Acute sleep deprivation in healthy adults is associated with a reduction in left atrial early diastolic strain rate

Background Sleep deprivation (SD) is known to be associated with adverse cardiovascular events. Strain and strain rate measure the local deformation of the myocardium and have been used to evaluate atrial phasic function in various disease states. The aim of the study was to investigate whether stra...

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Veröffentlicht in:Sleep & breathing 2013-09, Vol.17 (3), p.975-983
Hauptverfasser: Açar, Göksel, Akçakoyun, Mustafa, Sari, Ibrahim, Bulut, Mustafa, Alizade, Elnur, Özkan, Birol, Yazicioğlu, Mehmet Vefik, Alici, Gökhan, Avci, Anil, Kargin, Ramazan, Esen, Ali Metin
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container_title Sleep & breathing
container_volume 17
creator Açar, Göksel
Akçakoyun, Mustafa
Sari, Ibrahim
Bulut, Mustafa
Alizade, Elnur
Özkan, Birol
Yazicioğlu, Mehmet Vefik
Alici, Gökhan
Avci, Anil
Kargin, Ramazan
Esen, Ali Metin
description Background Sleep deprivation (SD) is known to be associated with adverse cardiovascular events. Strain and strain rate measure the local deformation of the myocardium and have been used to evaluate atrial phasic function in various disease states. The aim of the study was to investigate whether strain rate imaging enables the identification of left atrial dysfunction in otherwise healthy young adults with acute SD which has not been studied previously. Methods Adequate echocardiographic images of 27 healthy volunteers were obtained both after a night with regular sleep and after a night with SD. Tissue Doppler-derived strain and strain rate were measured from the apical four- and two-chamber views of the left atrium, and global values were calculated as the mean of all segments. Measurements included peak systolic strain, systolic strain rate (S-Sr), early diastolic (E-Sr) and late diastolic (A-Sr) strain rate. Phasic left atrial (LA) volumes and fractions were also calculated. Results There was no significant difference in the traditional parameters of atrial function and LA volumes. Subjects had similar S-Sr, A-Sr and global atrial strain values after the night of sleep debt when compared after regular sleep, whereas they had significantly reduced E-Sr values (mean (SD) 3.2 (0.7) s −1 vs 3.7 (0.6) s −1 , p  
doi_str_mv 10.1007/s11325-012-0786-z
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Strain and strain rate measure the local deformation of the myocardium and have been used to evaluate atrial phasic function in various disease states. The aim of the study was to investigate whether strain rate imaging enables the identification of left atrial dysfunction in otherwise healthy young adults with acute SD which has not been studied previously. Methods Adequate echocardiographic images of 27 healthy volunteers were obtained both after a night with regular sleep and after a night with SD. Tissue Doppler-derived strain and strain rate were measured from the apical four- and two-chamber views of the left atrium, and global values were calculated as the mean of all segments. Measurements included peak systolic strain, systolic strain rate (S-Sr), early diastolic (E-Sr) and late diastolic (A-Sr) strain rate. Phasic left atrial (LA) volumes and fractions were also calculated. Results There was no significant difference in the traditional parameters of atrial function and LA volumes. Subjects had similar S-Sr, A-Sr and global atrial strain values after the night of sleep debt when compared after regular sleep, whereas they had significantly reduced E-Sr values (mean (SD) 3.2 (0.7) s −1 vs 3.7 (0.6) s −1 , p  &lt; 0.001). Moreover, global E-Sr showed a significant correlation with sleep time ( r  = 0.554, p  &lt; 0.001). Conclusion Acute SD in healthy adults is associated with a reduction in LA early diastolic strain rate in the absence of geometric alterations or functional impairment of the left atrium, raising the possibility that chronic SD may more profoundly affect LA function and thereby promote the occurrence of atrial fibrillation.