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Table 3 Volumetric and CT attenuation data in patients with CVA following PVI compared with patients without an observed event

From: Left atrial appendage morphology and risk of stroke following pulmonary vein isolation for drug-refractory atrial fibrillation in low CHA2DS2Vasc risk patients

CT Characteristics

Post-PVI CVA

No CVA after PVI

p-value

(n = 4)

(n = 328)

Age

58 ± 11

55 ± 13

0.655

Age ≥ 75 years

0 (0%)

13 (4.0%)

0.682

Male gender

4 (100%)

274 (83.5%)

0.373

HTN

2 (50%)

198 (60.4%)

0.674

CHF

0 (0%)

22 (6.7%)

0.589

DM2

0 (0%)

48 (14.6%)

0.407

Vascular disease

1 (25%)

139 (42.4%)

0.484

Prior CVA/TIA

1 (25%)

15 (4.6%)

0.059

CHA2DS2Vasc > 1

1 (25%)

162 (49.4%)

0.332

CHA2DS2Vasc, median (IQR)

1 (0, 2.5)

1 (1, 3)

0.543

Anticoagulation

 Warfarin

3 (75%)

198 (60.4%)

0.555

 NOAC

1 (25%)

87 (26.5%)

0.952

 Aspirin

0 (0%)

43 (13.1%)

0.435

 Pre-procedure INR*

2.1 ± 0.3

2.2 ± 0.5

0.792

Rhythm prior to PVI

 Sinus rhythm

1 (25%)

162 (49.4%)

0.332

 Atrial Arrhythmia

2 (50%)

164 (50%)

1.000

 Paced

1 (25%)

2 (0.6%)

<0.001

 LAA volume

13.9 ± 5.3

13.8 ± 6.0

0.989

 LA volume

102.6 ± 18.3

99.5 ± 33.8

0.852

 LAA/LA volume

0.13 ± 0.04

0.15 ± 0.06

0.655

 LAA HU

372.4 ± 92.6

341.9 ± 77.8

0.438

 LA HU

410.6 ± 78.8

357.8 ± 97.0

0.279

 LAA/LA HU

0.90 ± 0.08

1.00 ± 0.36

0.594

  1. LAA left atrial appendage, LA left atrium, CVA cerebral vascular accident/stroke, PVI pulmonary vein isolation
  2. All continuous variables are displayed as mean values ± standard deviation. All volumes are displayed in milliliters (mL) and all CT attenuation numbers are displayed in Hounsfield units (HU)
  3. *INR only includes patients treated with coumadin prior to PVI