Echocardiographic reference ranges for normal left atrial function parameters: results from the EACVI NORRE study

To obtain the normal ranges for echocardiographic measurements of left atrial (LA) function from a large group of healthy volunteers accounting for age and gender. A total of 371 (median age 45 years) healthy subjects were enrolled at 22 collaborating institutions collaborating in the Normal Referen...

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Published inEuropean heart journal cardiovascular imaging Vol. 19; no. 6; p. 630
Main Authors Sugimoto, Tadafumi, Robinet, Sébastien, Dulgheru, Raluca, Bernard, Anne, Ilardi, Federica, Contu, Laura, Addetia, Karima, Caballero, Luis, Kacharava, George, Athanassopoulos, George D, Barone, Daniele, Baroni, Monica, Cardim, Nuno, Hagendorff, Andreas, Hristova, Krasimira, Lopez, Teresa, de la Morena, Gonzalo, Popescu, Bogdan A, Penicka, Martin, Ozyigit, Tolga, Rodrigo Carbonero, Jose David, van de Veire, Nico, Von Bardeleben, Ralph Stephan, Vinereanu, Dragos, Zamorano, Jose Luis, Go, Yun Yun, Marchetta, Stella, Nchimi, Alain, Rosca, Monica, Calin, Andreea, Moonen, Marie, Cimino, Sara, Magne, Julien, Cosyns, Bernard, Galli, Elena, Donal, Erwan, Habib, Gilbert, Esposito, Roberta, Galderisi, Maurizio, Badano, Luigi P, Lang, Roberto M, Lancellotti, Patrizio
Format Journal Article
LanguageEnglish
Published England 01.06.2018
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Abstract To obtain the normal ranges for echocardiographic measurements of left atrial (LA) function from a large group of healthy volunteers accounting for age and gender. A total of 371 (median age 45 years) healthy subjects were enrolled at 22 collaborating institutions collaborating in the Normal Reference Ranges for Echocardiography (NORRE) study of the European Association of Cardiovascular Imaging (EACVI). Left atrial data sets were analysed with a vendor-independent software (VIS) package allowing homogeneous measurements irrespective of the echocardiographic equipment used to acquire data sets. The lowest expected values of LA function were 26.1%, 48.7%, and 41.4% for left atrial strain (LAS), 2D left atrial emptying fraction (LAEF), and 3D LAEF (reservoir function); 7.7%, 24.2%, and -0.53/s for LAS-active, LAEF-active, and LA strain rate during LA contraction (SRa) (pump function) and 12.0% and 21.6% for LAS-passive and LAEF-passive (conduit function). Left atrial reservoir and conduit function were decreased with age while pump function was increased. All indices of reservoir function and all LA strains had no difference in both gender and vendor. However, inter-vendor differences were observed in LA SRa despite the use of VIS. The NORRE study provides contemporary, applicable echocardiographic reference ranges for LA function. Our data highlight the importance of age-specific reference values for LA functions.
AbstractList To obtain the normal ranges for echocardiographic measurements of left atrial (LA) function from a large group of healthy volunteers accounting for age and gender. A total of 371 (median age 45 years) healthy subjects were enrolled at 22 collaborating institutions collaborating in the Normal Reference Ranges for Echocardiography (NORRE) study of the European Association of Cardiovascular Imaging (EACVI). Left atrial data sets were analysed with a vendor-independent software (VIS) package allowing homogeneous measurements irrespective of the echocardiographic equipment used to acquire data sets. The lowest expected values of LA function were 26.1%, 48.7%, and 41.4% for left atrial strain (LAS), 2D left atrial emptying fraction (LAEF), and 3D LAEF (reservoir function); 7.7%, 24.2%, and -0.53/s for LAS-active, LAEF-active, and LA strain rate during LA contraction (SRa) (pump function) and 12.0% and 21.6% for LAS-passive and LAEF-passive (conduit function). Left atrial reservoir and conduit function were decreased with age while pump function was increased. All indices of reservoir function and all LA strains had no difference in both gender and vendor. However, inter-vendor differences were observed in LA SRa despite the use of VIS. The NORRE study provides contemporary, applicable echocardiographic reference ranges for LA function. Our data highlight the importance of age-specific reference values for LA functions.
