Noninvasive Assessment of Left Atrial Phasic Function in Patients with Hypertension and Diabetes Using Two-Dimensional Speckle Tracking and Volumetric Parameters
Objective To evaluate the left atrial phasic function of hypertensive patients with or without coexisting diabetes using two‐dimensional speckle tracking echocardiography (2DSTE)‐based strain and strain rate imaging and volumetric parameters. Methods The study included an isolated hypertension group...
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| Veröffentlicht in: | Echocardiography (Mount Kisco, N.Y.) N.Y.), 2014-07, Vol.31 (6), p.727-735 |
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| container_title | Echocardiography (Mount Kisco, N.Y.) |
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| creator | Liu, Yan Wang, Ke Su, Dechun Cong, Tao Cheng, Yunpeng Zhang, Ying Wu, Jian Sun, Yinghui Shang, Zhijuan Liu, Jinqiu Zhong, Lei Zou, Lu Chitian, Changyue Zhang, Xiuyu Jiang, Yinong |
| description | Objective
To evaluate the left atrial phasic function of hypertensive patients with or without coexisting diabetes using two‐dimensional speckle tracking echocardiography (2DSTE)‐based strain and strain rate imaging and volumetric parameters.
Methods
The study included an isolated hypertension group (HT group) comprising 99 patients, a hypertension and diabetes group (HT + DM group) comprising 65 patients, and 26 age‐matched healthy controls. The 2DSTE‐based strain and strain rate images were studied, and the following parameters were measured: peak left atrial longitudinal strain (LAS‐S), early diastolic (LAS‐E) and late diastolic (LAS‐A) atrial longitudinal strains, and systolic (LASR‐S), early diastolic (LASR‐E) and late diastolic (LASR‐A) strain rates.
Results
The LAS‐S and LASR‐S were lower in the HT group and the HT + DM group compared with the control group (P |
| doi_str_mv | 10.1111/echo.12492 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1547544768</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1547544768</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4372-580c3ae9a8488910190b1df56db3e0d78b8fdf6d17b9dffb2c208871c7d9cdc23</originalsourceid><addsrcrecordid>eNp9kV1v0zAUhi0EYmVwww9AvkRIGbbzYeeyarcVrdom6IA7y3FOqGniFNtZ6c_hn-KQbZf4xpb8vM-RzovQW0rOaDwfQW_7M8qykj1DM5pnJBGU58_RjPCMJUwwdoJeef-TEMIpzV6iE5aleZYV-Qz9ue6tsffKm3vAc-_B-w5swH2D19AEPA_OqBbfbiOh8cVgdTC9xcbiWxVMJD0-mLDFq-MeXADrx19la7w0qoIAHt95Y3_gzaFPlqabgCj8sge9awFvnNK7ERgzX_t26CBO1NHuVHyC86_Ri0a1Ht483Kfo7uJ8s1gl65vLT4v5OtFZylmSC6JTBaUSmRAlJbQkFa2bvKirFEjNRSWauilqyquybpqKaUaE4FTzutS1Zukpej95967_NYAPsjNeQ9sqC_3gZVwsj0vjhYjohwnVrvfeQSP3znTKHSUlcqxEjpXIf5VE-N2Dd6g6qJ_Qxw4iQCfgYFo4_kclzxerm0dpMmWMD_D7KaPcThY85bn8dn0pl8vPV1dr8V2y9C9u_KlH</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1547544768</pqid></control><display><type>article</type><title>Noninvasive Assessment of Left Atrial Phasic Function in Patients with Hypertension and Diabetes Using Two-Dimensional Speckle Tracking and Volumetric Parameters</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Liu, Yan ; Wang, Ke ; Su, Dechun ; Cong, Tao ; Cheng, Yunpeng ; Zhang, Ying ; Wu, Jian ; Sun, Yinghui ; Shang, Zhijuan ; Liu, Jinqiu ; Zhong, Lei ; Zou, Lu ; Chitian, Changyue ; Zhang, Xiuyu ; Jiang, Yinong</creator><creatorcontrib>Liu, Yan ; Wang, Ke ; Su, Dechun ; Cong, Tao ; Cheng, Yunpeng ; Zhang, Ying ; Wu, Jian ; Sun, Yinghui ; Shang, Zhijuan ; Liu, Jinqiu ; Zhong, Lei ; Zou, Lu ; Chitian, Changyue ; Zhang, Xiuyu ; Jiang, Yinong</creatorcontrib><description>Objective
To evaluate the left atrial phasic function of hypertensive patients with or without coexisting diabetes using two‐dimensional speckle tracking echocardiography (2DSTE)‐based strain and strain rate imaging and volumetric parameters.
Methods
The study included an isolated hypertension group (HT group) comprising 99 patients, a hypertension and diabetes group (HT + DM group) comprising 65 patients, and 26 age‐matched healthy controls. The 2DSTE‐based strain and strain rate images were studied, and the following parameters were measured: peak left atrial longitudinal strain (LAS‐S), early diastolic (LAS‐E) and late diastolic (LAS‐A) atrial longitudinal strains, and systolic (LASR‐S), early diastolic (LASR‐E) and late diastolic (LASR‐A) strain rates.
