaly (LV mass < 215g) and II. groups C and D respectively without and with left atrium increase (LA > 40mm). Results showed that, according to study I, the size of LA is statistically the same with LV mass = 169.63±32.28g and LA=49.16±8.10mm for group A; and LV mass= 285.35±58.75 and LA = 46.71 ±7.71mm for group B. Study II showed that the L V mass has the same statistical value, with LA =39. 71 ±2. 87 and LV mass = 253.97±60.85 for group C; and LA =51. 61 ±6.00 and LV mass = 254.50±85.36 for group D. This investigation suggested that the restrictive component of LV can be the causal factor of CAT genesis and its persistence.

Downloads

Download data is not yet available.

References

BARRETO, A.C.P., ARTEGA, E., FURTADO, M. Fibrilação atrial nas miocardipatias. Revista da Sociedade de Cardiologia do Estado de São Paulo, São Paulo, v.4, n.3, p.265-272, 1994.

CAMPEBELL, A., CAIRD, F.I., JACKSON, T.F.M. Prevalence of abnormalities of electrocardiogram in old people. British Heart Journal, London, v.36, p.1005-1011, 1974.

CARVALHO FILHO, E.T., MIOTTA, S.T. ALVES, A.T.R. et ai. Fibrilação atrial crônica no idoso. Arquivos Brasileiros de Cardiologia, São Paulo, v.57, n.2, p.109-114, 1991.

DEVEREUX, R.B., ALONSO, D.R., LUTAS, E.M. et ai. Echocardiographic assessment of left ventricular hypertrophy: comparatibn to necropsy findings. American journal of Cardiology, New York, v.57, p.450-458, 1986.

DISHANSKY, B., WALDO, A.L. Atrial fibrillation: uptade on mechanism, diagnosis and management. Modern Concepts of Cardiology Disease, Baltimore, v.56, p.23, 1987.

FORTUIN, N.J., HOOD, H.P., CRAIGE, E. Evaluation of left ventricular function by echocardiography. Circulation, Dallas, v.46, p.26-35. 1972.

HILL, J.D., MOTTRAM, E.M., KILLER, P.D. Study of prevalence of atrial fibrillation in general practice patients over 65 years of age. Journal of Royal College General Practice, v37, p.172-173, 1987.

KANNEL, W.B., ABBOT, R.D., SAVAGE, D.D. et al. Epidemiologic features of chronic atrial fibrilation. New England journal of Medicine, Boston, v.306, p.1018-1022, 1982.

LAKATA, E.G. Changes in cardiovascular function with aging. European Heart Journal, London, v.11, p.22-29, 1990. (supplement).

LAKE, F.R., McCALL, M.G., CULLEN, K.J., ROSMAN, D.L., DE KLERK, N.H. Atrial fibrillation and mortality in elderly population. Australian and New Zealand Journal of Medicine, Balgowlah NsW, v.19, p.312-316, 1989.

LORCA, A.M. Abordagem clínica das taquiarritmias supra ventriculares. Revista da Sociedade de Cardiologia do Estado de São Paulo, São Paulo, v.l, n.l, p.8-16, 1991.

McFARLAND, T.M., ALAN, M., GOLDSTEIN, S., PICKARD, S.D., STEIN, P.D. Echocardiographic diagnosis of left ventricular hypertrophy. Circulation, Dali as, v.57, p.1140-1144, 1978.

MOREIRA, D.A.R., REYES, C.A.S. Bases eletrofisiológicas da fibrilação atrial: fatores desencadeantes e de perpetuação. Revista da Sociedade de Cardiologia do Estado de São Paulo, v.4, p.207-213, 1994.

POMERANCE, A. Ageing and degenerative changes. ln: _ _ __ , DAVIES, M.J. The pathology of the heart. Oxford : Blackwell, 1975. p.49.

ROSNER, B. Fundamentals of biostatistics. 2. ed. Boston : PWS Publishers, 1986.

SAHN, D.J., DEMARlA, A., KISSLO, J., WEYMAN, A. The committee on M-mode standatization of the American Society of Echocardiography. Recomendations regarding quantitation in M-mode echocardiography: results of a surgery of echocardiographic measurements. Circulation, Dallas, v.58, p.1072-1083, 1978.

Published

1995-04-30

How to Cite

Miguel Junior, A. (1995). Chronic atrial fibrillation (CAF) in the elderly: echocardiogram evaluation of left ventricle . Revista De Ciências Médicas, 4(1). Retrieved from https://seer.sis.puc-campinas.edu.br/cienciasmedicas/article/view/1415

Issue

Section

Artigos Originais