Author Athanassopoulos, George D
Hagendorff, Andreas
Lopez, Teresa
Galderisi, Maurizio
Penicka, Martin
Cimino, Sara
Cardim, Nuno
Hristova, Krasimira
Zamorano, Jose Luis
Cosyns, Bernard
Lancellotti, Patrizio
Baroni, Monica
Lang, Roberto M
van de Veire, Nico
Barone, Daniele
Bernard, Anne
Rodrigo Carbonero, Jose David
Contu, Laura
Sugimoto, Tadafumi
Badano, Luigi P
Calin, Andreea
Ilardi, Federica
Rosca, Monica
Moonen, Marie
Magne, Julien
Galli, Elena
Vinereanu, Dragos
Kacharava, George
de la Morena, Gonzalo
Robinet, Sébastien
Nchimi, Alain
Ozyigit, Tolga
Donal, Erwan
Addetia, Karima
Dulgheru, Raluca
Popescu, Bogdan A
Go, Yun Yun
Caballero, Luis
Von Bardeleben, Ralph Stephan
Habib, Gilbert
Marchetta, Stella
Esposito, Roberta
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  givenname: Tadafumi
  surname: Sugimoto
  fullname: Sugimoto, Tadafumi
  organization: Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU du Sart Tilman, Domaine Universitaire du Sart Tilman, Batiment B35, 4000 Liège, Belgium
– sequence: 2
  givenname: Sébastien
  surname: Robinet
  fullname: Robinet, Sébastien
  organization: Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU du Sart Tilman, Domaine Universitaire du Sart Tilman, Batiment B35, 4000 Liège, Belgium
– sequence: 3
  givenname: Raluca
  surname: Dulgheru
  fullname: Dulgheru, Raluca
  organization: Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU du Sart Tilman, Domaine Universitaire du Sart Tilman, Batiment B35, 4000 Liège, Belgium
– sequence: 4
  givenname: Anne
  surname: Bernard
  fullname: Bernard, Anne
  organization: Cardiology Department, CHU Tours, France et Université de Tours, 2 Boulevard Tonnellé, 37000 Tours, France
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  givenname: Federica
  surname: Ilardi
  fullname: Ilardi, Federica
  organization: Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU du Sart Tilman, Domaine Universitaire du Sart Tilman, Batiment B35, 4000 Liège, Belgium
– sequence: 6
  givenname: Laura
  surname: Contu
  fullname: Contu, Laura
  organization: Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU du Sart Tilman, Domaine Universitaire du Sart Tilman, Batiment B35, 4000 Liège, Belgium
– sequence: 7
  givenname: Karima
  surname: Addetia
  fullname: Addetia, Karima
  organization: Department of Medicine University of Chicago Medical Center, 5841 S Maryland Ave, Chicago, 60637 IL, USA
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  givenname: Luis
  surname: Caballero
  fullname: Caballero, Luis
  organization: Unidad de Imagen Cardiaca, Servicio de Cardiologia, Hospital Clinico Universitario Virgen de la Arrixaca, IMIB-Arrixaca, Ctra. Madrid-Cartagena, s/n, 30120 El Palmar, Murcia, Spain
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  surname: Kacharava
  fullname: Kacharava, George
  organization: Echocardiography Laboratory of Adult Cardiology Department of the JO ANN Medical Center, 21 Lubliana str. 0159, Tbilisi, Georgia
– sequence: 10
  givenname: George D
  surname: Athanassopoulos
  fullname: Athanassopoulos, George D
  organization: Noninvasive Diagnostics Department, Onassis Cardiac Surgery Center, Leof. Andrea Siggrou 356, 176 74 Kallithea, Athens, Greece
– sequence: 11
  givenname: Daniele
  surname: Barone
  fullname: Barone, Daniele
  organization: Laboratory of Cardiovascular Ecography, Cardiology Department, S. Andrea Hospital, Via Vittorio Veneto, 197, 19121 La Spezia SP, Italy
– sequence: 12
  givenname: Monica
  surname: Baroni
  fullname: Baroni, Monica
  organization: Laboratorio Di Ecocardiografia Adulti, Fondazione Toscana 'G.Monasterio'-Ospedale Del Cuore, Via Giuseppe Moruzzi, 1, 56124 Pisa PI, Massa, Italy
– sequence: 13
  givenname: Nuno
  surname: Cardim
  fullname: Cardim, Nuno
  organization: Echocardiography Laboratory, Hospital da Luz, Av. Lusíada 100, 1500-650 Lisboa, Portugal
– sequence: 14
  givenname: Andreas
  surname: Hagendorff
  fullname: Hagendorff, Andreas
  organization: Department of Cardiology, University of Leipzig, Liebigstraße 20, 04103 Leipzig, Germany
– sequence: 15
  givenname: Krasimira
  surname: Hristova
  fullname: Hristova, Krasimira
  organization: Department of Noninvasive Functional Diagnostic and Imaging, University National Heart Hospital, ul. "Konyovitsa" 65, 1309 g.k. Ilinden, Sofia, Bulgaria
