Impaired Left Atrial Conduit Function in Coronary Artery Disease Patients With Poorly Controlled Diabetes: Two-Dimensional Speckle-Tracking Echocardiographic Study

Hosseinsabet, Ali; Mohseni-Badalabadi, Reza; Moinfar, Ali

doi:10.7863/ultra.15.12065

Cited by 5 publications

(4 citation statements)

References 49 publications

(118 reference statements)

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“…Previous research has highlighted the prognostic and clinical values of the LA and RA functions as evaluated with 2D speckle‐tracking echocardiography in some conditions . Two‐dimensional speckle‐tracking echocardiography is an assessment method for atrial functions and can detect atrial dysfunction, however subtle …”

Section: Discussionmentioning

confidence: 99%

“…[21][22][23][24] Two-dimensional speckle-tracking echocardiography is an assessment method for atrial functions 11,12 and can detect atrial dysfunction, however subtle. 25,26 To our knowledge, our study is the first of its kind to compare the RA and LA functions as assessed with 2D speckle-tracking echocardiography both between patients having undergone device and surgical ASD closure 1 to 5 years previously and between them and a healthy control group. Our main finding was that the 2D speckletracking echocardiography-derived parameters of the LA reservoir function (peak systolic strain and peak systolic strain rate) and conduit function (early diastolic strain and early diastolic strain rate) were more likely to be abnormal in the device closure group than in the control group.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of the Right and Left Atrial Functions at Midterm After Surgical and Device Atrial Septal Defect Closure: A 2‐Dimensional Speckle‐Tracking Echocardiographic Study

Haji-Zeinali

Iri

Hosseinsabet

2018

J of Ultrasound Medicine

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Objectives The available literature lacks data on the comparison of the functions of the right atrium (RA) and left atrium (LA) between surgical atrial septal defect (ASD) closure and percutaneous device ASD closure at follow‐up durations of longer than 1 year. We sought to evaluate the RA and LA functions in patients who underwent surgical or device ASD closure between 1 and 5 years postprocedurally. Methods The study population included 30 patients who underwent device ASD closure and 30 who underwent surgical ASD closure, who were matched for the procedural time, age, and sex, in addition to 30 control participants. The RA and LA functions were evaluated with 2‐dimensional speckle‐tracking echocardiography. Results The LA systolic and early diastolic strain and strain rate values and the RA early diastolic strain rate in the device closure group were more likely to be abnormal than in the control group. The RA systolic and late diastolic strain and strain rate values, the RA early diastolic strain rate, and the LA early diastolic strain in the surgical closure group were more likely to be abnormal than in the control group. The RA systolic strain and strain rate in the surgical closure group were more likely to be abnormal than in the device closure group. Conclusions The LA reservoir and conduit functions and the RA contraction function in the patients who underwent device ASD closure and all of the RA functions and the LA conduit function in the patients who underwent surgical ASD closure were more likely to be abnormal than those in the control participants. The RA reservoir function in the surgical closure group was more likely to be abnormal than that in the device closure group.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessment of the Right and Left Atrial Functions at Midterm After Surgical and Device Atrial Septal Defect Closure: A 2‐Dimensional Speckle‐Tracking Echocardiographic Study

Haji-Zeinali

Iri

Hosseinsabet

2018

J of Ultrasound Medicine

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“…The sum of two parts of the curve (negative + positive) represents peak LA wall strain (Fig. ) (Hosseinsabet et al ., ). The two types of gating were extracted from the paper's text or images available.…”

Section: Methodsmentioning

confidence: 97%

Compromised left atrial function and increased size predict raised cavity pressure: a systematic review and meta‐analysis

