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Updated: May 21, 2026

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
Published on: July 20, 2022
Left ventricular diastolic dysfunction in atrial fibrillation: predictors and relation with symptom severity
Jedrzej Kosiuk1, Yves Van Belle, Kerstin Bode
1From the Department of Electrophysiology, Heart Center Leipzig, Leipzig, Germany. jedrzejkosiuk@hotmail.com
Left ventricular diastolic dysfunction (LVDD) is common in atrial fibrillation (AF), affecting 37% of patients. This condition is linked to older age, persistent AF, and increased symptom severity.
Area of Science:
- Cardiology
- Cardiac Electrophysiology
- Cardiovascular Imaging
Background:
- Left ventricular diastolic dysfunction (LVDD) is prevalent but understudied in atrial fibrillation (AF).
- Key predictors and association with symptom severity in AF patients remain unclear.
Purpose of the Study:
- To determine the prevalence of LVDD in AF patients.
- To identify predictors of LVDD in AF.
- To assess the relationship between LVDD and AF symptom severity.
Main Methods:
- 124 AF patients (paroxysmal or persistent) underwent echocardiography for LVDD assessment.
- European Heart Rhythm Association (EHRA) score quantified AF symptom severity.
Main Results:
- LVDD was present in 37% of patients.
- Advanced age and persistent AF were significant predictors of LVDD.
- LVDD was strongly associated with moderate-to-severe AF symptoms (OR 6.368).
Conclusions:
- LVDD is frequent in AF patients.
- LVDD is associated with older age and AF progression.
- LVDD correlates significantly with AF symptom severity.
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