0
Editorials |

The Pathology of Lone Atrial Fibrillation

Toby R. Engel, MD; Simon K. Topalian, MD
Author and Funding Information

Affiliations: Camden, NJ
 ,  Dr. Engel is Professor of Medicine and Dr. Topalian is Fellow in Cardiovascular Disease at Cooper University Hospital, The Robert Wood Johnson Medical School.

Correspondence to: Toby R. Engel, ME, Cardiology Division, Cooper University Hospital, One Cooper Plaza, The Robert Wood Johnson Medical School, The University of Medicine and Dentistry of New Jersey, Camden, NJ 08103



Chest. 2005;127(2):424-425. doi:10.1378/chest.127.2.424
Text Size: A A A
Published online

Extract

Lone atrial fibrillation (AF) is AF in the absence of structural heart disease. Persistent lone AF is a paroxysm that does not spontaneously resolve. The article by Paraskevaidis et al in this issue of CHEST (see page 488) concerns the use of echocardiography to predict the successful cardioversion of persistent lone AF and, perhaps more importantly, the maintenance of sinus rhythm. To accomplish this, the authors used a relatively new echocardiographic measurement, the absence of a “notch” in the early systolic mitral annulus motion (if you will, the absence of NESMAM). Keep in mind that left atrial enlargement and other previously described echocardiographic predictors of the maintenance of sinus rhythm measure cardiac structure, and that structural disease is absent by definition in patients with lone AF. Left atrial appendage flow velocity1 has been used but is based on data from a population that has or is at risk for structural disease.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543