The effect of left ventricular longitudinal strain on left atrial function and ventricular filling in hypertension
To assess the relationship of global longitudinal strain during left atrial (LA) and left ventricular (LV) filling and emptying. Using magnetic resonance imaging in 47 hypertensive patients, biplane global LV longitudinal strain was evaluated and related to LA and LV filling and emptying (by volumet...
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Published in | Clinical radiology Vol. 77; no. 5; pp. e379 - e386 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
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Elsevier Ltd
01.05.2022
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Abstract | To assess the relationship of global longitudinal strain during left atrial (LA) and left ventricular (LV) filling and emptying.
Using magnetic resonance imaging in 47 hypertensive patients, biplane global LV longitudinal strain was evaluated and related to LA and LV filling and emptying (by volumetric analysis), and to pulmonary vein and trans-mitral flow (by phase-contrast imaging). The results were compared to normal subjects.
In hypertensive patients, reduced global longitudinal LV strain was associated with reduced LA reservoir (47 ± 10 versus 53 ± 9%, p<0.05), reduced LA conduit function (21 ± 9 versus 32 ± 11%, p<0.004), reduced LA early peak emptying rate (150 ± 77 versus 230 ± 88 ml/s, p=0.007), and slower early LV filling (373 ± 141 versus 478 ± 141 ml/s, p=0.03). LA peak filling rate showed a positive correlation to LV peak emptying rate (R=0.331, p=0.02).
In hypertensive heart disease, impaired LV longitudinal systolic function causes reduced LA filling and emptying, and this leads directly to impaired LV filling and diastolic dysfunction.
•Reduced left ventricular long axis systolic function occurs in hypertension.•This leads to reduced left atrial filling and emptying.•This leads to reduced left ventricular filling.•Long axis ventricular systolic function is important for ventricular filling.•Normal long axis ventricular systolic function is important for diastolic function. |
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AbstractList | AIMTo assess the relationship of global longitudinal strain during left atrial (LA) and left ventricular (LV) filling and emptying. MATERIALS AND METHODSUsing magnetic resonance imaging in 47 hypertensive patients, biplane global LV longitudinal strain was evaluated and related to LA and LV filling and emptying (by volumetric analysis), and to pulmonary vein and trans-mitral flow (by phase-contrast imaging). The results were compared to normal subjects. RESULTSIn hypertensive patients, reduced global longitudinal LV strain was associated with reduced LA reservoir (47 ± 10 versus 53 ± 9%, p<0.05), reduced LA conduit function (21 ± 9 versus 32 ± 11%, p<0.004), reduced LA early peak emptying rate (150 ± 77 versus 230 ± 88 ml/s, p=0.007), and slower early LV filling (373 ± 141 versus 478 ± 141 ml/s, p=0.03). LA peak filling rate showed a positive correlation to LV peak emptying rate (R=0.331, p=0.02). CONCLUSIONIn hypertensive heart disease, impaired LV longitudinal systolic function causes reduced LA filling and emptying, and this leads directly to impaired LV filling and diastolic dysfunction. To assess the relationship of global longitudinal strain during left atrial (LA) and left ventricular (LV) filling and emptying. Using magnetic resonance imaging in 47 hypertensive patients, biplane global LV longitudinal strain was evaluated and related to LA and LV filling and emptying (by volumetric analysis), and to pulmonary vein and trans-mitral flow (by phase-contrast imaging). The results were compared to normal subjects. In hypertensive patients, reduced global longitudinal LV strain was associated with reduced LA reservoir (47 ± 10 versus 53 ± 9%, p<0.05), reduced LA conduit function (21 ± 9 versus 32 ± 11%, p<0.004), reduced LA early peak emptying rate (150 ± 77 versus 230 ± 88 ml/s, p=0.007), and slower early LV filling (373 ± 141 versus 478 ± 141 ml/s, p=0.03). LA peak filling rate showed a positive correlation to LV peak emptying rate (R=0.331, p=0.02). In hypertensive heart disease, impaired LV longitudinal systolic function causes reduced LA filling and emptying, and this leads directly to impaired LV filling and diastolic dysfunction. •Reduced left ventricular long axis systolic function occurs in hypertension.