Physiologic Determinants of Left Atrial Longitudinal Strain: A Two-Dimensional Speckle-Tracking and Three-Dimensional Echocardiographic Study in Healthy Volunteers

Journal of the American Society of Echocardiography

Volumn 29, Issue 11, 2016, Pages 1023-1034.e3

  Miglioranza, Marcelo Haertel ^a,b   Badano, Luigi Paolo ^a   Mihăilă, Sorina ^a,c   Peluso, Diletta ^a   Cucchini, Umberto ^a   Soriani, Nicola ^a   Iliceto, Sabino ^a   Muraru, Denisa ^a  

^a UNIVERSITY OF PADOVA   (Italy)

^b Rio Grande do Sul Cardiology Institute   (Brazil)

^c CAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY   (Romania)

Author keywords

Left atrium; Longitudinal strain; Reference values; Speckle tracking echocardiography

Indexed keywords

ADULT; AGING; CONTROLLED STUDY; ELECTROCARDIOGRAM; FEMALE; GENETIC POLYMORPHISM; HEART CYCLE; HEART LEFT ATRIUM; HEART LEFT VENTRICLE FUNCTION; HEART STROKE VOLUME; HUMAN; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; MUSCLE CONTRACTILITY; REFERENCE VALUE; SPECKLE TRACKING ECHOCARDIOGRAPHY; SYSTOLIC BLOOD PRESSURE; VOLUNTEER; BLOOD PRESSURE; COMPARATIVE STUDY; DIAGNOSTIC IMAGING; ELASTOGRAPHY; EPIDEMIOLOGY; EVALUATION STUDY; HEART ATRIUM; HEART ATRIUM FUNCTION; MECHANICAL STRESS; PHYSIOLOGY; PROCEDURES; REPRODUCIBILITY; ROMANIA; SENSITIVITY AND SPECIFICITY; SEX DIFFERENCE; TENSILE STRENGTH; THREE DIMENSIONAL ECHOCARDIOGRAPHY; YOUNG MODULUS;

ADULT; AGING; ATRIAL FUNCTION; BLOOD PRESSURE; ECHOCARDIOGRAPHY, THREE-DIMENSIONAL; ELASTIC MODULUS; ELASTICITY IMAGING TECHNIQUES; FEMALE; HEART ATRIA; HUMANS; MALE; MIDDLE AGED; REFERENCE VALUES; REPRODUCIBILITY OF RESULTS; ROMANIA; SENSITIVITY AND SPECIFICITY; SEX FACTORS; STRESS, MECHANICAL; STROKE VOLUME; TENSILE STRENGTH;

EID: 84994431106     PISSN: 08947317     EISSN: 10976795     Source Type: Journal    
DOI: 10.1016/j.echo.2016.07.011     Document Type: Article

References (53)

