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
Background: Two‐dimensional (2D) speckle imaging has shown that it could evaluate not only regional but also global strain (ɛ) and strain rate (SR) of the left and right ventricles. There are no data for global ɛ/SR imaging for left atrial (LA) function evaluation. Methods: A total of 54 subjects (3...
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Published in | Echocardiography (Mount Kisco, N.Y.) Vol. 26; no. 10; pp. 1179 - 1187 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Malden, USA
Blackwell Publishing Inc
01.11.2009
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Subjects | |
Online Access | Get full text |
ISSN | 0742-2822 1540-8175 1540-8175 |
DOI | 10.1111/j.1540-8175.2009.00955.x |
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Abstract | Background: Two‐dimensional (2D) speckle imaging has shown that it could evaluate not only regional but also global strain (ɛ) and strain rate (SR) of the left and right ventricles. There are no data for global ɛ/SR imaging for left atrial (LA) function evaluation. Methods: A total of 54 subjects (37 men; mean age, 44 ± 10 years) with normal treadmill exercise stress echocardiography and no coronary risk factors were enrolled. Global longitudinal LA ɛ/SR data obtained by 2D speckle imaging with automated software (EchoPAC, GE Medical) were compared with LA volumetric parameters. Results: LA ɛ/SR imaging was acceptable in all patients. Bland‐Altman analysis for these parameters showed no evidence of any systematic difference regarding inter‐ and intraobserver variabilities. Global longitudinal LA strain during systole and peak systolic global longitudinal LA SR were correlated with LA total emptying fraction (EF) (r = 0.399, P = 0.004; r = 0.366, P = 0.008). Global longitudinal LA strain during early diastole and peak early diastolic global longitudinal LA SR were correlated significantly with LA passive EF (r = 0.476, P < 0.001; r = 0.507, P < 0.001). Global longitudinal LA strain during late diastole and peak late diastolic global longitudinal LA SR were not correlated with LA active EF (r = 0.198, P = 0.163; r = 0.265, P = 0.060). Conclusions: Global longitudinal LA ɛ/SR parameters determined by 2D speckle tracking echocardiography are feasible and reproducible indices for the evaluation of LA function. (ECHOCARDIOGRAPHY, Volume 26, November 2009) |
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AbstractList | Two-dimensional (2D) speckle imaging has shown that it could evaluate not only regional but also global strain (epsilon) and strain rate (SR) of the left and right ventricles. There are no data for global epsilon/SR imaging for left atrial (LA) function evaluation.BACKGROUNDTwo-dimensional (2D) speckle imaging has shown that it could evaluate not only regional but also global strain (epsilon) and strain rate (SR) of the left and right ventricles. There are no data for global epsilon/SR imaging for left atrial (LA) function evaluation.A total of 54 subjects (37 men; mean age, 44 +/- 10 years) with normal treadmill exercise stress echocardiography and no coronary risk factors were enrolled. Global longitudinal LA epsilon/SR data obtained by 2D speckle imaging with automated software (EchoPAC, GE Medical) were compared with LA volumetric parameters.METHODSA total of 54 subjects (37 men; mean age, 44 +/- 10 years) with normal treadmill exercise stress echocardiography and no coronary risk factors were enrolled. Global longitudinal LA epsilon/SR data obtained by 2D speckle imaging with automated software (EchoPAC, GE Medical) were compared with LA volumetric parameters.LA epsilon/SR imaging was acceptable in all patients. Bland-Altman analysis for these parameters showed no evidence of any systematic difference regarding inter- and intraobserver variabilities. Global longitudinal LA strain during systole and peak systolic global longitudinal LA SR were correlated with LA total emptying fraction (EF) (r = 0.399, P = 0.004; r = 0.366, P = 0.008). Global longitudinal LA strain during early diastole and peak early diastolic global longitudinal LA SR were correlated significantly with LA passive EF (r = 0.476, P < 0.001; r = 0.507, P < 