</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-012-0786-z</identifier><identifier>PMID: 23161477</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Atrial Function, Left - physiology ; Biological and medical sciences ; Cardiac Volume - physiology ; Cardiovascular system ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Dentistry ; Diastole - physiology ; Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes ; Echocardiography, Doppler, Color - methods ; Elasticity - physiology ; Female ; Fundamental and applied biological sciences. Psychology ; Heart Atria - diagnostic imaging ; Heart Atria - physiopathology ; Hemodynamics - physiology ; Humans ; Image Interpretation, Computer-Assisted - methods ; Internal Medicine ; Male ; Medical imaging ; Medical research ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Myocardial Contraction - physiology ; Nervous system (semeiology, syndromes) ; Neurology ; Original Article ; Otorhinolaryngology ; Pediatrics ; Pneumology/Respiratory System ; Reference Values ; Sleep deprivation ; Sleep Deprivation - diagnostic imaging ; Sleep Deprivation - physiopathology ; Sleep. 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Strain and strain rate measure the local deformation of the myocardium and have been used to evaluate atrial phasic function in various disease states. The aim of the study was to investigate whether strain rate imaging enables the identification of left atrial dysfunction in otherwise healthy young adults with acute SD which has not been studied previously. Methods Adequate echocardiographic images of 27 healthy volunteers were obtained both after a night with regular sleep and after a night with SD. Tissue Doppler-derived strain and strain rate were measured from the apical four- and two-chamber views of the left atrium, and global values were calculated as the mean of all segments. Measurements included peak systolic strain, systolic strain rate (S-Sr), early diastolic (E-Sr) and late diastolic (A-Sr) strain rate. Phasic left atrial (LA) volumes and fractions were also calculated. Results There was no significant difference in the traditional parameters of atrial function and LA volumes. Subjects had similar S-Sr, A-Sr and global atrial strain values after the night of sleep debt when compared after regular sleep, whereas they had significantly reduced E-Sr values (mean (SD) 3.2 (0.7) s −1 vs 3.7 (0.6) s −1 , p  &lt; 0.001). Moreover, global E-Sr showed a significant correlation with sleep time ( r  = 0.554, p  &lt; 0.001). Conclusion Acute SD in healthy adults is associated with a reduction in LA early diastolic strain rate in the absence of geometric alterations or functional impairment of the left atrium, raising the possibility that chronic SD may more profoundly affect LA function and thereby promote the occurrence of atrial fibrillation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Atrial Function, Left - physiology</subject><subject>Biological and medical sciences</subject><subject>Cardiac Volume - physiology</subject><subject>Cardiovascular system</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Dentistry</subject><subject>Diastole - physiology</subject><subject>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</subject><subject>Echocardiography, Doppler, Color - methods</subject><subject>Elasticity - physiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Heart Atria - physiopathology</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Image Interpretation, Computer-Assisted - methods</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Myocardial Contraction - physiology</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Reference Values</subject><subject>Sleep deprivation</subject><subject>Sleep Deprivation - diagnostic imaging</subject><subject>Sleep Deprivation - physiopathology</subject><subject>Sleep. 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Leukodystrophies. Prion diseases</topic><topic>Dentistry</topic><topic>Diastole - physiology</topic><topic>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</topic><topic>Echocardiography, Doppler, Color - methods</topic><topic>Elasticity - physiology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Heart Atria - diagnostic imaging</topic><topic>Heart Atria - physiopathology</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted - methods</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Myocardial Contraction - physiology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Reference Values</topic><topic>Sleep deprivation</topic><topic>Sleep Deprivation - diagnostic imaging</topic><topic>Sleep Deprivation - physiopathology</topic><topic>Sleep. Vigilance</topic><topic>Systole - physiology</topic><topic>Turkey</topic><topic>Vertebrates: nervous system and sense