Bytyçi

Bajraktari²,

Lindqvist

et al. 2019

Clin Physio Funct Imaging

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strain; pulmonary capillary wedge pressure Aim This meta-analysis assesses left atrial (LA) cavity and myocardial function measurements that predict pulmonary capillary wedge pressure (PCWP). Methods PubMed-MEDLINE, EMBASE, Scopus, Google Scholar and the Cochrane Central Registry were searched up to December 2018 for studies on the relationship of LA diameter, LA indexed volume (LAVI max, LAVI min), peak atrial longitudinal (PALS), peak atrial contraction (PACS) strain and total emptying fraction (LAEF) with PCWP. Eighteen studies with 1343 patients were included. Summary sensitivity and specificity (with 95% CI) for evaluation of diagnostic accuracy and the best cut-off values for different LA indices in predicting raised PCWP were estimated using summary receiver operating characteristic analysis. Results The pooled analysis showed association between PCWP and LA diameter: Cohen's d = 0Á87, LAVI max: d = 0Á92 and LAVI min: d = 1Á0 (P<0Á001 for all). A stronger correlation was found between PCWP and PALS: d = 1Á26, and PACS: d = 1Á62, total EF d = 1Á22 (P<0Á0001 for all). PALS ≤19% had a summary sensitivity of 80% (65-90) and summary specificity of 77% (52-92), positive likelihood ratio (LR+) 3Á74, negative likelihood ratio (LR-) <0Á25 and DOR > 15Á1 whereas LAVI ≥34 ml m À2 had summary sensitivity of 75% (55-89) and summary specificity 77% (57-90), with LR+ >3, LR-0Á32 and DOR >10Á1. Conclusions Compromised LA myocardial function and increased size predict raised cavity pressure. These results should assist in optimum follow-up of patients with fluctuating LA pressure.

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“…With increasing age, left ventricular compliance reduces, and its mechanism is probably caused by the age-related decrease in myocardial sarcoplasmic function and a decrease of calcium uptake, leading to a slow detwisting speed and delayed peak twisting motion. On the contrary, myocardial twisting, de-twisting, and rotation are related to cardiac loading condition and cardiac diseases, such as hypertension [11][12][13][14] , diabetes [15][16][17] and cardiac hypertrophy 18,19 .…”

Section: Discussionmentioning

confidence: 99%

Left Ventricle Twist/Torsion Evaluation 6 Months after Rheumatic Aortic Valve Replacement using 2D Speckle Tracking Echocardiography

Lou,

Ge,

Lian

et al. 2024

Preprint

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Objective: This study aimed to assess the rotation and torsion in the endocardial, epicardial, and global myocardium using two-dimensional speckle tracking imaging(2D-STI) in patients with rheumatic heart disease who underwent aortic valve replacement (AVR). Methods: This study included 42 AVR patients [(23 F/19 M, aged (62.7±11.2) years] and 25 normal control [(16 F/9 M, aged (63.3±10.5) years]. 2D-STI was performed in five consecutive heart beats, and data were stored for offline analysis using Q-Lab. The peak systolic rotation of the endocardial, epicardial, and global myocardium in the left ventricular basal and apical walls were measured using 2D-STI. The torsion and twisting angles of the sub-endocardial, sub-epicardial, and global myocardium were calculated. Results: Rotation at the left ventricular basal level of the study group was not significantly reduced compared with that in the normal control group. However, at the apical level, rotation was significantly reduced (p=0.03, 0.003, 0.004). The torsion angle of the study group was significantly reduced compared with that of the normal control group (p=0.006, 0.003, 0.003). Furthermore, patients with different left ventricular ejection function after AVR showed differences in torsion of the endocardial, epicardial, and global myocardium. Conclusions: The systolic rotation and twist of the subendocardial, sub-epicardial, and global myocardium in the left ventricle were reduced, whereas those at the basal level remained unchanged. After AVR, old patients have an almost complete recovery of left ventricular rotational motion at the basal level. 2D-STI is a useful non-invasive tool for evaluation of the left ventricular regional function.

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Impaired Left Atrial Conduit Function in Coronary Artery Disease Patients With Poorly Controlled Diabetes: Two-Dimensional Speckle-Tracking Echocardiographic Study

Abstract: The conduit function of the left atrium was impaired in the CAD patients with poorly controlled diabetes compared with that in the euglycemic control patients with CAD and the CAD patients with well-controlled diabetes.

Cited by 5 publications

References 49 publications

Assessment of the Right and Left Atrial Functions at Midterm After Surgical and Device Atrial Septal Defect Closure: A 2‐Dimensional Speckle‐Tracking Echocardiographic Study

Assessment of the Right and Left Atrial Functions at Midterm After Surgical and Device Atrial Septal Defect Closure: A 2‐Dimensional Speckle‐Tracking Echocardiographic Study

Compromised left atrial function and increased size predict raised cavity pressure: a systematic review and meta‐analysis

Left Ventricle Twist/Torsion Evaluation 6 Months after Rheumatic Aortic Valve Replacement using 2D Speckle Tracking Echocardiography

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