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01.11.2015 | Original Article

Evaluation of right atrial dysfunction in patients with corrected tetralogy of Fallot using 3D speckle-tracking echocardiography

Insights from the CSONGRAD Registry and MAGYAR-Path Study

verfasst von: Attila Nemes, MD, PhD, DSc, FESC, Kálmán Havasi, MD, Péter Domsik, MD, Anita Kalapos, MD, Tamás Forster, MD, PhD, DSc, FESC, FACC

Erschienen in: Herz | Ausgabe 7/2015

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Abstract

Background

In recent studies, alterations in ventricular deformations were demonstrated in adult patients with corrected tetralogy of Fallot by three-dimensional speckle-tracking echocardiography. The present study was designed to assess three-dimensional speckle-tracking echocardiography-derived right atrial volumetric and strain parameters in corrected tetralogy of Fallot.

Methods

A total of 17 patients with corrected tetralogy of Fallot were included in the study. Their results were compared with 18 age- and gender-matched healthy controls. Complete two-dimensional echocardiography and three-dimensional speckle-tracking echocardiography were performed in all cases.

Results

Significantly increased right atrial volumes respecting heart cycle were detected in patients with corrected tetralogy of Fallot. Total and passive atrial emptying fractions proved to be significantly decreased in patients with corrected tetralogy of Fallot (26.4 ± 12.4 % vs. 39.1 ± 8.8 %, p = 0.001 and 11.2 ± 6.8 % vs. 19.8 ± 9.0 %, p = 0.003, respectively). Global and mean segmental peak longitudinal (17.3 ± 9.2 % vs. 30.8 ± 11.2 %, p = 0.0007 and 20.6 ± 10.7 % vs. 34.4 ± 10.5 %, p = 0.0005) and area strains (20.1 ± 17.6 % vs. 41.0 ± 19.8 %, p = 0.004 and 28.1 ± 19.8 % vs. 49.1 ± 19.7 %, p = 0.004) as well as global radial peak strain (-9.1 ± 5.1 % vs. -15.0 ± 10.0 %, p = 0.05) were reduced in patients with corrected tetralogy of Fallot compared with controls.

Conclusions

The complexity of right atrial dysfunction can be demonstrated by three-dimensional speckle-tracking echocardiography in patients with corrected tetralogy of Fallot.

Nemes A, Kalapos A, Domsik P et al (2012) Three-dimensional speckle-tracking echocardiography—a further step in non-invasive three-dimensional cardiac imaging. Orv Hetil 153:1570–1577CrossRefPubMed

Urbano-Moral JA, Patel AR, Maron MS et al (2012) Three-dimensional speckle-tracking echocardiography: methodological aspects and clinical potential. Echocardiography 29:997–1010CrossRefPubMed

Ammar KA, Paterick TE, Khandheria BK et al (2012) Myocardial mechanics: understanding and applying three-dimensional speckle tracking echocardiography in clinical practice. Echocardiography 29:861–872CrossRefPubMed

Yu HK, Li SJ, Ip JJ et al (2014) Right ventricular mechanics in adults after surgical repair of tetralogy of fallot: insights from three-dimensional speckle-tracking echocardiography. J Am Soc Echocardiogr 27:423–429CrossRefPubMed

Li SN, Yu W, Lai CT et al (2013) Left ventricular mechanics in repaired tetralogy of Fallot with and without pulmonary valve replacement: analysis by three-dimensional speckle tracking echocardiography. PLoS One 8:e78826PubMedCentralCrossRefPubMed

Menting ME, Eindhoven JA, van den Bosch AE et al (2014) Abnormal left ventricular rotation and twist in adult patients with corrected tetralogy of Fallot. Eur Heart J Cardiovasc Imaging 15:566–574CrossRefPubMed

Nemes A, Domsik P, Kalapos A et al (2014) Comparison of three-dimensional speckle tracking echocardiography and two-dimensional echocardiography for evaluation of left atrial size and function in healthy volunteers (Results from the MAGYAR-Healthy Study). Echocardiography 31:865–871PubMed

Domsik P, Kalapos, A, Chadaide S et al (2014) Three-dimensional speckle tracking echocardiography allows detailed evaluation of left atrial function in hypertrophic cardiomyopathy—insights from the MAGYAR-Path Study. Echocardiography 31:1245–1252CrossRefPubMed

Chadaide S, Domsik P, Kalapos A et al (2013) Three-dimensional speckle tracking echocardiography-derived left atrial strain parameters are reduced in patients with atrial fibrillation (Results from the MAGYAR-Path study). Echocardiography 30:1078–1083PubMed

10.

