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Main Authors: Ayca Arslan, Dogan Ilis, Inanç Artac, Muammer Karakayali, Timor Omar, Yuksel Erata, Yavuz Karabag, Ibrahim Rencuzogullari
Format: Artículo Open Access
Published: Wiley 2025
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Online Access:https://onlinelibrary.wiley.com/doi/10.1111/pace.70004
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author Ayca Arslan
Dogan Ilis
Inanç Artac
Muammer Karakayali
Timor Omar
Yuksel Erata
Yavuz Karabag
Ibrahim Rencuzogullari
author_facet Ayca Arslan
Dogan Ilis
Inanç Artac
Muammer Karakayali
Timor Omar
Yuksel Erata
Yavuz Karabag
Ibrahim Rencuzogullari
Ayca Arslan
Dogan Ilis
Inanç Artac
Muammer Karakayali
Timor Omar
Yuksel Erata
Yavuz Karabag
Ibrahim Rencuzogullari
collection Wiley Open Access
contents Relationship Between Left Atrial Coupling Index and Atrial High‐Rate Episodes Ayca Arslan Dogan Ilis Inanç Artac Muammer Karakayali Timor Omar Yuksel Erata Yavuz Karabag Ibrahim Rencuzogullari Pacing and Clinical Electrophysiology ABSTRACT Objective This study aimed to explore the role and compare the accuracy of the left atrial coupling index (LACI) with other efficient traditional parameters for predicting atrial high‐rate episodes (AHREs) in patients with cardiac implantable electronic devices (CIEDs). Methods This retrospective study included 203 patients with CIEDs whose echocardiographic data were recorded at least 6 months ago. The study population was divided into two groups based on whether the patients had developed AHRE. Subsequently, patients in the two groups were compared in terms of echocardiographic measurements, including left atrial functions, LACI, left atrial volume index (LAVI), left ventricle end‐diastolic diameter (LVEDD), and lower left ventricle ejection fraction (LVEF). Results AHRE was observed in 42.8% ( n = 87) of the 203 patients. Those with AHRE had a higher mean mitral E/Em, LAVI, LACI, LVEDD, and lower LVEF. LACI (OR: 1.752, 95% CI: 1.356–2.263; p < 0.001), LAVI, and age were found to be independent predictors of AHREs. A receiver operating characteristic (ROC) curve comparison demonstrated that the LACI was a better predictor of AHRE than the LAVI. Conclusion AHRE often progresses to atrial fibrillation, which has unfavorable consequences; therefore, predicting AHRE becomes vital. LACI, an easily accessible echocardiographic parameter, is a more robust predictor of AHRE than traditional parameters such as LAVI. 10.1111/pace.70004 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/pace.70004
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institution Wiley Open Access
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publishDate 2025
publisher Wiley
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spellingShingle Relationship Between Left Atrial Coupling Index and Atrial High‐Rate Episodes
Ayca Arslan
Dogan Ilis
Inanç Artac
Muammer Karakayali
Timor Omar
Yuksel Erata
Yavuz Karabag
Ibrahim Rencuzogullari
Pacing and Clinical Electrophysiology
Relationship Between Left Atrial Coupling Index and Atrial High‐Rate Episodes Ayca Arslan Dogan Ilis Inanç Artac Muammer Karakayali Timor Omar Yuksel Erata Yavuz Karabag Ibrahim Rencuzogullari Pacing and Clinical Electrophysiology ABSTRACT Objective This study aimed to explore the role and compare the accuracy of the left atrial coupling index (LACI) with other efficient traditional parameters for predicting atrial high‐rate episodes (AHREs) in patients with cardiac implantable electronic devices (CIEDs). Methods This retrospective study included 203 patients with CIEDs whose echocardiographic data were recorded at least 6 months ago. The study population was divided into two groups based on whether the patients had developed AHRE. Subsequently, patients in the two groups were compared in terms of echocardiographic measurements, including left atrial functions, LACI, left atrial volume index (LAVI), left ventricle end‐diastolic diameter (LVEDD), and lower left ventricle ejection fraction (LVEF). Results AHRE was observed in 42.8% ( n = 87) of the 203 patients. Those with AHRE had a higher mean mitral E/Em, LAVI, LACI, LVEDD, and lower LVEF. LACI (OR: 1.752, 95% CI: 1.356–2.263; p < 0.001), LAVI, and age were found to be independent predictors of AHREs. A receiver operating characteristic (ROC) curve comparison demonstrated that the LACI was a better predictor of AHRE than the LAVI. Conclusion AHRE often progresses to atrial fibrillation, which has unfavorable consequences; therefore, predicting AHRE becomes vital. LACI, an easily accessible echocardiographic parameter, is a more robust predictor of AHRE than traditional parameters such as LAVI. 10.1111/pace.70004 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Relationship Between Left Atrial Coupling Index and Atrial High‐Rate Episodes
topic Pacing and Clinical Electrophysiology
url https://onlinelibrary.wiley.com/doi/10.1111/pace.70004