Ioannis Anagnostopoulos, Maria Kousta, Dimitrios Vrachatis, Sotiria Giotaki, Dimitra Katsoulotou, Christos Karavasilis, Nikolaos Schizas, Dimitrios Avramides, Georgios Giannopoulos, Spyridon Deftereos
{"title":"普通人群中峰值左心房纵应变和房颤的发生率：一项系统回顾和荟萃分析。","authors":"Ioannis Anagnostopoulos, Maria Kousta, Dimitrios Vrachatis, Sotiria Giotaki, Dimitra Katsoulotou, Christos Karavasilis, Nikolaos Schizas, Dimitrios Avramides, Georgios Giannopoulos, Spyridon Deftereos","doi":"10.1080/00015385.2024.2432579","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Atrial fibrillation (AF) is the commonest supraventricular arrhythmia in adults. Timely AF diagnosis seems to ameliorate patients prognosis.</p><p><strong>Purpose: </strong>To investigate the association between peak left atrial longitudinal strain (PALS) and new onset AF in the general population.</p><p><strong>Objectives: </strong>We searched major electronic databases for articles assessing the relationship between PALS and incident AF.</p><p><strong>Results: </strong>Eight studies (11,145 patients) were analysed. Lower levels of PALS were significantly associated with higher risk of incident AF (HR: 0.95; 95%CI: 0.92-0.97, <i>I</i><sup>2</sup>: 83%). According to the diagnostic accuracy meta-analysis, PALS <33.4% presents 64% (95%CI: 46-79%) sensitivity and 69% (95%CI: 63-75%) specificity.</p><p><strong>Conclusions: </strong>In a relatively healthy population, lower levels of PALS were significantly associated with incident AF. The overall diagnostic accuracy was moderate. Lower levels of PALS seem to justify an opportunistic - rather than a systematic-screening approach. These findings could allow more efficient utilisation of healthcare resources.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1101-1110"},"PeriodicalIF":2.1000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Peak left atrial longitudinal strain and incident atrial fibrillation in the general population: a systematic review and meta-analysis.\",\"authors\":\"Ioannis Anagnostopoulos, Maria Kousta, Dimitrios Vrachatis, Sotiria Giotaki, Dimitra Katsoulotou, Christos Karavasilis, Nikolaos Schizas, Dimitrios Avramides, Georgios Giannopoulos, Spyridon Deftereos\",\"doi\":\"10.1080/00015385.2024.2432579\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Atrial fibrillation (AF) is the commonest supraventricular arrhythmia in adults. Timely AF diagnosis seems to ameliorate patients prognosis.</p><p><strong>Purpose: </strong>To investigate the association between peak left atrial longitudinal strain (PALS) and new onset AF in the general population.</p><p><strong>Objectives: </strong>We searched major electronic databases for articles assessing the relationship between PALS and incident AF.</p><p><strong>Results: </strong>Eight studies (11,145 patients) were analysed. Lower levels of PALS were significantly associated with higher risk of incident AF (HR: 0.95; 95%CI: 0.92-0.97, <i>I</i><sup>2</sup>: 83%). According to the diagnostic accuracy meta-analysis, PALS <33.4% presents 64% (95%CI: 46-79%) sensitivity and 69% (95%CI: 63-75%) specificity.</p><p><strong>Conclusions: </strong>In a relatively healthy population, lower levels of PALS were significantly associated with incident AF. The overall diagnostic accuracy was moderate. Lower levels of PALS seem to justify an opportunistic - rather than a systematic-screening approach. These findings could allow more efficient utilisation of healthcare resources.</p>\",\"PeriodicalId\":6979,\"journal\":{\"name\":\"Acta cardiologica\",\"volume\":\" \",\"pages\":\"1101-1110\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta cardiologica\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/00015385.2024.2432579\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/29 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta cardiologica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/00015385.2024.2432579","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/29 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Peak left atrial longitudinal strain and incident atrial fibrillation in the general population: a systematic review and meta-analysis.
Background: Atrial fibrillation (AF) is the commonest supraventricular arrhythmia in adults. Timely AF diagnosis seems to ameliorate patients prognosis.
Purpose: To investigate the association between peak left atrial longitudinal strain (PALS) and new onset AF in the general population.
Objectives: We searched major electronic databases for articles assessing the relationship between PALS and incident AF.
Results: Eight studies (11,145 patients) were analysed. Lower levels of PALS were significantly associated with higher risk of incident AF (HR: 0.95; 95%CI: 0.92-0.97, I2: 83%). According to the diagnostic accuracy meta-analysis, PALS <33.4% presents 64% (95%CI: 46-79%) sensitivity and 69% (95%CI: 63-75%) specificity.
Conclusions: In a relatively healthy population, lower levels of PALS were significantly associated with incident AF. The overall diagnostic accuracy was moderate. Lower levels of PALS seem to justify an opportunistic - rather than a systematic-screening approach. These findings could allow more efficient utilisation of healthcare resources.
期刊介绍：
Acta Cardiologica is an international journal. It publishes bi-monthly original, peer-reviewed articles on all aspects of cardiovascular disease including observational studies, clinical trials, experimental investigations with clear clinical relevance and tutorials.
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