Left and Right Atrial Strain in Healthy Caucasian Children by Two-Dimensional Speckle-Tracking Echocardiography

Cantinotti, Massimiliano; Scalese, Marco; Giordano, Raffaele; Franchi, Eliana; Assanta, Nadia; Molinaro, Sabrina; Iervasi, Giorgio; Santoro, Giuseppe; Koestenberger, Martin; Kutty, Shelby

doi:10.1016/j.echo.2018.10.002

Cited by 20 publications

(14 citation statements)

References 15 publications

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“…We had archived data used from 836 subjects in our previous publication on atrial ε nomograms 6 and calculated by the software for the LV (QLAB 9; Philips Medical Systems, Andover, MA, USA) on a local server. We did not have stored images in 256 patients, so they were excluded.…”

Section: Methodsmentioning

confidence: 99%

“…There is an increasing interest in atrial speckle tracking echocardiography (STE) strain (ε) 1–3 and its changes in children with acquired and congenital heart disease (CHD) 1,4 . Pediatric normal values for two‐dimensional (2D) 5,6 and three‐dimensional 7 atrial STE ε have recently been published by different groups. However, most of the studies performed so far 2–7 reported atrial STE ε by using software designed for left ventricle (LV) ε analysis.…”

Section: Introductionmentioning

confidence: 99%

“…Pediatric normal values for two‐dimensional (2D) 5,6 and three‐dimensional 7 atrial STE ε have recently been published by different groups. However, most of the studies performed so far 2–7 reported atrial STE ε by using software designed for left ventricle (LV) ε analysis. The adoption of software dedicated to the LV for atrial ε assessment is controversial 8–11 and might in part explain the limited application of atrial ε analysis in clinical practice thus far.…”

Section: Introductionmentioning

confidence: 99%

“…Pediatric normal values for STE atrial ε values, calculated with an atrial specific software, are lacking and a comparison among different software is missing. Although the P wave–gating method may be more appropriate for assessing the atrial function, in most studies performed so far with conventional software's, the R‐gating method has been adopted, 1–4,6 with limited exceptions 5 . Comparisons of STE atrial ε values obtained with P‐gating and R‐gating, furthermore, has been extremely limited, 12 and not available for the pediatric age.…”

Section: Introductionmentioning

confidence: 99%

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Pediatric ranges of normality for 2D speckle‐tracking echocardiography atrial strain: differences between p‐ and r‐gating and among new (Atrial Designed) and conventional (Ventricular Specific) software's

et al. 2021

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Background 2D speckle tracking echocardiography (STE) atrial strain (ε) analysis in children is gaining interest; however, pediatric nomograms remain limited. Comparison among conventional software's (designed for left ventricle and adapted to atria and using R‐gating analysis) and new software's (designed for atria and allowing for both R‐ and P‐gating) are lacking. The present study aims to establish pediatric nomograms for atrial ε using an atrial dedicated software and to compare values obtained by (a) R‐ and P‐gating and, (b) R‐gating with new and conventional software. Methods Echocardiographic measurements included STE left (LA) and right (RA) atrial longitudinal reservoir, conduit and contractile ε. Age/weigh/height/heart rate, and body surface area (BSA) were used as independent variables in the statistical analysis. Results In all, 580 healthy subjects (age range, 31 days‐18 years; mean age 7.5 years; median age 7.1 years; inter‐quartile range, 4.3–10.7 months; 45.5% female) were included. Feasibility of atrial ε measurements was high (98.9–96.8%). At lower age, atrial conduit ε was lower (p<0.001) while contractile ε was higher (p<0.001). All atrial ε values calculated with P‐gating method were lower—than R‐gating values (p<0.001). R‐gated LA ε reservoir values generated with the new software were lower, and R‐gated RA contractile ε higher than with the conventional software (p<0.011). Conclusion We report pediatric atrial ε values from a dedicated atrial software. Maturational changes in STE atrial ε values were demonstrated. Significant differences were observed among ε values obtained with P‐ and R‐gating and with different software's.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pediatric ranges of normality for 2D speckle‐tracking echocardiography atrial strain: differences between p‐ and r‐gating and among new (Atrial Designed) and conventional (Ventricular Specific) software's

et al. 2021

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“…4 Recently, strain analysis has been used in children for assessment of ventricular and atrial function. 5 Over the last decade, there has been a major interest in the development of myocardial strain imaging to evaluate myocardial function using tissue Doppler imaging (TDI) and twodimension speckle tracking echocardiography (2D-STE). These methods have been introduced as better reproducible methods for measuring different strain parameters.…”

Section: Introductionmentioning

confidence: 99%

Functional recovery of cardiomyopathy induced by atrial tachycardia in children: Insight from cardiac strain imaging

Dohain

Lotfy

Abdelmohsen

et al. 2021

Pacing Clinical Electrophis

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Aim To evaluate systolic and diastolic cardiac function in children who had cardiomyopathy induced by ectopic atrial tachycardia (EAT). Methods Twenty‐two pediatric patients who had cardiomyopathy induced by EAT and 25 age‐matched controls were recruited in this case‐control study. The patients were examined after rhythm control and normalization of their left ventricular systolic function. Different echocardiographic modalities including tissue Doppler imaging and two‐dimension speckle tracking echocardiography were utilized to assess the ventricular and atrial function. Results The patients’ median age was 51 months (interquartile range: 28.5–84 months). The median time interval required for normalization of left ventricular ejection fraction (EF) among patients was 1.5 months (interquartile range: 1.5–2.12 months). Compared to controls, patients had a significantly higher median left ventricular myocardial performance index (MPI) at the interventricular septum (0.44 vs. 0.38, p = .001) and left ventricular lateral wall (0.46 vs. 0.32, p = .0001). The median right ventricular MPI of the patients' group was significantly higher when compared to the control group (0.34 vs. 0.26, p = .0001). The median right atrial (RA) reservoir function in patients was significantly reduced compared to controls (30% vs. 36.63%, p = .007). Conclusions Shortly after rhythm normalization and restoration of left ventricular EF, using tissue Doppler imaging and two‐dimension speckle tracking echocardiography, children who had cardiomyopathy induced by EAT continue to have left ventricular diastolic dysfunction, right ventricular dysfunction, and reduced RA reservoir function.

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Diastolic Ventricular Function Assessment

Frommelt

2021

Echocardiography in Pediatric and Congenital Heart Disease

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Left and Right Atrial Strain in Healthy Caucasian Children by Two-Dimensional Speckle-Tracking Echocardiography

Cited by 20 publications

References 15 publications

Pediatric ranges of normality for 2D speckle‐tracking echocardiography atrial strain: differences between p‐ and r‐gating and among new (Atrial Designed) and conventional (Ventricular Specific) software's

Pediatric ranges of normality for 2D speckle‐tracking echocardiography atrial strain: differences between p‐ and r‐gating and among new (Atrial Designed) and conventional (Ventricular Specific) software's

Functional recovery of cardiomyopathy induced by atrial tachycardia in children: Insight from cardiac strain imaging

Diastolic Ventricular Function Assessment

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