•This leads to reduced left atrial filling and emptying.•This leads to reduced left ventricular filling.•Long axis ventricular systolic function is important for ventricular filling.•Normal long axis ventricular systolic function is important for diastolic function. To assess the relationship of global longitudinal strain during left atrial (LA) and left ventricular (LV) filling and emptying. Using magnetic resonance imaging in 47 hypertensive patients, biplane global LV longitudinal strain was evaluated and related to LA and LV filling and emptying (by volumetric analysis), and to pulmonary vein and trans-mitral flow (by phase-contrast imaging). The results were compared to normal subjects. In hypertensive patients, reduced global longitudinal LV strain was associated with reduced LA reservoir (47 ± 10 versus 53 ± 9%, p<0.05), reduced LA conduit function (21 ± 9 versus 32 ± 11%, p<0.004), reduced LA early peak emptying rate (150 ± 77 versus 230 ± 88 ml/s, p=0.007), and slower early LV filling (373 ± 141 versus 478 ± 141 ml/s, p=0.03). LA peak filling rate showed a positive correlation to LV peak emptying rate (R=0.331, p=0.02). In hypertensive heart disease, impaired LV longitudinal systolic function causes reduced LA filling and emptying, and this leads directly to impaired LV filling and diastolic dysfunction. |
Author | Rodrigues, J.C.L. Manghat, N.E. Dastidar, A.G. Erdei, T. Hart, E.C. Hartley-Davies, R. Szantho, G.V. Nightingale, A.K. Hamilton, M.C.K. |
Author_xml | – sequence: 1 givenname: T. surname: Erdei fullname: Erdei, T. organization: CMR Unit, Bristol Heart Institute, Bristol BS2 8HW, UK – sequence: 2 givenname: J.C.L. surname: Rodrigues fullname: Rodrigues, J.C.L. organization: CMR Unit, Bristol Heart Institute, Bristol BS2 8HW, UK – sequence: 3 givenname: R. surname: Hartley-Davies fullname: Hartley-Davies, R. organization: Medical Physics, University Hospitals Bristol NHS Foundation Trust, Bristol BS2 8HW, UK – sequence: 4 givenname: A.G. surname: Dastidar fullname: Dastidar, A.G. organization: CMR Unit, Bristol Heart Institute, Bristol BS2 8HW, UK – sequence: 5 givenname: G.V. surname: Szantho fullname: Szantho, G.V. organization: CMR Unit, Bristol Heart Institute, Bristol BS2 8HW, UK – sequence: 6 givenname: E.C. surname: Hart fullname: Hart, E.C. organization: Cardionomics Research Group, University of Bristol, Bristol BS8 1TY, UK – sequence: 7 givenname: A.K. surname: Nightingale fullname: Nightingale, A.K. organization: Cardionomics Research Group, University of Bristol, Bristol BS8 1TY, UK – sequence: 8 givenname: N.E. surname: Manghat fullname: Manghat, N.E. organization: CMR Unit, Bristol Heart Institute, Bristol BS2 8HW, UK – sequence: 9 givenname: M.C.K. surname: Hamilton fullname: Hamilton, M.C.K. email: mark.hamilton@uhbw.nhs.uk organization: CMR Unit, Bristol Heart Institute, Bristol BS2 8HW, UK |
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Cites_doi | 10.1080/08037050903013899 10.1111/jch.12920 10.1093/ejechocard/jeq175 10.1038/sj.jhh.1002054 10.1186/1532-429X-14-50 10.1080/10976640600572889 10.1186/s12968-015-0123-3 10.1016/j.jcmg.2015.11.001 10.1136/heartjnl-2011-301388 10.1016/j.jcmg.2018.10.038 10.1148/rg.311105049 10.1186/1532-429X-13-40 10.1007/s00330-017-4841-9 10.1007/s00330-018-5700-z 10.1016/j.ejheart.2004.07.014 10.1007/s00330-019-06397-0 10.1093/ehjci/jew117 10.1136/heartjnl-2016-309576 10.1016/j.jacc.2006.02.048 10.1186/1532-429X-10-36 10.1016/j.echo.2016.01.011 10.1093/eurheartj/eht151 10.1016/j.crad.2021.01.016 10.1186/1532-429X-13-42 |
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Snippet | To assess the relationship of global longitudinal strain during left atrial (LA) and left ventricular (LV) filling and emptying.
Using magnetic resonance... AIMTo assess the relationship of global longitudinal strain during left atrial (LA) and left ventricular (LV) filling and emptying. MATERIALS AND METHODSUsing... |
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SubjectTerms | Atrial Function, Left Echocardiography - methods Heart Atria - diagnostic imaging Heart Atria - pathology Heart Ventricles - diagnostic imaging Humans Hypertension - complications Hypertension - diagnostic imaging Hypertension - pathology Ventricular Dysfunction, Left - complications |
Title | The effect of left ventricular longitudinal strain on left atrial function and ventricular filling in hypertension |
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