0.001). Global longitudinal LA strain during late diastole and peak late diastolic global longitudinal LA SR were not correlated with LA active EF (r = 0.198, P = 0.163; r = 0.265, P = 0.060).RESULTSLA epsilon/SR imaging was acceptable in all patients. Bland-Altman analysis for these parameters showed no evidence of any systematic difference regarding inter- and intraobserver variabilities. Global longitudinal LA strain during systole and peak systolic global longitudinal LA SR were correlated with LA total emptying fraction (EF) (r = 0.399, P = 0.004; r = 0.366, P = 0.008). Global longitudinal LA strain during early diastole and peak early diastolic global longitudinal LA SR were correlated significantly with LA passive EF (r = 0.476, P < 0.001; r = 0.507, P < 0.001). Global longitudinal LA strain during late diastole and peak late diastolic global longitudinal LA SR were not correlated with LA active EF (r = 0.198, P = 0.163; r = 0.265, P = 0.060).Global longitudinal LA epsilon/SR parameters determined by 2D speckle tracking echocardiography are feasible and reproducible indices for the evaluation of LA function.CONCLUSIONSGlobal longitudinal LA epsilon/SR parameters determined by 2D speckle tracking echocardiography are feasible and reproducible indices for the evaluation of LA function. Two-dimensional (2D) speckle imaging has shown that it could evaluate not only regional but also global strain (epsilon) and strain rate (SR) of the left and right ventricles. There are no data for global epsilon/SR imaging for left atrial (LA) function evaluation. A total of 54 subjects (37 men; mean age, 44 +/- 10 years) with normal treadmill exercise stress echocardiography and no coronary risk factors were enrolled. Global longitudinal LA epsilon/SR data obtained by 2D speckle imaging with automated software (EchoPAC, GE Medical) were compared with LA volumetric parameters. LA epsilon/SR imaging was acceptable in all patients. Bland-Altman analysis for these parameters showed no evidence of any systematic difference regarding inter- and intraobserver variabilities. Global longitudinal LA strain during systole and peak systolic global longitudinal LA SR were correlated with LA total emptying fraction (EF) (r = 0.399, P = 0.004; r = 0.366, P = 0.008). Global longitudinal LA strain during early diastole and peak early diastolic global longitudinal LA SR were correlated significantly with LA passive EF (r = 0.476, P < 0.001; r = 0.507, P < 0.001). Global longitudinal LA strain during late diastole and peak late diastolic global longitudinal LA SR were not correlated with LA active EF (r = 0.198, P = 0.163; r = 0.265, P = 0.060). Global longitudinal LA epsilon/SR parameters determined by 2D speckle tracking echocardiography are feasible and reproducible indices for the evaluation of LA function. Background: Two‐dimensional (2D) speckle imaging has shown that it could evaluate not only regional but also global strain (ɛ) and strain rate (SR) of the left and right ventricles. There are no data for global ɛ/SR imaging for left atrial (LA) function evaluation. Methods: A total of 54 subjects (37 men; mean age, 44 ± 10 years) with normal treadmill exercise stress echocardiography and no coronary risk factors were enrolled. Global longitudinal LA ɛ/SR data obtained by 2D speckle imaging with automated software (EchoPAC, GE Medical) were compared with LA volumetric parameters. Results: LA ɛ/SR imaging was acceptable in all patients. Bland‐Altman analysis for these parameters showed no evidence of any systematic difference regarding inter‐ and intraobserver variabilities. Global longitudinal LA strain during systole and peak systolic global longitudinal LA SR were correlated with LA total emptying fraction (EF) (r = 0.399, P = 0.004; r = 0.366, P = 0.008). Global longitudinal LA strain during early diastole and peak early diastolic global longitudinal LA SR were correlated significantly with LA passive EF (r = 0.476, P < 0.001; r = 0.507, P < 0.001). Global longitudinal LA strain during late diastole and peak late diastolic global longitudinal LA SR were not correlated with LA active EF (r = 0.198, P = 0.163; r = 0.265, P = 0.060). Conclusions: Global longitudinal LA ɛ/SR parameters determined by 2D speckle tracking echocardiography are feasible and reproducible indices for the evaluation of LA function. (ECHOCARDIOGRAPHY, Volume 26, November 2009) |
