الفهرس 
LEFT ATRIUMOnly 14 pages are availabe for public view
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Abstract
This study was performed to assess left atrial remodeling in patients with systolic and diastolic HF.
Heart failure is one of the most important morbidities affecting populations all over the world particularly in elderly.
The current study was conducted on 40 patients presented to Ain Shams university echocardiography laboratory in comparison with 20 control subjects in the period from January 2009 to October 2010.
Patients were subjected to full medical history, clinical examination, and laboratory investigation. Twelve lead E.C.G. were done to detect any abnormality and to exclude patients with atrial fibrillation.
The selected patients subdivided into 2 groups:
Group I: It included 20 patients presented with diastolic heart failure with normal systolic function.
Group II: It included 20 patients presented with systolic heart failure with normal diastolic function to assess left atrial remodeling in both groups by echocardiography.
The study showed that LA remodeling is more severe in systolic than in diastolic HF as indicated by the greater increase in the LA volume (p=0.001) and the depressed LA active emptying fraction (p=0.01) in the former.
So we recommend routine echocardiographic Doppler evaluation of LA volume and systolic function to risk stratifies patients with HF.