1. 1 To, A.C., Flamm, S.D., Marwick, T.H., Klein, A.L., Clinical utility of multimodality LA imaging: assessment of size, function, and structure. JACC Cardiovasc Imaging 4 (2011), 788–798.
2. 2 Rosca, M., Lancellotti, P., Popescu, B.A., Pierard, L.A., Left atrial function: pathophysiology, echocardiographic assessment, and clinical applications. Heart 97 (2011), 1982–1989.
3. 3 Muranaka, A., Yuda, S., Tsuchihashi, K., Hashimoto, A., Nakata, T., Miura, T., et al. Quantitative assessment of left ventricular and left atrial functions by strain rate imaging in diabetic patients with and without hypertension. Echocardiography 26 (2009), 262–271.
4. 4 Altekin, R.E., Yanikoglu, A., Karakas, M.S., Ozel, D., Yilmaz, H., Demir, I., Evaluation of left atrial function using two-dimensional speckle tracking echocardiography in end-stage renal disease patients with preserved left ventricular ejection fraction. Kardiol Pol 71 (2013), 341–351.
5. 5 Park, C.S., An, G.H., Kim, Y.W., Park, Y.J., Kim, M.J., Cho, E.J., et al. Evaluation of the Relationship between circadian blood pressure variation and left atrial function using strain imaging. J Cardiovasc Ultrasound 19 (2011), 183–191.
6. 6 Nascimento, C.A., Gomes, V.A., Silva, S.K., Santos, C.R., Chambela, M.C., Madeira, F.S., et al. Left atrial and left ventricular diastolic function in chronic Chagas disease. J Am Soc Echocardiogr 26 (2013), 1424–1433.
7. 7 Boyd, A.C., Lo, Q., Devine, K., Tchan, M.C., Sillence, D.O., Sadick, N., et al. Left atrial enlargement and reduced atrial compliance occurs early in Fabry cardiomyopathy. J Am Soc Echocardiogr 26 (2013), 1415–1423.
8. 8 Mondillo, S., Cameli, M., Caputo, M.L., Lisi, M., Palmerini, E., Padeletti, M., et al. Early detection of left atrial strain abnormalities by speckle-tracking in hypertensive and diabetic patients with normal left atrial size. J Am Soc Echocardiogr 24 (2011), 898–908.
9. 9 Cameli, M., Lisi, M., Righini, F.M., Focardi, M., Alfieri, O., Mondillo, S., Left atrial speckle tracking analysis in patients with mitral insufficiency and history of paroxysmal atrial fibrillation. Int J Cardiovasc Imaging 28 (2012), 1663–1670.
10. 10 Hammerstingl, C., Schwekendiek, M., Momcilovic, D., Schueler, R., Sinning, J.M., Schrickel, J.W., et al. Left atrial deformation imaging with ultrasound based two-dimensional speckle-tracking predicts the rate of recurrence of paroxysmal and persistent atrial fibrillation after successful ablation procedures. J Cardiovasc Electrophysiol 23 (2012), 247–255.
11. 11 Her, A.Y., Kim, J.Y., Kim, Y.H., Choi, E.Y., Min, P.K., Yoon, Y.W., et al. Left atrial strain assessed by speckle tracking imaging is related to new-onset atrial fibrillation after coronary artery bypass grafting. Can J Cardiol 29 (2013), 377–383.
12. 12 Motoki, H., Negishi, K., Kusunose, K., Popovic, Z.B., Bhargava, M., Wazni, O.M., et al. Global left atrial strain in the prediction of sinus rhythm maintenance after catheter ablation for atrial fibrillation. J Am Soc Echocardiogr 27 (2014), 1184–1192.
13. 13 Wakami, K., Ohte, N., Asada, K., Fukuta, H., Goto, T., Mukai, S., et al. Correlation between left ventricular end-diastolic pressure and peak left atrial wall strain during left ventricular systole. J Am Soc Echocardiogr 22 (2009), 847–851.
14. 14 Guan, Z., Zhang, D., Huang, R., Zhang, F., Wang, Q., Guo, S., Association of left atrial myocardial function with left ventricular diastolic dysfunction in subjects with preserved systolic function: a strain rate imaging study. Clin Cardiol 33 (2010), 643–649.
15. 15 Dogan, C.D., Ozdemir, N.D., Hatipoglu, S.D., Bakal, R.B.D., Omaygenc, M.O.D., Dindar, B.D., et al. Relation of left atrial peak systolic strain with left ventricular diastolic dysfunction and brain natriuretic peptide level in patients presenting with ST-elevation myocardial infarction. Cardiovasc Ultrasound, 11, 2013, 24.
16. 16 Cameli, M., Lisi, M., Mondillo, S., Padeletti, M., Ballo, P., Tsioulpas, C., et al. Left atrial longitudinal strain by speckle tracking echocardiography correlates well with left ventricular filling pressures in patients with heart failure. Cardiovasc Ultrasound, 8, 2010, 14.
17. 2-VASc score and indicates prognostic impact in patients with atrial fibrillation. J Am Soc Echocardiogr 27 (2014), 709–716.e4.
