Document Detail


Characterization of left atrium and distal pulmonary vein morphology using multidimensional computed tomography.
MedLine Citation:
PMID:  12706931     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This study was designed to examine the dimensions and morphology of left atrial (LA) and distal pulmonary veins (PVs) using multidetector helical computed tomography (MDCT). BACKGROUND: Detailed knowledge of LA and PV anatomy will assist in the development of techniques for ablative intervention. Multidetector helical computed tomography is a method for multidimensional imaging of cardiac anatomy. METHODS: Multidetector helical computed tomography was used to image the LA and PVs in 70 subjects with and 47 subjects without atrial fibrillation (AF). Accuracy of the MDCT data was confirmed by correlation with echocardiography and endocardial electrogram recordings. RESULTS: Left atrial and PV dimensions were significantly larger in AF versus non-AF subjects, men versus women, and subjects with persistent versus paroxysmal AF. There were no differences between groups in morphologic detail. CONCLUSIONS: Multidetector helical computed tomography images of the LA and PVs are accurate and provide detailed anatomic information. Significant differences in dimensions but not morphologic detail were apparent between groups.
Authors:
David Schwartzman; Joan Lacomis; William G Wigginton
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  41     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-22     Completed Date:  2003-04-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1349-57     Citation Subset:  AIM; IM    
Affiliation:
Atrial Arrhythmia Center, Pittsburgh, Pennsylvania, USA. schwartzmand@msx.upmc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Echocardiography
Female
Heart Atria / radiography*
Humans
Male
Middle Aged
Pulmonary Veins / radiography*
Tomography, Spiral Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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