– sequence: 16
  givenname: Teresa
  surname: Lopez
  fullname: Lopez, Teresa
  organization: Cardiology Department, La Paz Hospital, Paseo de la Castellana, 261, 28046 Madrid, Spain
– sequence: 17
  givenname: Gonzalo
  surname: de la Morena
  fullname: de la Morena, Gonzalo
  organization: Unidad de Imagen Cardiaca, Servicio de Cardiologia, Hospital Clinico Universitario Virgen de la Arrixaca, IMIB-Arrixaca, Ctra. Madrid-Cartagena, s/n, 30120 El Palmar, Murcia, Spain
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  givenname: Bogdan A
  surname: Popescu
  fullname: Popescu, Bogdan A
  organization: University of Medicine and Pharmacy 'Carol Davila', Euroecolab, Institute of Cardiovascular Diseases 'Prof. Dr. C. C. Iliescu', Sector 1, Strada Dionisie Lupu 37, 030167 Bucuresti, Romania
– sequence: 19
  givenname: Martin
  surname: Penicka
  fullname: Penicka, Martin
  organization: Cardiovascular Center Aalst, OLV-Clinic, Moorselbaan 164, 9300 Aalst, Belgium
– sequence: 20
  givenname: Tolga
  surname: Ozyigit
  fullname: Ozyigit, Tolga
  organization: VKV Amerikan Hastanesi, Kardiyoloji Bölümü, Tesvikiye, Güzelbahçe Sk. No:20, 34365 Sisli/Istanbul, Turkey
– sequence: 21
  givenname: Jose David
  surname: Rodrigo Carbonero
  fullname: Rodrigo Carbonero, Jose David
  organization: Laboratorio de Ecocardiografia Hospital de Cruces, Plaza de Cruces, S/N, 48903 Baracaldo, Vizcaya, Spain
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  givenname: Nico
  surname: van de Veire
  fullname: van de Veire, Nico
  organization: Echocardiography Unit, AZ Maria Middelares Gent, Buitenring-Sint-Denijs 30, 9000 Gent, Belgium
– sequence: 23
  givenname: Ralph Stephan
  surname: Von Bardeleben
  fullname: Von Bardeleben, Ralph Stephan
  organization: Medical Department Cardiology, Universitätsmedizin of the Johannes Gutenberg-University Mainz, Langenbeckstraße 1, 55131 Mainz, Germany
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  givenname: Dragos
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  organization: Cardiovascular Research Unit, University and Emergency Hospital, University of Medicine and Pharmacy Carol Davila, Sector 1, Strada Dionisie Lupu 37, 030167 Bucuresti, Romania
– sequence: 25
  givenname: Jose Luis
  surname: Zamorano
  fullname: Zamorano, Jose Luis
  organization: University Alcala, Hospital Ramón y Cajal, Ctra. De Colmenar Viejo, km. 9, 100, 28034 Madrid, Spain
– sequence: 26
  givenname: Yun Yun
  surname: Go
  fullname: Go, Yun Yun
  organization: Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU du Sart Tilman, Domaine Universitaire du Sart Tilman, Batiment B35, 4000 Liège, Belgium
– sequence: 27
  givenname: Stella
  surname: Marchetta
  fullname: Marchetta, Stella
  organization: Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU du Sart Tilman, Domaine Universitaire du Sart Tilman, Batiment B35, 4000 Liège, Belgium
– sequence: 28
  givenname: Alain
  surname: Nchimi
  fullname: Nchimi, Alain
  organization: Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU du Sart Tilman, Domaine Universitaire du Sart Tilman, Batiment B35, 4000 Liège, Belgium
– sequence: 29
  givenname: Monica
  surname: Rosca
  fullname: Rosca, Monica
  organization: University of Medicine and Pharmacy 'Carol Davila', Euroecolab, Institute of Cardiovascular Diseases 'Prof. Dr. C. C. Iliescu', Sector 1, Strada Dionisie Lupu 37, 030167 Bucuresti, Romania
– sequence: 30
  givenname: Andreea
  surname: Calin
  fullname: Calin, Andreea
  organization: University of Medicine and Pharmacy 'Carol Davila', Euroecolab, Institute of Cardiovascular Diseases 'Prof. Dr. C. C. Iliescu', Sector 1, Strada Dionisie Lupu 37, 030167 Bucuresti, Romania
– sequence: 31
  givenname: Marie
  surname: Moonen
  fullname: Moonen, Marie
  organization: Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU du Sart Tilman, Domaine Universitaire du Sart Tilman, Batiment B35, 4000 Liège, Belgium
– sequence: 32
  givenname: Sara
  surname: Cimino
  fullname: Cimino, Sara
  organization: Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU du Sart Tilman, Domaine Universitaire du Sart Tilman, Batiment B35, 4000 Liège, Belgium
– sequence: 33
  givenname: Julien
  surname: Magne
