Evaluation of right atrial volumes and functions by real‐time three‐dimensional echocardiography in patients after acute inferior myocardial infarction

Kanar, Batur Gönenç; Sünbül, Murat; Şahin, Ahmet Anıl; Doğan, Zekeriya; Tigen, Mustafa Kürşat

doi:10.1111/echo.14133

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…Nourian et al [ 6 ] demonstrated that RA reservoir and conduit functions were impaired in patients with inferior MI and RVMI compared with patients with inferior MI as evaluated by 2DSTE and concluded that impairments in RA functions preceded impairments in RV function. Kanar et al [ 7 ], in similar groups of patients, found that RA conduit function as assessed by real-time 3D echocardiography was impaired in patients with inferior MI and RVMI in comparison with patients with inferior MI but without RVMI. While their findings are similar to our findings, our study population had ASTEMI but not RVMI.…”

Section: Discussionmentioning

confidence: 99%

“…The phasic functions of the RA are independently associated with major adverse cardiac events in patients with acute MI [ 5 ]. RA phasic functions are impaired in the presence of inferior MI and RVMI compared with the presence of inferior MI in the absence of RVMI; nonetheless, the effects of anterior LVMI have yet to be clarified [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the right atrial phasic functions in patients with anterior ST-elevation myocardial infarction: a 2D speckle-tracking echocardiography study

Eisvand

Mohseni-Badalabadi

Hosseinsabet

2022

BMC Cardiovasc Disord

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Background Evidence suggests that changes in left ventricular systolic and diastolic functions may affect right atrial (RA) phasic functions. We aimed to evaluate RA phasic functions in the presence of anterior ST-elevation myocardial infarction (ASTEMI) as an acute event and to compare the findings with those in a control group. Methods We recruited 92 consecutive ASTEMI patients without accompanying significant stenosis in the proximal and middle parts of the right coronary artery and 31 control subjects, matched for age, sex, diabetes, and hypertension. RA phasic functions were evaluated concerning their longitudinal 2D speckle-tracking echocardiography-derived markers. The ASTEMI group was followed up for all-cause mortality or reinfarction. Results In the ASTEMI group, RA strain was reduced during the reservoir (33.2% ± 4.3% vs 30.5% ± 8.1%; P = 0.021) and conduit (16% [12–18%] vs 14% [9–17%]; P = 0.048) phases. The other longitudinal 2D speckle-tracking echocardiography-derived markers of RA phasic functions were not different between the 2 groups. RA strain and strain rate during the contraction phase were predictive of all-cause mortality or reinfarction (hazard ratio = 0.80; P = 0.024 and hazard ratio = 0.39; P = 0.026, respectively). Conclusions Based on 2D speckle-tracking echocardiography, in the ASTEMI group, compared with the control group, RA reservoir and conduit functions were reduced, while RA contraction function was preserved. RA contraction function was predictive of all-cause mortality or reinfarction during the follow-up period.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of the right atrial phasic functions in patients with anterior ST-elevation myocardial infarction: a 2D speckle-tracking echocardiography study

Eisvand

Mohseni-Badalabadi

Hosseinsabet

2022

BMC Cardiovasc Disord

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“…This resulted in the left ventricular volume that was underestimated by two-dimensional echocardiography, while the 17-segment method used to measure the left ventricular volume in three-dimensional echocardiography included all segments with normal and abnormal wall motion. Thus, the three-dimensional echocardiography can truly reflect the changes in left ventricular volume and calculate EF accurately [ 17 ]. Therefore, for AMI patients, the measurement by the two-dimensional Simpson method was inaccurate due to the existence of ventricular deformation and abnormal ventricular wall motion, while the results obtained by the real-time three-dimensional echocardiography were more accurate.…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Echocardiography and Coagulation Function Detection in the Prognosis Evaluation of Patients with Acute Myocardial Infarction

Zhang

Zhao

et al. 2022

Computational and Mathematical Methods in Medicine

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This research was aimed at discussing the application value of coagulation function detection and three-dimensional echocardiography in the prognosis evaluation of acute myocardial infarction (AMI) patients. 72 patients with AMI were divided into the recovered group (good recovery) and unrecovered group (poor recovery) according to the results of postoperative ultrasonography. The left ventricular parameters of the patients were detected by three-dimensional ultrasound, and the coagulation function was also detected. The results showed that 3 months after surgery, the regional end-systolic volume (rESV) and regional end-diastolic volume (rEDV) of the left ventricle in the patients were smaller than the measured values 1 week after surgery. The left ventricular regional ejection fraction (rEF) was greater than the value measured 1 week after surgery, and all the differences were statistically significant ( P < 0.05 ). For the end-systolic volume (ESV), end-diastolic volume (EDV), and ejection fraction (EF) (%), the two-dimensional ultrasound results were significantly lower than the three-dimensional ultrasound results, and there were significant differences ( P < 0.05 ). Tmsvle6-Dif% of the recovered patients was 14.99 ± 9.88 and 14.37 ± 9.78 3 months and 6 months after surgery, respectively. These were smaller than 30.91 ± 18.63 and 33.51 ± 17.96 of the unrecovered patients; the differences were of statistical significance ( P < 0.05 ). Tmsvl6-SD% of recovered patients was 3.69 ± 2.47 and 3.61 ± 1.83 3 months and 6 months after surgery, respectively, which were also smaller than 7.38 ± 4.06 and 7.96 ± 2.82 of unrecovered patients, showing statistically significant difference ( P < 0.05 ). The postoperative Tmsvle6-Dif% and Tmsvl6-SD% of the recovered group were lower than those of the unrecovered patients, with the statistically significant differences ( P < 0.05 ). The level of coagulation factors in the recovered group was also significantly lower than that in the unrecovered group with the difference statistically significant ( P < 0.05 ). The results suggested that three-dimensional echocardiography played an important role in the evaluation of cardiac conditions in AMI patients. The level of coagulation factors varied with the AMI condition of patients, and there was an obvious relationship between them, which could provide a reference value for the prognosis evaluation of patients.

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“…Impaired RV diastology and chronic RA pressure overload lead to impaired right atrial compliance and decreased right atrial reservoir and conduit functions. As a compensatory mechanism, RA booster pump function is enhanced to ensure RV filling [78] . Evaluation of right atrial function by 2DSTE in patients with inferior myocardial infarction (INFMI) and patients affected by both INFMI and right ventricular myocardial infarction (RVMI) by Nourian et al [79] demonstrated that right atrial reservoir and conduit functions were impaired in patients with INFMI and RVMI compared with those with INFMI.…”

Section: Ra Function In Common Cardiovascular Diseasesmentioning

confidence: 99%

Echocardiographic evaluation of the right atrial size and function: Relevance for clinical practice

Sun

et al. 2023

American Heart Journal Plus: Cardiology Research and Practice

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Evaluation of right atrial volumes and functions by real‐time three‐dimensional echocardiography in patients after acute inferior myocardial infarction

Abstract: Right ventricle involvement may cause an increase in RA phasic volumes and deterioration of conduit function in patients with acute IMI.

Cited by 5 publications

References 21 publications

Evaluation of the right atrial phasic functions in patients with anterior ST-elevation myocardial infarction: a 2D speckle-tracking echocardiography study

Evaluation of the right atrial phasic functions in patients with anterior ST-elevation myocardial infarction: a 2D speckle-tracking echocardiography study

Three-Dimensional Echocardiography and Coagulation Function Detection in the Prognosis Evaluation of Patients with Acute Myocardial Infarction

Echocardiographic evaluation of the right atrial size and function: Relevance for clinical practice

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