Author | Lee, Sahng Yoon, Hyeon Soo Park, Mira Kim, Jeong Hee Park, Soon Chang Kim, Dong Gyu Jeong, So-Yeon Choi, Yu Jeong Jeong, Kyung Tae Lee, Young Sook Lee, Kyung Jin |
Author_xml | – sequence: 1 givenname: Dong Gyu surname: Kim fullname: Kim, Dong Gyu organization: Department of Internal Medicine – sequence: 2 givenname: Kyung Jin surname: Lee fullname: Lee, Kyung Jin organization: Department of Internal Medicine – sequence: 3 givenname: Sahng surname: Lee fullname: Lee, Sahng organization: Department of Internal Medicine – sequence: 4 givenname: So-Yeon surname: Jeong fullname: Jeong, So-Yeon organization: Department of Internal Medicine – sequence: 5 givenname: Young Sook surname: Lee fullname: Lee, Young Sook organization: Department of Internal Medicine – sequence: 6 givenname: Yu Jeong surname: Choi fullname: Choi, Yu Jeong organization: Department of Internal Medicine – sequence: 7 givenname: Hyeon Soo surname: Yoon fullname: Yoon, Hyeon Soo organization: Department of Internal Medicine – sequence: 8 givenname: Jeong Hee surname: Kim fullname: Kim, Jeong Hee organization: Department of Internal Medicine – sequence: 9 givenname: Kyung Tae surname: Jeong fullname: Jeong, Kyung Tae organization: Department of Internal Medicine – sequence: 10 givenname: Soon Chang surname: Park fullname: Park, Soon Chang organization: Department of Internal Medicine – sequence: 11 givenname: Mira surname: Park fullname: Park, Mira organization: Division of Biostatistics, Department of Preventive Medicine, Eulji University Hospital, Daejeon, Republic of Korea |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19725856$$D View this record in MEDLINE/PubMed |
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Di Salvo G, Caso P, Lo Piccolo R, et al: Atrial myocardial deformation properties predict maintenance of sinus rhythm after external cardioversion of recent-onset lone atrial fibrillation: A color Doppler myocardial imaging and transthoracic and transesophageal echocardiographic study. Circulation 2005;112:387-395. Matsuda Y, Toma Y, Moritani K, et al: Assessment of left atrial function in patients with hypertensive heart disease. Hypertension 1986;8:779-785. 1995; 92 2005; 112 2008; 109 1994; 89 1983; 51 2003; 16 2007; 93 1998; 81 2008; 94 2001; 85 1995; 8 2005; 46 1990; 82 2007; 114 1991; 121 1987; 21 2006; 61 2009; 10 1984; 151 1986; 8 2002; 143 1995; 25 2004; 17 2008; 29 2006; 47 2008; 25 1964; 37 2008; 42 2005; 18 1998; 31 1994; 73 1983; 67 Nakai T (e_1_2_6_8_2) 2002; 143 e_1_2_6_31_2 Grant C (e_1_2_6_2_2) 1964; 37 Dernellis J (e_1_2_6_9_2) 2006; 61 e_1_2_6_18_2 e_1_2_6_19_2 Donal E (e_1_2_6_11_2) 2005; 18 e_1_2_6_12_2 e_1_2_6_35_2 e_1_2_6_13_2 e_1_2_6_34_2 e_1_2_6_10_2 e_1_2_6_33_2 e_1_2_6_32_2 e_1_2_6_16_2 e_1_2_6_17_2 e_1_2_6_14_2 e_1_2_6_15_2 e_1_2_6_36_2 Matsuda Y (e_1_2_6_5_2) 1986; 8 e_1_2_6_20_2 Jarvinen V (e_1_2_6_29_2) 1994; 73 Marmor A (e_1_2_6_28_2) 1984; 151 Yip G (e_1_2_6_30_2) 2003; 16 e_1_2_6_7_2 e_1_2_6_4_2 e_1_2_6_3_2 e_1_2_6_6_2 e_1_2_6_24_2 e_1_2_6_23_2 e_1_2_6_22_2 e_1_2_6_21_2 e_1_2_6_27_2 e_1_2_6_26_2 e_1_2_6_25_2 |
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Snippet | Background: Two‐dimensional (2D) speckle imaging has shown that it could evaluate not only regional but also global strain (ɛ) and strain rate (SR) of the left... Two-dimensional (2D) speckle imaging has shown that it could evaluate not only regional but also global strain (epsilon) and strain rate (SR) of the left and... |
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SubjectTerms | Adult Coronary Artery Disease - diagnostic imaging Echocardiography - methods Elasticity Imaging Techniques - methods Exercise Test Exercise Tolerance Feasibility Studies Female global left atrial function Heart Atria - diagnostic imaging Humans Image Interpretation, Computer-Assisted - methods Male Reproducibility of Results Sensitivity and Specificity strain strain rate two-dimensional speckle tracking imaging |
Title | 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 |
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