Left Atrial Remodeling and Stroke in Patients With Sinus Rhythm and Normal Ejection Fraction: ARIC-NCS.


Journal

Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524

Informations de publication

Date de publication:
03 05 2022
Historique:
pubmed: 3 5 2022
medline: 6 5 2022
entrez: 2 5 2022
Statut: ppublish

Résumé

Background Age-related left atrial (LA) structural and functional abnormalities may be related to subclinical cerebral infarcts (SCIs) and stroke. We evaluated the association of 3-dimensional echocardiographic LA contractility parameters with SCIs and stroke across the spectrum of tertiles of age increment in elderly patients with sinus rhythm, normal ejection fraction, and no history of atrial fibrillation. Methods and Results We enrolled 407 participants (mean age, 76±8 years; 40% men) from ARIC-NCS (Atherosclerosis Risk in Communities Neurocognitive Study) undergoing a brain magnetic resonance imaging and 3-dimensional echocardiographic examinations in 2011 to 2013. The sample was analyzed among age tertiles and subgroups: no cerebral magnetic resonance imaging-detectable infarcts (n=315), magnetic resonance imaging-diagnosed SCIs (n=58), and clinically diagnosed stroke (n=34). The frequency of SCIs significantly increased over age tertiles (

Identifiants

pubmed: 35491988
doi: 10.1161/JAHA.121.024292
pmc: PMC9238625
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

e024292

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL126637
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201100007C
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201100011C
Pays : United States
Organisme : NINDS NIH HHS
ID : RF1 NS127266
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201100009C
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201100006C
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL158022
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201100010C
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201100012C
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201100008C
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL135008
Pays : United States
Organisme : NHLBI NIH HHS
ID : K24 HL155813
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL096812
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL070825
Pays : United States
Organisme : NHLBI NIH HHS
ID : K24 HL148521
Pays : United States
Organisme : NHLBI NIH HHS
ID : K24 HL152008
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201100005C
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL141288
Pays : United States

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Auteurs

Francesco Bianco (F)

Department of Cardiovascular Medicine Brigham and Women's Hospital Boston MA.

Raffaele De Caterina (R)

Cardio-Thoracic and Vascular Department, Pisa University Hospital, University of Pisa Pisa Italy.

Alvin Chandra (A)

Department of Cardiovascular Medicine Brigham and Women's Hospital Boston MA.

Iolanda Aquila (I)

Department of Cardiovascular Medicine Brigham and Women's Hospital Boston MA.

Brian Claggett (B)

Department of Cardiovascular Medicine Brigham and Women's Hospital Boston MA.

Michelle C Johansen (MC)

Department of Neurology The Johns Hopkins University School of Medicine Baltimore MD.

Alexandra Gonçalves (A)

Department of Cardiovascular Medicine Brigham and Women's Hospital Boston MA.
University of Porto Medical School Porto Portugal.

Faye L Norby (FL)

Center for Cardiac Arrest Prevention, Department of Cardiology, Cedars-Sinai Smidt Heart Institute, Los Angeles CA.

Rebecca Cogswell (R)

Lillehei Heart Institute and Cardiovascular Division Department of Medicine University of Minnesota Minneapolis MN.

Elsayed Z Soliman (EZ)

Wake Forest University Winston-Salem NC.

Rebecca Gottesman (R)

Department of Neurology The Johns Hopkins University School of Medicine Baltimore MD.

Thomas Mosley (T)

Department of Medicine University of Mississippi Medical Center Jackson MS.

Alvaro Alonso (A)

Department of Epidemiology Rollins School of Public HealthEmory University Atlanta GA.

Amil Shah (A)

Department of Cardiovascular Medicine Brigham and Women's Hospital Boston MA.

Scott D Solomon (SD)

Department of Cardiovascular Medicine Brigham and Women's Hospital Boston MA.

Lin Yee Chen (LY)

Lillehei Heart Institute and Cardiovascular Division Department of Medicine University of Minnesota Minneapolis MN.

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