作者
Florentino Lupercio, Juan Carlos Ruiz, David F Briceno, Jorge Romero, Pedro A Villablanca, Cecilia Berardi, Robert Faillace, Andrew Krumerman, John D Fisher, Kevin Ferrick, Mario Garcia, Andrea Natale, Luigi Di Biase
发表日期
2016/7/1
期刊
Heart Rhythm
卷号
13
期号
7
页码范围
1402-1409
出版商
Elsevier
简介
Background
Thromboembolic event (TE) risk stratification is performed by using CHA2DS2VASc score. It has been suggested that left atrial appendage (LAA) morphology independently influences TE risk in patients with nonvalvular atrial fibrillation. LAA morphology has been classified into 4 types: chicken wing, cauliflower, windsock, and cactus.
Objective
The purpose of this study was to determine TE risk for each LAA morphology in patients with atrial fibrillation with low to intermediate TE risk.
Methods
A systematic review of MEDLINE, Cochrane Library, and Embase for studies that used computed tomography, tridimensional transesophageal echocardiography, and cardiac magnetic resonance imaging to categorize the LAA morphologies with assessment of TE prevalence. Odds ratio (OR) and 95% confidence intervals (CIs) were measured using the Mantel-Haenszel method. The fixed effects model was used …
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