Normal Ranges of Left Atrial Strain and 3D Echocardiographic Volume Measurements in Türkiye

Objective: The clinical importance of left atrial (LA) remodeling and function have been shown in various cardiovascular diseases, such as heart failure and atrial fibrillation. The LA dimension and volume index are the currently recommended parameters for evaluation of LA. Speckle tracking echocard...

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Main Authors: Özden Seçkin Göbüt, Serkan Ünlü, Burcu Cihan Talay
Format: Article
Language:English
Published: Galenos Publishing House 2024-10-01
Series:Gazi Medical Journal
Subjects:
Online Access:https://gazimedj.com/articles/normal-ranges-of-left-atrial-strain-and-3d-echocardiographic-volume-measurements-in-turkiye/doi/gmj.2024.4023
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author Özden Seçkin Göbüt
Serkan Ünlü
Burcu Cihan Talay
author_facet Özden Seçkin Göbüt
Serkan Ünlü
Burcu Cihan Talay
author_sort Özden Seçkin Göbüt
collection DOAJ
description Objective: The clinical importance of left atrial (LA) remodeling and function have been shown in various cardiovascular diseases, such as heart failure and atrial fibrillation. The LA dimension and volume index are the currently recommended parameters for evaluation of LA. Speckle tracking echocardiography makes it possible to evaluate the physio-mechanics of the LA method and threedimensional echocardiography have been shown to provide robust calculations of LA volume. However, there is still a lack of reference values regarding the LA longitudinal strain (LS) and three-dimensional (3D) volumetric measurements in Türkiye. Thus, we sought to investigate and determine normal references for mentioned echocardiographic methodologies by examining healthy individuals. Methods: The echocardiographic data of one-hundred and forty-six volunteers without known cardiovascular pathologies were analyzed. 3D volume measurements and LA longitidinal strain in the reservoir, conduit, and contraction phase were investigated. Trigger points were placed on the R-waves on the electrocrocardiogram, as suggested by recent recommendations. Results: Our study revealed a normal reference range for LA reservoir LS [40% (95% confidence interval (CI): 38-43%)], LA conduit LS [24% (95% CI: 22-26%)], LA contraction phase LS [16% (95% CI: 13-18%)] and for 3D maximal LA volume of 28 mL/m2 (95% CI: 25-32). Conclusion: We have provided normal reference ranges for phasic LA LS and 3D volume measurements. Having normal reference ranges for Turkish population carries importance as regional difference can occur.
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spelling doaj-art-924a548256e540acb6991bd634d7be502025-01-16T10:35:54ZengGalenos Publishing HouseGazi Medical Journal2147-20922024-10-0135436436810.12996/gmj.2024.4023Normal Ranges of Left Atrial Strain and 3D Echocardiographic Volume Measurements in TürkiyeÖzden Seçkin Göbüt0https://orcid.org/0000-0001-7385-4419Serkan Ünlü1https://orcid.org/0000-0001-6179-8579Burcu Cihan Talay2https://orcid.org/0000-0002-3697-7919Clinic of Cardiology Gazi University Hospital, Ankara, TürkiyeClinic of Cardiology Gazi University Hospital, Ankara, TürkiyeClinic of Cardiology Gazi University Hospital, Ankara, TürkiyeObjective: The clinical importance of left atrial (LA) remodeling and function have been shown in various cardiovascular diseases, such as heart failure and atrial fibrillation. The LA dimension and volume index are the currently recommended parameters for evaluation of LA. Speckle tracking echocardiography makes it possible to evaluate the physio-mechanics of the LA method and threedimensional echocardiography have been shown to provide robust calculations of LA volume. However, there is still a lack of reference values regarding the LA longitudinal strain (LS) and three-dimensional (3D) volumetric measurements in Türkiye. Thus, we sought to investigate and determine normal references for mentioned echocardiographic methodologies by examining healthy individuals. Methods: The echocardiographic data of one-hundred and forty-six volunteers without known cardiovascular pathologies were analyzed. 3D volume measurements and LA longitidinal strain in the reservoir, conduit, and contraction phase were investigated. Trigger points were placed on the R-waves on the electrocrocardiogram, as suggested by recent recommendations. Results: Our study revealed a normal reference range for LA reservoir LS [40% (95% confidence interval (CI): 38-43%)], LA conduit LS [24% (95% CI: 22-26%)], LA contraction phase LS [16% (95% CI: 13-18%)] and for 3D maximal LA volume of 28 mL/m2 (95% CI: 25-32). Conclusion: We have provided normal reference ranges for phasic LA LS and 3D volume measurements. Having normal reference ranges for Turkish population carries importance as regional difference can occur.https://gazimedj.com/articles/normal-ranges-of-left-atrial-strain-and-3d-echocardiographic-volume-measurements-in-turkiye/doi/gmj.2024.4023adult echocardiographyleft atrial functionleft atrial volumedeformation imaging3d echocardiographyreference values
spellingShingle Özden Seçkin Göbüt
Serkan Ünlü
Burcu Cihan Talay
Normal Ranges of Left Atrial Strain and 3D Echocardiographic Volume Measurements in Türkiye
Gazi Medical Journal
adult echocardiography
left atrial function
left atrial volume
deformation imaging
3d echocardiography
reference values
title Normal Ranges of Left Atrial Strain and 3D Echocardiographic Volume Measurements in Türkiye
title_full Normal Ranges of Left Atrial Strain and 3D Echocardiographic Volume Measurements in Türkiye
title_fullStr Normal Ranges of Left Atrial Strain and 3D Echocardiographic Volume Measurements in Türkiye
title_full_unstemmed Normal Ranges of Left Atrial Strain and 3D Echocardiographic Volume Measurements in Türkiye
title_short Normal Ranges of Left Atrial Strain and 3D Echocardiographic Volume Measurements in Türkiye
title_sort normal ranges of left atrial strain and 3d echocardiographic volume measurements in turkiye
topic adult echocardiography
left atrial function
left atrial volume
deformation imaging
3d echocardiography
reference values
url https://gazimedj.com/articles/normal-ranges-of-left-atrial-strain-and-3d-echocardiographic-volume-measurements-in-turkiye/doi/gmj.2024.4023
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