[Echocardiography in cardiac arrhythmias].

Herzschrittmacherther Elektrophysiol

Abteilung für Kardiologie, Katholische St. Paulus Gesellschaft, St.-Marien-Hospital Lünen, Altstadtstr. 23, 44534, Lünen, Deutschland.

Published: September 2023

AI Article Synopsis

  • Echocardiography is essential for planning electrophysiological procedures by assessing heart structure and function.
  • It helps evaluate left atrial remodeling, which is linked to the risk of developing atrial fibrillation and predicting its recurrence after treatment.
  • The procedure also assists in excluding left atrial clots and guiding necessary interventions, like pericardiocentesis, while providing critical information for managing patients with systolic dysfunction.

Article Abstract

Echocardiography plays a key role in planning and guidance of electrophysiological procedures. After exclusion of structural heart disease, echocardiography provides insight into the extent of left atrial remodeling by determining left atrial metrics. This "biomarker" is associated with the risk of new-onset atrial fibrillation and predictive of atrial fibrillation recurrence after ablation. Transesophageal echocardiography is necessary to exclude left atrial thrombi and is able to guide a transseptal puncture. In case of a rare but life-threatening cardiac tamponade, an echocardiographic-guided pericardiocentesis ensures quick and effective treatment. Left ventricular ejection fraction and deformation analysis determined by echocardiography are established methods for risk stratification in patients with systolic dysfunction and used to guide pharmacological and device therapy.

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Source
http://dx.doi.org/10.1007/s00399-023-00956-1DOI Listing

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