Complex Associations Between Systolic Left Atrial and Left Ventricular Deformations in Healthy Adults—Detailed Analysis from the Three-Dimensional Speckle-Tracking Echocardiographic MAGYAR-Healthy Study

<b>Introduction.</b> Volumetric changes in the left atrium (LA) and left ventricle (LV) are strongly associated in healthy circumstances, as recent three-dimensional speckle-tracking echocardiographic (3DSTE) studies confirmed. However, the complex relationship of LA and LV deformation i...

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Main Authors: Attila Nemes, Barbara Bordács, Nóra Ambrus, Csaba Lengyel
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Life
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Online Access:https://www.mdpi.com/2075-1729/15/2/287
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author Attila Nemes
Barbara Bordács
Nóra Ambrus
Csaba Lengyel
author_facet Attila Nemes
Barbara Bordács
Nóra Ambrus
Csaba Lengyel
author_sort Attila Nemes
collection DOAJ
description <b>Introduction.</b> Volumetric changes in the left atrium (LA) and left ventricle (LV) are strongly associated in healthy circumstances, as recent three-dimensional speckle-tracking echocardiographic (3DSTE) studies confirmed. However, the complex relationship of LA and LV deformation in systole has never been assessed in healthy individuals. The present study purposed to perform comparative simultaneous analysis of systolic LA and LV strains in healthy adults by 3DSTE. <b>Methods.</b> The study consisted of 165 healthy adults (mean age: 33.2 ± 12.3 years; 90 males). Complete two-dimensional Doppler echocardiography with 3DSTE was performed in all cases. <b>Results.</b> The increase in global LA radial strain (RS) and longitudinal strain (LS) showed no associations with LV strains. The largest global LA circumferential strain (CS) was associated with the largest basal LV-RS. Lowest basal and global LV-CS could be demonstrated in the presence of mean global LA-CS as compared to the presence of lower than mean global LA-CS. Global LA-RS showed an increase, with global LV-RS being largest when global LV-RS was the largest. Basal and global LA-RS were largest in the case of lowest global LV-CS. Basal LA-LS was largest in the case of mean global LV-CS. With the increase in global LV-LS, basal and global LA-LS showed an increase but only up to a point; in the case of larger than mean global LV-LS, no further increase was detected in basal and global LA-LS. <b>Conclusions</b>. Complex associations between simultaneously assessed LA and LV deformations represented by 3DSTE-derived strains could be demonstrated in healthy adults.
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spelling doaj-art-1759b9191ff143b49e0176b601fb169d2025-08-20T02:44:50ZengMDPI AGLife2075-17292025-02-0115228710.3390/life15020287Complex Associations Between Systolic Left Atrial and Left Ventricular Deformations in Healthy Adults—Detailed Analysis from the Three-Dimensional Speckle-Tracking Echocardiographic MAGYAR-Healthy StudyAttila Nemes0Barbara Bordács1Nóra Ambrus2Csaba Lengyel3Department of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, H-6725 Szeged, HungaryDepartment of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, H-6725 Szeged, HungaryDepartment of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, H-6725 Szeged, HungaryDepartment of Medicine, Albert Szent-Györgyi Medical School, University of Szeged, H-6725 Szeged, Hungary<b>Introduction.</b> Volumetric changes in the left atrium (LA) and left ventricle (LV) are strongly associated in healthy circumstances, as recent three-dimensional speckle-tracking echocardiographic (3DSTE) studies confirmed. However, the complex relationship of LA and LV deformation in systole has never been assessed in healthy individuals. The present study purposed to perform comparative simultaneous analysis of systolic LA and LV strains in healthy adults by 3DSTE. <b>Methods.</b> The study consisted of 165 healthy adults (mean age: 33.2 ± 12.3 years; 90 males). Complete two-dimensional Doppler echocardiography with 3DSTE was performed in all cases. <b>Results.</b> The increase in global LA radial strain (RS) and longitudinal strain (LS) showed no associations with LV strains. The largest global LA circumferential strain (CS) was associated with the largest basal LV-RS. Lowest basal and global LV-CS could be demonstrated in the presence of mean global LA-CS as compared to the presence of lower than mean global LA-CS. Global LA-RS showed an increase, with global LV-RS being largest when global LV-RS was the largest. Basal and global LA-RS were largest in the case of lowest global LV-CS. Basal LA-LS was largest in the case of mean global LV-CS. With the increase in global LV-LS, basal and global LA-LS showed an increase but only up to a point; in the case of larger than mean global LV-LS, no further increase was detected in basal and global LA-LS. <b>Conclusions</b>. Complex associations between simultaneously assessed LA and LV deformations represented by 3DSTE-derived strains could be demonstrated in healthy adults.https://www.mdpi.com/2075-1729/15/2/287left atrialleft ventricularvolumestrainthree-dimensionalspeckle-tracking echocardiography
spellingShingle Attila Nemes
Barbara Bordács
Nóra Ambrus
Csaba Lengyel
Complex Associations Between Systolic Left Atrial and Left Ventricular Deformations in Healthy Adults—Detailed Analysis from the Three-Dimensional Speckle-Tracking Echocardiographic MAGYAR-Healthy Study
Life
left atrial
left ventricular
volume
strain
three-dimensional
speckle-tracking echocardiography
title Complex Associations Between Systolic Left Atrial and Left Ventricular Deformations in Healthy Adults—Detailed Analysis from the Three-Dimensional Speckle-Tracking Echocardiographic MAGYAR-Healthy Study
title_full Complex Associations Between Systolic Left Atrial and Left Ventricular Deformations in Healthy Adults—Detailed Analysis from the Three-Dimensional Speckle-Tracking Echocardiographic MAGYAR-Healthy Study
title_fullStr Complex Associations Between Systolic Left Atrial and Left Ventricular Deformations in Healthy Adults—Detailed Analysis from the Three-Dimensional Speckle-Tracking Echocardiographic MAGYAR-Healthy Study
title_full_unstemmed Complex Associations Between Systolic Left Atrial and Left Ventricular Deformations in Healthy Adults—Detailed Analysis from the Three-Dimensional Speckle-Tracking Echocardiographic MAGYAR-Healthy Study
title_short Complex Associations Between Systolic Left Atrial and Left Ventricular Deformations in Healthy Adults—Detailed Analysis from the Three-Dimensional Speckle-Tracking Echocardiographic MAGYAR-Healthy Study
title_sort complex associations between systolic left atrial and left ventricular deformations in healthy adults detailed analysis from the three dimensional speckle tracking echocardiographic magyar healthy study
topic left atrial
left ventricular
volume
strain
three-dimensional
speckle-tracking echocardiography
url https://www.mdpi.com/2075-1729/15/2/287
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AT barbarabordacs complexassociationsbetweensystolicleftatrialandleftventriculardeformationsinhealthyadultsdetailedanalysisfromthethreedimensionalspeckletrackingechocardiographicmagyarhealthystudy
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