Comparison between left atrial features in well-controlled hypertensive patients and normal subjects assessed by three-dimensional speckle tracking echocardiography

Three-dimensional speckle tracking echocardiography (3D-STE) has a major advantage in the improvement of accuracy in the evaluation of cardiac chamber volume without any geometrical assumption. Thus, the aim of this study was to use 3D-STE to elucidate the features of left atrial (LA) volume and fun...

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Published in	Journal of Cardiology Vol. 63; no. 4; pp. 291 - 295
Main Authors	Onishi, Noriyuki, Kawasaki, Masanori, Tanaka, Ryuhei, Sato, Hidemaro, Saeki, Maki, Nagaya, Maki, Sato, Noriaki, Minatoguchi, Shingo, Watanabe, Takatomo, Ono, Koji, Arai, Masazumi, Noda, Toshiyuki, Amano, Kazuo, Goto, Koshi, Watanabe, Sachiro, Minatoguchi, Shinya
Format	Journal Article
Language	English
Published	Netherlands Elsevier Ltd 01.04.2014 Elsevier BV
Subjects	Adult Aged Aged, 80 and over Atrial function Atrial volume Cardiac Volume Cardiology and Cardiovascular Medicine Cardiovascular Diastole Echocardiography, Three-Dimensional Echocardiography, Three-Dimensional - methods Female Heart Atria Heart Atria - diagnostic imaging Heart Atria - pathology Heart Atria - physiopathology Heart Ventricles Heart Ventricles - diagnostic imaging Heart Ventricles - pathology Heart Ventricles - physiopathology Humans Hypertension Hypertension - complications Hypertension - diagnostic imaging Hypertension - pathology Hypertension - physiopathology Logistic Models Male Middle Aged Reference Values Speckle tracking Systole Three-dimensional echocardiography Ventricular Dysfunction, Left Ventricular Dysfunction, Left - etiology Hypertension Atrial function Three-dimensional echocardiography Speckle tracking Atrial volume
Online Access	Get full text
ISSN	0914-5087 1876-4738 1876-4738
DOI	10.1016/j.jjcc.2013.09.006