18. 18 Antoni, M.L., ten Brinke, E.A., Atary, J.Z., Marsan, N.A., Holman, E.R., Schalij, M.J., et al. Left atrial strain is related to adverse events in patients after acute myocardial infarction treated with primary percutaneous coronary intervention. Heart 97 (2011), 1332–1337.
19. 19 Debonnaire, P., Leong, D.P., Witkowski, T.G., Al Amri, I., Joyce, E., Katsanos, S., et al. Left atrial function by two-dimensional speckle-tracking echocardiography in patients with severe organic mitral regurgitation: association with guidelines-based surgical indication and postoperative (long-term) survival. J Am Soc Echocardiogr 26 (2013), 1053–1062.
20. 20 Cameli, M., Caputo, M., Mondillo, S., Ballo, P., Palmerini, E., Lisi, M., et al. Feasibility and reference values of left atrial longitudinal strain imaging by two-dimensional speckle tracking. Cardiovasc Ultrasound, 7, 2009, 6.
21. 21 Saraiva, R.M., Demirkol, S., Buakhamsri, A., Greenberg, N., Popovic, Z.B., Thomas, J.D., et al. Left atrial strain measured by two-dimensional speckle tracking represents a new tool to evaluate left atrial function. J Am Soc Echocardiogr 23 (2010), 172–180.
22. 22 Sun, J.P., Yang, Y., Guo, R., Wang, D., Lee, A.P., Wang, X.Y., et al. Left atrial regional phasic strain, strain rate and velocity by speckle-tracking echocardiography: normal values and effects of aging in a large group of normal subjects. Int J Cardiol 168 (2013), 3473–3479.
23. 23 Kim, D.G., Lee, K.J., Lee, S., Jeong, S.Y., Lee, Y.S., Choi, Y.J., et al. Feasibility of two-dimensional global longitudinal strain and strain rate imaging for the assessment of left atrial function: a study in subjects with a low probability of cardiovascular disease and normal exercise capacity. Echocardiography 26 (2009), 1179–1187.
24. 24 Morris, D.A., Takeuchi, M., Krisper, M., Kohncke, C., Bekfani, T., Carstensen, T., et al. Normal values and clinical relevance of left atrial myocardial function analysed by speckle-tracking echocardiography: multicentre study. Eur Heart J Cardiovasc Imaging 16 (2015), 364–372.
25. 25 Vianna-Pinton, R., Moreno, C.A., Baxter, C.M., Lee, K.S., Tsang, T.S., Appleton, C.P., Two-dimensional speckle-tracking echocardiography of the left atrium: feasibility and regional contraction and relaxation differences in normal subjects. J Am Soc Echocardiogr 22 (2009), 299–305.
26. 26 Xia, J., Gao, Y., Wang, Q., Ma, W., Left atrial function examination of healthy individuals with 2D speckle-tracking imaging. Exp Ther Med 5 (2013), 243–246.
27. 27 Rimbas, R.C., Mihaila, S., Vinereanu, D., Sources of variation in assessing left atrial functions by 2D speckle-tracking echocardiography. Heart Vessels 31 (2016), 370–381.
28. 28 Hayashi, S., Yamada, H., Bando, M., Saijo, Y., Nishio, S., Hirata, Y., et al. Optimal analysis of left atrial strain by speckle tracking echocardiography: P-wave versus R-wave trigger. Echocardiography 32 (2015), 1241–1249.
29. 29 Mor-Avi, V., Lang, R.M., Badano, L.P., Belohlavek, M., Cardim, N.M., Derumeaux, G., et al. Current and evolving echocardiographic techniques for the quantitative evaluation of cardiac mechanics: ASE/EAE consensus statement on methodology and indications endorsed by the Japanese Society of Echocardiography. J Am Soc Echocardiogr 24 (2011), 277–313.
30. 30 Rimbas, R.C., Vinereanu, D., Left atrial regional phasic strain, strain rate and velocity by speckle-tracking echocardiography: normal values and effects of aging in a large group of normal subjects–our reply. Int J Cardiol 174 (2014), 219–222.
31. 31 Peluso, D., Badano, L.P., Muraru, D., Dal Bianco, L., Cucchini, U., Kocabay, G., et al. Right atrial size and function assessed with three-dimensional and speckle-tracking echocardiography in 200 healthy volunteers. Eur Heart J Cardiovasc Imaging 14 (2013), 1106–1114.
32. 32 Muraru, D., Cucchini, U., Mihaila, S., Miglioranza, M.H., Aruta, P., Cavalli, G., et al. Left ventricular myocardial strain by three-dimensional speckle-tracking echocardiography in healthy subjects: reference values and analysis of their physiologic and technical determinants. J Am Soc Echocardiogr 27 (2014), 858–871 e1.
33. 33 Mihaila, S., Muraru, D., Piasentini, E., Miglioranza, M.H., Peluso, D., Cucchini, U., et al. Quantitative analysis of mitral annular geometry and function in healthy volunteers using transthoracic three-dimensional echocardiography. J Am Soc Echocardiogr 27 (2014), 846–857.
