Left atrial function by two-dimensional speckle tracking echocardiography in patients with severe rheumatic mitral stenosis and pulmonary hypertension

被引：7
|
作者：
Mehta, Vimal [1 ]
Chaudhari, Dhanjibhai [1 ]
Mehra, Pratishtha [1 ]
Mahajan, Sudhanshu [1 ]
Yusuf, Jamal [1 ]
Gupta, Mohit D. [1 ]
Kathuria, Sanjeev [1 ]
Safal [1 ]
Dabla, Pradeep Kumar [2 ]
Sukhija, Rishi [3 ]
Mukhopadhyay, Saibal [1 ]
机构：
[1] Govind Ballabh Pant Inst Postgrad Med Educ & Res, Dept Cardiol, New Delhi 110002, India
[2] Govind Ballabh Pant Inst Postgrad Med Educ & Res, Dept Biochem, New Delhi 110002, India
[3] Univ Cincinnati, Div Cardiol, Coll Med, Cincinnati, OH USA
来源：
INDIAN HEART JOURNAL | 2022年 / 74卷 / 01期
关键词：
Speckle tracking echocardiography; Left atrial strain; Mitral stenosis; Left atrial dysfunction; DEFORMATION;
D O I：
10.1016/j.ihj.2021.12.011
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We studied left atrial (LA) function in severe rheumatic mitral stenosis (MS) patients using twodimensional speckle tracking echocardiography (STE). Eighty patients with isolated severe MS in sinus rhythm and 40 controls underwent comprehensive echocardiography including STE derived LA strain [reservoir strain (LAS(r)), conduit strain (LAS(cd)) and contractile strain (LAS(ct))]. The mean MVA was 0.93 +/- 0.21 cm(2). The mean values of LASr (14.73 +/- 8.59%), LAS(cd) (-7.61 +/- 4.47%) and LAS(ct) (-7.16 +/- 5.15%) in patients were significantly lower (p < 0.001) vs. controls 44.11 +/- 10.44%,-32.45 +/- 7.63%,-11.85 +/- 6.77% respectively and showed decreasing trend with increasing MS severity and higher NYHA class. In conclusion, LA dysfunction is prevalent in severe MS irrespective of NYHA functional class. (C) 2021 Cardiological Society of India. Published by Elsevier B.V.
引用
收藏
页码：63 / 65
页数：3
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