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  organization: CHU Dupuytren, 2 Avenue Martin Luther King, 87000 Limoges, France
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  givenname: Bernard
  surname: Cosyns
  fullname: Cosyns, Bernard
  organization: CHVZ (Centrum voor Hart en Vaatziekten), Universitair ziekenhuis Brussel and ICMI (In Vivo Cellular and Molecular Imaging) Laboratory, Avenue du Laerbeek 101, 1090 Jette, Brussels, Belgium
– sequence: 35
  givenname: Elena
  surname: Galli
  fullname: Galli, Elena
  organization: CIC-IT U 1414, CHU Rennes, Université Rennes 1, Service de Cardiologie, CHU Rennes, 2 Rue Henri le Guilloux, 35000 Rennes, France
– sequence: 36
  givenname: Erwan
  surname: Donal
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  organization: CIC-IT U 1414, CHU Rennes, Université Rennes 1, Service de Cardiologie, CHU Rennes, 2 Rue Henri le Guilloux, 35000 Rennes, France
– sequence: 37
  givenname: Gilbert
  surname: Habib
  fullname: Habib, Gilbert
  organization: Aix Marseille Univ, IRD, APHM, MEPHI, IHU-Méditerranée Infection, Marseille, France
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  givenname: Roberta
  surname: Esposito
  fullname: Esposito, Roberta
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  givenname: Maurizio
  surname: Galderisi
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  organization: Department of Advanced Biomedical Sciences, Federico II University Hospital, Via S.Pansini, 5, 80131 Napoli NA, Italy
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  surname: Badano
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  organization: Department of Cardiac, Thoracic and Vascular Sciences University of Padova, School of Medicine, Via 8 Febbraio 1848, 2, 35122 Padova PD, Italy
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  surname: Lang
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  organization: Department of Medicine University of Chicago Medical Center, 5841 S Maryland Ave, Chicago, 60637 IL, USA
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  givenname: Patrizio
  surname: Lancellotti
  fullname: Lancellotti, Patrizio
  organization: Gruppo Villa Maria Care and Research, Anthea Hospital, Via Camillo Rosalba, 35, 70124 Bari BA, Italy
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29529180$$D View this record in MEDLINE/PubMed
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Hagendorff, Andreas
Lopez, Teresa
Athanassopoulos, George D
Jose, Seena Padayattil
Penicka, Martin
Cardim, Nuno
Hristova, Krasimira
Zamorano, Jose Luis
Lancellotti, Patrizio
Rimbas, Roxana
Baroni, Monica
Lang, Roberto M
van de Veire, Nico
Barone, Daniele
Bernard, Anne
Kotrc, Martin
Kou, Seisyou
Mgaloblishvili, Zaza
Sugimoto, Tadafumi
Badano, Luigi P
Akhaladze, Natela
Ilardi, Federica
Gonjilashvili, Natalia
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Vinereanu, Dragos
de la Morena, Gonzalo
Kacharava, George
Ciobanu, Andrea Olivia
Carbonero, Jose David Rodrigo
Robinet, Sébastien
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González-Carrillo, Josefa
Ozyigit, Tolga
Addetia, Karima
Dulgheru, Raluca
Go, Yun Yun
Popescu, Bogdan A
Voigt, Jens-Uwe
Oliva, María José
Von Bardeleben, Ralph Stephan
Kurashvili, Levan
de Sutter, Johan
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PublicationTitle European heart journal cardiovascular imaging
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PublicationYear 2018
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Snippet To obtain the normal ranges for echocardiographic measurements of left atrial (LA) function from a large group of healthy volunteers accounting for age and...
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SubjectTerms Adult
Age Factors
Atrial Function, Left - physiology
Cohort Studies
Echocardiography - methods
Echocardiography, Three-Dimensional - methods
Female
Healthy Volunteers
Heart Atria - diagnostic imaging
Humans
Image Processing, Computer-Assisted - methods
Linear Models
Male
Middle Aged
Multivariate Analysis
Observer Variation
Reference Standards
Sex Factors
Statistics, Nonparametric
Title Echocardiographic reference ranges for normal left atrial function parameters: results from the EACVI NORRE study
URI https://www.ncbi.nlm.nih.gov/pubmed/29529180
Volume 19
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