34. 34 Maffessanti, F., Muraru, D., Esposito, R., Gripari, P., Ermacora, D., Santoro, C., et al. Age-, body size-, and sex-specific reference values for right ventricular volumes and ejection fraction by three-dimensional echocardiography: a multicenter echocardiographic study in 507 healthy volunteers. Circ Cardiovasc Imaging 6 (2013), 700–710.
35. 35 Muraru, D., Badano, L.P., Peluso, D., Dal Bianco, L., Casablanca, S., Kocabay, G., et al. Comprehensive analysis of left ventricular geometry and function by three-dimensional echocardiography in healthy adults. J Am Soc Echocardiogr 26 (2013), 618–628.
36. 36 Lang, R.M., Badano, L.P., Mor-Avi, V., Afilalo, J., Armstrong, A., Ernande, L., et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 28 (2015), 1–39.
37. 37 Chobanian, A.V., Bakris, G.L., Black, H.R., Cushman, W.C., Green, L.A., Izzo, J.L. Jr., et al. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 289 (2003), 2560–2572.
38. 38 American Diabetes Association. Standards of medical care in diabetes—2010. Diabetes Care 33 Suppl 1 (2010), S11–S61.
39. 39 Du Bois, D., Du Bois, E.F., Clinical calorimetry. A formula to estimate the approximate surface area if height and weight be known. Arch Int Med 17 (1916), 863–871.
40. 40 Mor-Avi, V., Yodwut, C., Jenkins, C., Kuhl, H., Nesser, H.J., Marwick, T.H., et al. Real-time 3D echocardiographic quantification of left atrial volume: multicenter study for validation with CMR. JACC Cardiovasc Imaging 5 (2012), 769–777.
41. 41 Anwar, A.M., Soliman, O.I., Geleijnse, M.L., Nemes, A., Vletter, W.B., ten Cate, F.J., Assessment of left atrial volume and function by real-time three-dimensional echocardiography. Int J Cardiol 123 (2008), 155–161.
42. 42 Kocabay, G., Muraru, D., Peluso, D., Cucchini, U., Mihaila, S., Padayattil-Jose, S., et al. Normal left ventricular mechanics by two-dimensional speckle-tracking echocardiography. Reference values in healthy adults. Rev Esp Cardiol 67 (2014), 651–658.
43. 43 Vieira, M.J., Teixeira, R., Goncalves, L., Gersh, B., Left atrial mechanics: echocardiographic assessment and clinical implications. J Am Soc Echocardiogr 27 (2014), 463–478.
44. 44 Scantlebury, D.C., Borlaug, B.A., Why are women more likely than men to develop heart failure with preserved ejection fraction?. Curr Opin Cardiol 26 (2011), 562–568.
45. 45 Okamatsu, K., Takeuchi, M., Nakai, H., Nishikage, T., Salgo, I.S., Husson, S., et al. Effects of aging on left atrial function assessed by two-dimensional speckle tracking echocardiography. J Am Soc Echocardiogr 22 (2009), 70–75.
46. 46 Redfield, M., Jacobsen, S.J., Borlaug, B.A., Rodeheffer, R.J., Kass, D.A., Age- and gender-related ventricular-vascular stiffening. Circulation 112 (2005), 2254–2262.
47. 47 Teo, S.G., Yang, H., Chai, P., Yeo, T.C., Impact of left ventricular diastolic dysfunction on left atrial volume and function: a volumetric analysis. Eur J Echocardiogr 11 (2010), 38–43.
48. 48 Jing, Z., Jianchang, C., Weiting, X., Lan, G., Shaikh, F., Yanni, W., Comparison of left atrial function in healthy individuals versus patients with non-ST-segment elevation myocardial infarction using two-dimensional speckle tracking echocardiography. Cardiovasc J Afr 24 (2013), 154–160.
49. 49 Huynh, Q.L., Kalam, K., Iannaccone, A., Negishi, K., Thomas, L., Marwick, T.H., Functional and anatomic responses of the left atrium to change in estimated left ventricular filling pressure. J Am Soc Echocardiogr 28 (2015), 1428–1433.
50. 50 Barbier, P., Solomon, S.B., Schiller, N.B., Glantz, S.A., Left atrial relaxation and left ventricular systolic function determine left atrial reservoir function. Circulation 100 (1999), 427–436.
51. 51 Macron, L., Lairez, O., Nahum, J., Berry, M., Deal, L., Deux, J.F., et al. Impact of acoustic window on accuracy of longitudinal global strain: a comparison study to cardiac magnetic resonance. Eur J Echocardiogr 12 (2011), 394–399.
52. 52 Lavie, C.J., De Schutter, A., Parto, P., Jahangir, E., Kokkinos, P., Ortega, F.B., et al. Obesity and prevalence of cardiovascular disease and prognosis—the obesity paradox updated. Prog Cardiovasc Dis 58 (2016), 537–547.
53. 53 Mahajan, R., Lau, D.H., Brooks, A.G., Shipp, N.J., Manavis, J., Wood, J.P., et al. Electrophysiological, electroanatomical, and structural remodeling of the atria as consequences of sustained obesity. J Am Coll Cardiol 66 (2015), 1–11.