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Abstract	Three-dimensional speckle tracking echocardiography (3D-STE) has a major advantage in the improvement of accuracy in the evaluation of cardiac chamber volume without any geometrical assumption. Thus, the aim of this study was to use 3D-STE to elucidate the features of left atrial (LA) volume and function that are altered by hypertension (HTN) by comparing well-controlled HTN patients with normal subjects. Conventional echocardiographic parameters and LA phasic volume and function were measured from apical view by 3D-STE in 40 patients with well-controlled HTN [systolic blood pressure (BP) <140 and diastolic BP <90mmHg for more than one year] and 40 normotensive subjects. The passive LA emptying function (EF) in the patients with well-controlled HTN significantly decreased (16±7% vs. 22±8%, p=0.0013) and the active LAEF in patients with well-controlled HTN significantly increased (35±10% vs. 30±9%, p=0.029) compared with the values in normotensive subjects. Multivariate logistic regression analysis revealed that E/e′ was an independent determinant of well-controlled HTN. The maximum LA volume index was correlated with elevated E/e′ (r=0.30, p=0.0064), whereas the maximum LA volume index was not correlated with LV mass index or systolic BP. This change was independent of age. These results suggest that LV diastolic dysfunction occurs before structural changes of left atrium and left ventricle even in patients with well-controlled HTN.
AbstractList	Three-dimensional speckle tracking echocardiography (3D-STE) has a major advantage in the improvement of accuracy in the evaluation of cardiac chamber volume without any geometrical assumption. Thus, the aim of this study was to use 3D-STE to elucidate the features of left atrial (LA) volume and function that are altered by hypertension (HTN) by comparing well-controlled HTN patients with normal subjects.BACKGROUNDThree-dimensional speckle tracking echocardiography (3D-STE) has a major advantage in the improvement of accuracy in the evaluation of cardiac chamber volume without any geometrical assumption. Thus, the aim of this study was to use 3D-STE to elucidate the features of left atrial (LA) volume and function that are altered by hypertension (HTN) by comparing well-controlled HTN patients with normal subjects.Conventional echocardiographic parameters and LA phasic volume and function were measured from apical view by 3D-STE in 40 patients with well-controlled HTN [systolic blood pressure (BP) <140 and diastolic BP <90mmHg for more than one year] and 40 normotensive subjects.METHODSConventional echocardiographic parameters and LA phasic volume and function were measured from apical view by 3D-STE in 40 patients with well-controlled HTN [systolic blood pressure (BP) <140 and diastolic BP <90mmHg for more than one year] and 40 normotensive subjects.The passive LA emptying function (EF) in the patients with well-controlled HTN significantly decreased (16±7% vs. 22±8%, p=0.0013) and the active LAEF in patients with well-controlled HTN significantly increased (35±10% vs. 30±9%, p=0.029) compared with the values in normotensive subjects. Multivariate logistic regression analysis revealed that E/e' was an independent determinant of well-controlled HTN. The maximum LA volume index was correlated with elevated E/e' (r=0.30, p=0.0064), whereas the maximum LA volume index was not correlated with LV mass index or systolic BP. This change was independent of age.RESULTSThe passive LA emptying function (EF) in the patients with well-controlled HTN significantly decreased (16±7% vs. 22±8%, p=0.0013) and the active LAEF in patients with well-controlled HTN significantly increased (35±10% vs. 30±9%, p=0.029) compared with the values in normotensive subjects. Multivariate logistic regression analysis revealed that E/e' was an independent determinant of well-controlled HTN. The maximum LA volume index was correlated with elevated E/e' (r=0.30, p=0.0064), whereas the maximum LA volume index was not correlated with LV mass index or systolic BP. This change was independent of age.These results suggest that LV diastolic dysfunction occurs before structural changes of left atrium and left ventricle even in patients with well-controlled HTN.CONCLUSIONSThese results suggest that LV diastolic dysfunction occurs before structural changes of left atrium and left ventricle even in patients with well-controlled HTN. Three-dimensional speckle tracking echocardiography (3D-STE) has a major advantage in the improvement of accuracy in the evaluation of cardiac chamber volume without any geometrical assumption. Thus, the aim of this study was to use 3D-STE to elucidate the features of left atrial (LA) volume and function that are altered by hypertension (HTN) by comparing well-controlled HTN patients with normal subjects. Conventional echocardiographic parameters and LA phasic volume and function were measured from apical view by 3D-STE in 40 patients with well-controlled HTN [systolic blood pressure (BP) <140 and diastolic BP <90mmHg for more than one year] and 40 normotensive subjects. The passive LA emptying function (EF) in the patients with well-controlled HTN significantly decreased (16±7% vs. 22±8%, p=0.0013) and the active LAEF in patients with well-controlled HTN significantly increased (35±10% vs. 30±9%, p=0.029) compared with the values in normotensive subjects. Multivariate logistic regression analysis revealed that E/e′ was an independent determinant of well-controlled HTN. The maximum LA volume index was correlated with elevated E/e′ (r=0.30, p=0.0064), whereas the maximum LA volume index was not correlated with LV mass index or systolic BP. This change was independent of age. These results suggest that LV diastolic dysfunction occurs before structural changes of left atrium and left ventricle even in patients with well-controlled HTN. Abstract Background Three-dimensional speckle tracking echocardiography (3D-STE) has a major advantage in the improvement of accuracy in the evaluation of cardiac chamber volume without any geometrical assumption. Thus, the aim of this study was to use 3D-STE to elucidate the features of left atrial (LA) volume and function that are altered by hypertension (HTN) by comparing well-controlled HTN patients with normal subjects. Methods Conventional echocardiographic parameters and LA phasic volume and function were measured from apical view by 3D-STE in 40 patients with well-controlled HTN [systolic blood pressure (BP) <140 and diastolic BP <90 mmHg for more than one year] and 40 normotensive subjects. Results The passive LA emptying function (EF) in the patients with well-controlled HTN significantly decreased (16 ± 7% vs. 22 ± 8%, p = 0.0013) and the active LAEF in patients with well-controlled HTN significantly increased (35 ± 10% vs. 30 ± 9%, p = 0.029) compared with the values in normotensive subjects. Multivariate logistic regression analysis revealed that E / e ′ was an independent determinant of well-controlled HTN. The maximum LA volume index was correlated with elevated E / e ′ ( r = 0.30, p = 0.0064), whereas the maximum LA volume index was not correlated with LV mass index or systolic BP. This change was independent of age. Conclusions These results suggest that LV diastolic dysfunction occurs before structural changes of left atrium and left ventricle even in patients with well-controlled HTN.
Author	Amano, Kazuo Ono, Koji Watanabe, Takatomo Onishi, Noriyuki Arai, Masazumi Nagaya, Maki Minatoguchi, Shingo Goto, Koshi Minatoguchi, Shinya Kawasaki, Masanori Tanaka, Ryuhei Saeki, Maki Noda, Toshiyuki Sato, Hidemaro Watanabe, Sachiro Sato, Noriaki
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Snippet	Three-dimensional speckle tracking echocardiography (3D-STE) has a major advantage in the improvement of accuracy in the evaluation of cardiac chamber volume... Abstract Background Three-dimensional speckle tracking echocardiography (3D-STE) has a major advantage in the improvement of accuracy in the evaluation of...
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SubjectTerms	Adult Aged Aged, 80 and over Atrial function Atrial volume Cardiac Volume Cardiology and Cardiovascular Medicine Cardiovascular Diastole Echocardiography, Three-Dimensional Echocardiography, Three-Dimensional - methods Female Heart Atria Heart Atria - diagnostic imaging Heart Atria - pathology Heart Atria - physiopathology Heart Ventricles Heart Ventricles - diagnostic imaging Heart Ventricles - pathology Heart Ventricles - physiopathology Humans Hypertension Hypertension - complications Hypertension - diagnostic imaging Hypertension - pathology Hypertension - physiopathology Logistic Models Male Middle Aged Reference Values Speckle tracking Systole Three-dimensional echocardiography Ventricular Dysfunction, Left Ventricular Dysfunction, Left - etiology
Title	Comparison between left atrial features in well-controlled hypertensive patients and normal subjects assessed by three-dimensional speckle tracking echocardiography
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