Clinical Study

Surgical Left Atrial Appendage Exclusion Does Not Impair Left Atrial Contraction Function: A Pilot Study

Table 1

Baseline characteristics.

Non-LAAA group ()LAAA group () value

Age, years54 ± 1059 ± 80.07
Male, (%)14 (88%)13 (81%)0.63
Median AF history, years [range]3 1–104 1–150.15
AF type
 Paroxysmal, (%)16 (100%)16 (100%)
Previous catheter PVI, (%)0 (0%)1 (6%)0.31
 Catheter CTI ablation, (%)1 (6%)0 (0%)0.31
CHA2DS2-VASC0.14
 0, (%) 7 (44%)6 (38%)
 1, (%)7 (44%)2 (12%)
2, (%)2 (12%)8 (50%)
Body mass index (kg/m²)28 ± 427 ± 30.47
Body surface area (m²) 2.15 ± 0.182.10 ± 0.230.47
Hypertension, (%)4 (25%)7 (44%)0.26
Diabetes, (%)0 (0%)1 (6%)0.31
Stroke history, (%) 0 (0%)2 (12%)0.14
Systolic blood pressure (mmHg)124 ± 19142 ± 14<
Diastolic blood pressure (mmHg)83 ± 1882 ± 110.76
Heart rate (beats/min)60 ± 964 ± 170.37
Echocardiography
 LV ejection fraction (%)59 ± 560 ± 70.90
 LA ejection fraction (%)40 ± 737 ± 100.41
 LA diameter (mm)42 ± 643 ± 60.61
 LA volume (mL)75 ± 1589 ± 300.11
 LA volume indexed (mL/m²)35 ± 542 ± 110.06
LA strain measurements (%)
 Reservoir function 29.2 ± 7.323.1 ± 7.6
 Conduit function16.1 ± 6.012.1 ± 4.9
 Contraction function13.2 ± 4.811.0 ± 5.00.22
LA strain rate measurements (s−1)
 Reservoir function1.15 ± 0.350.92 ± 0.19
 Conduit function−1.20 ± 0.45−0.97 ± 0.290.09
 Contraction function−1.42 ± 0.46−1.13 ± 0.440.08

-value ≤ 0.05.