Faletra FF, Muzzarelli S, Dequarti MC et al (2013) Imaging-based right-atrial anatomy by computed tomography, magnetic resonance imaging, and three-dimensional transoesophageal echocardiography: correlations with anatomic specimens. Eur Heart J Cardiovasc Imaging 14:1123–1131CrossRefPubMed

11.

Peluso D, Badano LP, Muraru D et al (2013) Right atrial size and function assessed with three-dimensional and speckle-tracking echocardiography in 200 healthy volunteers. Eur Heart J Cardiovasc Imaging 14:1106–1114CrossRefPubMed

12.

Nesser HJ, Mor-Avi V, Gorissen W et al (2009) Quantification of left ventricular volumes using three-dimensional echocardiographic speckle tracking: comparison with MRI. Eur Heart J 30:1565–1573CrossRefPubMed

13.

Kleijn SA, Brouwer WP, Aly MF et al (2012) Comparison between three-dimensional speckle-tracking echocardiography and cardiac magnetic resonance imaging for quantification of left ventricular volumes and function. Eur Heart J Cardiovasc Imaging 13:834–839CrossRefPubMed

14.

Kleijn SA, Aly MF, Terwee CB et al (2012) Reliability of left ventricular volumes and function measurements using three–dimensional speckle tracking echocardiography. Eur Heart J Cardiovasc Imaging 13:159–168CrossRefPubMed

15.

Kleijn SA, Aly MF, Terwee CB et al (2011) Comparison between direct volumetric and speckle tracking methodologies for left ventricular and left atrial chamber quantification by three-dimensional echocardiography. Am J Cardiol 108:1038–1044CrossRefPubMed

16.

Saito K, Okura H, Watanabe N et al (2009) Comprehensive evaluation of left ventricular strain using speckle tracking echocardiography in normal adults: comparison of three-dimensional and two-dimensional approaches. J Am Soc Echocardiogr 22:1025–1030CrossRefPubMed

17.

Seo Y, Ishizu T, Enomoto Y et al (2009) Validation of 3-dimensional speckle tracking imaging to quantify regional myocardial deformation. Circ Cardiovasc Imaging 2:451–459CrossRefPubMed

18.

Maffessanti F, Nesser HJ, Weinert L et al (2009) Quantitative evaluation of regional left ventricular function using three-dimensional speckle tracking echocardiography in patients with and without heart disease. Am J Cardiol 104:1755–1762CrossRefPubMed

19.

Mochizuki A, Yuda S, Oi Y et al (2013) Assessment of left atrial deformation and synchrony by three-dimensional speckle-tracking echocardiography: comparative studies in healthy subjects and patients with atrial fibrillation. J Am Soc Echocardiogr 26:165–174CrossRefPubMed

20.

Tanaka H, Hara H, Saba S et al (2010) Usefulness of three-dimensional speckle tracking strain to quantify dyssynchrony and the site of latest mechanical activation. Am J Cardiol 105:235–242PubMedCentralCrossRefPubMed

21.

Li CH, Carreras F, Leta R et al (2010) Mechanical left ventricular dyssynchrony detection by endocardium displacement analysis with 3D speckle tracking technology. Int J Cardiovasc Imaging 26:867–870CrossRefPubMed

22.

Tatsumi K, Tanaka H, Tsuji T et al (2011) Strain dyssynchrony index determined by three-dimensional speckle area tracking can predict response to cardiac resynchronization therapy. Cardiovasc Ultrasound 9:11PubMedCentralCrossRefPubMed

23.

Riesenkampff E, Al-Wakeel N, Kropf S et al (2014) Surgery impacts right atrial function in tetralogy of Fallot. J Thorac Cardiovasc Surg 147:1306–1311CrossRefPubMed

Titel: Evaluation of right atrial dysfunction in patients with corrected tetralogy of Fallot using 3D speckle-tracking echocardiography
Insights from the CSONGRAD Registry and MAGYAR-Path Study
verfasst von: Attila Nemes, MD, PhD, DSc, FESC
Kálmán Havasi, MD
Péter Domsik, MD
Anita Kalapos, MD
Tamás Forster, MD, PhD, DSc, FESC, FACC
Publikationsdatum: 01.11.2015
Verlag: Springer Medizin
Erschienen in: Herz / Ausgabe 7/2015
Print ISSN: 0340-9937
Elektronische ISSN: 1615-6692
DOI: https://doi.org/10.1007/s00059-015-4318-z

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Evaluation of right atrial dysfunction in patients with corrected tetralogy of Fallot using 3D speckle-tracking echocardiography

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Abstract

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Results

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Abstract

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