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Table 2 Echocardiographic parameters before and after surgery

From: Post-operative left atrial volume index is a predictor of the occurrence of permanent atrial fibrillation after mitral valve surgery in patients who undergo mitral valve surgery

 

NSR (n = 361)

AF (n = 81)

p

Before surgery

   

 LV end diastolic dimension (mm)

56.6 ± 10.8

55.0 ± 10.9

0.375

 LV end systolic dimension (mm)

38.4 ± 9.2

38.7 ± 9.9

0.863

 LV ejection fraction (%)

62.7 ± 10.0

58.9 ± 14.1

0.026

 LA antero-posterior dimension (AP) (mm)

50.7 ± 8.7

53.1 ± 6.9

0.080

 LA medio-lateral dimension (ML) (mm)

56.2 ± 10.6

58.6 ± 9.9

0.339

 LA supero-inferior dimension (SI) (mm)

62.4 ± 9.7

60.4 ± 9.1

0.372

 LA volume index (ml/m2)a

58.4 ± 24.9

62.9 ± 22.8

0.399

 TR grade

0.4 ± 0.8

1.2 ± 1.1

0.005

 Estimated PAP

39.2 ± 17.5

44.5 ± 18.4

0.252

After surgery

   

 LV end diastolic dimension (mm)

48.9 ± 5.3

50.1 ± 8.9

0.126

 LV end systolic dimension (mm)

33.8 ± 5.8

35.9 ± 10.8

0.015

 LV ejection fraction (%)

60.9 ± 9.5

57.2 ± 13.8

0.006

 LA AP dimension (mm)

42.9 ± 6.0

50.7 ± 8.1

< .001

 LA ML dimension (mm)

50.3 ± 6.8

56.3 ± 7.5

< .001

 LA SI dimension (mm)

57.3 ± 27.5

61.8 ± 8.2

0.172

 LA AP change (mm)

7.7 ± 8.4

4.1 ± 7.9

0.011

 LA ML change (mm)

6.7 ± 10.4

3.4 ± 10.1

0.197

 LA SI change (mm)

7.4 ± 9.0

1.3 ± 8.3

0.005

 LA volume index (ml/m2)

37.9 ± 12.6

52.1 ± 15.6

< .001

 LA volume change (ml/m2)

20.5 ± 21.3

10.8 ± 23.4

0.041

 LA volume change %

28.1 ± 27.9

9.5 ± 36.8

< .001

 MDPG of the MV (mmHg)

3.5 ± 1.4

3.9 ± 1.5

0.023

 Residual mitral regurgitation

  

0.337

  No

352 (97.5%)

77 (95.1%)

 

  Trivial

8 (2.2%)

3 (3.7%)

 

  More than grade I

1 (0.3%)

1 (1.2%)

 

 TR grade

0.3 ± 0.6

1.0 ± 1.0

< 0.001

 Estimated PAP

26.4 ± 6.6

29.8 ± 7.1

0.001

 TAP or TVR

33 (7.5%)

6 (1.4%)

0.828

  1. aLA volume index was available only in 200 patients (176 of NSR, 24 of AF); NSR normal sinus rhythm, AF atrial fibrillation, LV left ventricular, LA left atrial, MDPG mean diastolic pressure gradient, TR tricuspid regurgitation, PAP pulmonary artery pressure, TAP tricuspid valve repair with an annuloplasty ring, TVR tricuspid valve replacement