DOI: 10.36347/sjams.2020.v08i02.008

Pages: 400-403

Background: Left atrial (LA) enlargement is a marker for increased risk of atrial fibrillation (AF). However, LA remodeling is a complex process that is poorly understood, and LA geometric remodeling may also be associated with the development of AF. Materials and Methods: Hundredpatients who visited the Department of Cardiology, Gandhi Medical Collage for the echocardiography for any cause were studied. Wall thickness, LV diastolic diameter (LVDd), E/e’, LA diameter (LAD), LA volume index (LAVI), and LV ejection fraction (LVEF) was evaluated. Patients were divided into four groups as follows: normal geometry (n = 50), concentric remodeling (normal LVMI and high RWT, n = 23), concentric hypertrophy (high LVMI and high RWT, n = 8), and eccentric hypertrophy (high LVMI and normal RWT, n = 20). Results: Normal geometry was more common among the younger patients (65.3 years) as compared to Concentric remodelling (76.4 years), Concentric hypertrophy (72.4 years) and Eccentric hypertrophy (71.4 years) (p=0.002).Diabetes, hypertension, hyperlipidemia, aortic stenosis, aortic regurgitation, mitral regurgitation and chronic kidney disease was more prevalence with geometric remodelling. Of Them Concentric hypertrophy was more common. Conclusion: The prevalence of AF was increasing according to LV geometric remodeling patterns.