{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T06:57:55Z","timestamp":1649055475062},"reference-count":0,"publisher":"PAGEPress Publications","issue":"3","license":[{"start":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T00:00:00Z","timestamp":1576540800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Monaldi Arch Chest Dis"],"abstract":"<jats:p>In the present retrospective cohort study, we have evaluated the missed or delayed atrial mechanical recovery in a population of patients with persistent or long-lasting persistent AF who achieved restoration of sinus rhythm on the ECG by electrical cardioversion (ECV). \u00a0The endpoint of our\u00a0\u00a0 study was\u00a0\u00a0 the failure to recover the normal mechanics of the left atrium.\u00a0 Inclusion criterion was the persistent or long-lasting persistent atrial fibrillation successfully treated by means of\u00a0 \u00a0\u00a0ECV , provided that\u00a0 a pertinent documentation\u00a0 was made available, comprising ECG, conventional 2D echo-color-Doppler and\u00a0\u00a0 speckle tracking echocardiography(STE)\u00a0 evaluation, with also a STE assessment\u00a0 of the atria at the days 1, 30 and 90 \u00a0from the ECV freely available within\u00a0 the clinical record\u00a0 of the patient. Out of a total of 80 patients with persistent or long-standing persistent AF, retrospectively enrolled, as many as\u00a0 22.5% of them did not achieve the normalization of their\u00a0 atrial STE profile, even though they had been converted to sinus rhythm on the ECG by means of ECV.\u00a0 The building of ROC curves allowed us to establish that early measurements of global atrial strain could serve to predict\u00a0 both the risk of failure to recover the atrial mechanical function and the one of AF relapses over a 12 month follow-up. The\u00a0\u00a0 values of 18% and 17% were also calculated\u00a0 to serve as cut off values, respectively,\u00a0 for the risk\u00a0 of atrial mechanical dysfunction and for the risk of AF\u00a0 relapses over a 12 month follow-up. Failure to recover the atrial reservoir function can accompany a restoration of sinus rhythm on the ECG in patients with long-standing persistent AF. In this case, a serial STE evaluation could be useful to evaluate the atrial hypofunction over time.<\/jats:p>","DOI":"10.4081\/monaldi.2019.1178","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T17:13:41Z","timestamp":1576602821000},"source":"Crossref","is-referenced-by-count":0,"title":["Atrial mechanical hypofunction after electrical cardioversion of persistent or long-lasting persistent atrial fibrillation: a retrospective cohort study"],"prefix":"10.4081","volume":"89","author":[{"given":"Renato","family":"De Vecchis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Paccone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Di Maio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2019,12,17]]},"container-title":["Monaldi Archives for Chest Disease"],"original-title":[],"link":[{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/download\/1178\/968","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/download\/1178\/968","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,3,26]],"date-time":"2020-03-26T19:41:55Z","timestamp":1585251715000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/view\/1178"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,17]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,9,10]]}},"URL":"https:\/\/doi.org\/10.4081\/monaldi.2019.1178","relation":{},"ISSN":["2532-5264","1122-0643"],"issn-type":[{"value":"2532-5264","type":"electronic"},{"value":"1122-0643","type":"print"}],"subject":[],"published":{"date-parts":[[2019,12,17]]}}}