organs</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Açar, Göksel</creatorcontrib><creatorcontrib>Akçakoyun, Mustafa</creatorcontrib><creatorcontrib>Sari, Ibrahim</creatorcontrib><creatorcontrib>Bulut, Mustafa</creatorcontrib><creatorcontrib>Alizade, Elnur</creatorcontrib><creatorcontrib>Özkan, Birol</creatorcontrib><creatorcontrib>Yazicioğlu, Mehmet Vefik</creatorcontrib><creatorcontrib>Alici, Gökhan</creatorcontrib><creatorcontrib>Avci, Anil</creatorcontrib><creatorcontrib>Kargin, Ramazan</creatorcontrib><creatorcontrib>Esen, Ali Metin</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep &amp; breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Açar, Göksel</au><au>Akçakoyun, Mustafa</au><au>Sari, Ibrahim</au><au>Bulut, Mustafa</au><au>Alizade, Elnur</au><au>Özkan, Birol</au><au>Yazicioğlu, Mehmet Vefik</au><au>Alici, Gökhan</au><au>Avci, Anil</au><au>Kargin, Ramazan</au><au>Esen, Ali Metin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute sleep deprivation in healthy adults is associated with a reduction in left atrial early diastolic strain rate</atitle><jtitle>Sleep &amp; breathing</jtitle><stitle>Sleep Breath</stitle><addtitle>Sleep Breath</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>17</volume><issue>3</issue><spage>975</spage><epage>983</epage><pages>975-983</pages><issn>1520-9512</issn><eissn>1522-1709</eissn><abstract>Background Sleep deprivation (SD) is known to be associated with adverse cardiovascular events. Strain and strain rate measure the local deformation of the myocardium and have been used to evaluate atrial phasic function in various disease states. The aim of the study was to investigate whether strain rate imaging enables the identification of left atrial dysfunction in otherwise healthy young adults with acute SD which has not been studied previously. Methods Adequate echocardiographic images of 27 healthy volunteers were obtained both after a night with regular sleep and after a night with SD. Tissue Doppler-derived strain and strain rate were measured from the apical four- and two-chamber views of the left atrium, and global values were calculated as the mean of all segments. Measurements included peak systolic strain, systolic strain rate (S-Sr), early diastolic (E-Sr) and late diastolic (A-Sr) strain rate. Phasic left atrial (LA) volumes and fractions were also calculated. Results There was no significant difference in the traditional parameters of atrial function and LA volumes. Subjects had similar S-Sr, A-Sr and global atrial strain values after the night of sleep debt when compared after regular sleep, whereas they had significantly reduced E-Sr values (mean (SD) 3.2 (0.7) s −1 vs 3.7 (0.6) s −1 , p  &lt; 0.001). Moreover, global E-Sr showed a significant correlation with sleep time ( r  = 0.554, p  &lt; 0.001). Conclusion Acute SD in healthy adults is associated with a reduction in LA early diastolic strain rate in the absence of geometric alterations or functional impairment of the left atrium, raising the possibility that chronic SD may more profoundly affect LA function and thereby promote the occurrence of atrial fibrillation.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23161477</pmid><doi>10.1007/s11325-012-0786-z</doi><tpages>9</tpages></addata></record>
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source MEDLINE; SpringerNature Journals
subjects Adolescent
Adult
Atrial Function, Left - physiology
Biological and medical sciences
Cardiac Volume - physiology
Cardiovascular system
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Dentistry
Diastole - physiology
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Echocardiography, Doppler, Color - methods
Elasticity - physiology
Female
Fundamental and applied biological sciences. Psychology
Heart Atria - diagnostic imaging
Heart Atria - physiopathology
Hemodynamics - physiology
Humans
Image Interpretation, Computer-Assisted - methods
Internal Medicine
Male
Medical imaging
Medical research
Medical sciences
Medicine
Medicine & Public Health
Myocardial Contraction - physiology
Nervous system (semeiology, syndromes)
Neurology
Original Article
Otorhinolaryngology
Pediatrics
Pneumology/Respiratory System
Reference Values
Sleep deprivation
Sleep Deprivation - diagnostic imaging
Sleep Deprivation - physiopathology
Sleep. Vigilance
Systole - physiology
Turkey
Vertebrates: nervous system and sense organs
Young Adult
title Acute sleep deprivation in healthy adults is associated with a reduction in left atrial early diastolic strain rate
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