Results
The LAS‐S and LASR‐S were lower in the HT group and the HT + DM group compared with the control group (P < 0.001). The LAS‐E and LASR‐E were lower in the HT group (14.9 ± 5.5% and −1.1 ± 0.4/sec, respectively) than in the control group (22.1 ± 8.3% and −1.7 ± 0.6/sec, respectively) (P < 0.001), and they were further depressed in the HT + DM group (12.3 ± 6.3% and −1.0 ± 0.4/sec, respectively) (P < 0.05). There were no significant differences in LAS‐A or LASR‐A among the 3 groups (P > 0.05). Multivariate regression analysis revealed that HT and DM were independently related to LAS‐E and LASR‐E.
Conclusions
Hypertension can lead to abnormal left atrial reservoir and conduit functions, and coexisting diabetes can further impair conduit function. 2DSTE‐derived strain and strain rate imaging are sensitive methods for evaluating left atrial phasic function.</description><identifier>ISSN: 0742-2822</identifier><identifier>EISSN: 1540-8175</identifier><identifier>DOI: 10.1111/echo.12492</identifier><identifier>PMID: 24354465</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>diabetes ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - diagnostic imaging ; Diabetes Mellitus, Type 2 - physiopathology ; Echocardiography ; Elastic Modulus ; Elasticity Imaging Techniques ; Female ; Heart Atria - diagnostic imaging ; Heart Atria - physiopathology ; Humans ; hypertension ; Hypertension - complications ; Hypertension - diagnostic imaging ; Hypertension - physiopathology ; left atrial phasic function ; Male ; Middle Aged ; Reproducibility of Results ; Sensitivity and Specificity ; speckle tracking</subject><ispartof>Echocardiography (Mount Kisco, N.Y.), 2014-07, Vol.31 (6), p.727-735</ispartof><rights>2013, Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4372-580c3ae9a8488910190b1df56db3e0d78b8fdf6d17b9dffb2c208871c7d9cdc23</citedby><cites>FETCH-LOGICAL-c4372-580c3ae9a8488910190b1df56db3e0d78b8fdf6d17b9dffb2c208871c7d9cdc23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fecho.12492$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fecho.12492$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24354465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Yan</creatorcontrib><creatorcontrib>Wang, Ke</creatorcontrib><creatorcontrib>Su, Dechun</creatorcontrib><creatorcontrib>Cong, Tao</creatorcontrib><creatorcontrib>Cheng, Yunpeng</creatorcontrib><creatorcontrib>Zhang, Ying</creatorcontrib><creatorcontrib>Wu, Jian</creatorcontrib><creatorcontrib>Sun, Yinghui</creatorcontrib><creatorcontrib>Shang, Zhijuan</creatorcontrib><creatorcontrib>Liu, Jinqiu</creatorcontrib><creatorcontrib>Zhong, Lei</creatorcontrib><creatorcontrib>Zou, Lu</creatorcontrib><creatorcontrib>Chitian, Changyue</creatorcontrib><creatorcontrib>Zhang, Xiuyu</creatorcontrib><creatorcontrib>Jiang, Yinong</creatorcontrib><title>Noninvasive Assessment of Left Atrial Phasic Function in Patients with Hypertension and Diabetes Using Two-Dimensional Speckle Tracking and Volumetric Parameters</title><title>Echocardiography (Mount Kisco, N.Y.)</title><addtitle>Echocardiography</addtitle><description>Objective
To evaluate the left atrial phasic function of hypertensive patients with or without coexisting diabetes using two‐dimensional speckle tracking echocardiography (2DSTE)‐based strain and strain rate imaging and volumetric parameters.
Methods
The study included an isolated hypertension group (HT group) comprising 99 patients, a hypertension and diabetes group (HT + DM group) comprising 65 patients, and 26 age‐matched healthy controls. The 2DSTE‐based strain and strain rate images were studied, and the following parameters were measured: peak left atrial longitudinal strain (LAS‐S), early diastolic (LAS‐E) and late diastolic (LAS‐A) atrial longitudinal strains, and systolic (LASR‐S), early diastolic (LASR‐E) and late diastolic (LASR‐A) strain rates.
Results
The LAS‐S and LASR‐S were lower in the HT group and the HT + DM group compared with the control group (P < 0.001). The LAS‐E and LASR‐E were lower in the HT group (14.9 ± 5.5% and −1.1 ± 0.4/sec, respectively) than in the control group (22.1 ± 8.3% and −1.7 ± 0.6/sec, respectively) (P < 0.001), and they were further depressed in the HT + DM group (12.3 ± 6.3% and −1.0 ± 0.4/sec, respectively) (P < 0.05). There were no significant differences in LAS‐A or LASR‐A among the 3 groups (P > 0.05). Multivariate regression analysis revealed that HT and DM were independently related to LAS‐E and LASR‐E.
Conclusions
Hypertension can lead to abnormal left atrial reservoir and conduit functions, and coexisting diabetes can further impair conduit function. 2DSTE‐derived strain and strain rate imaging are sensitive methods for evaluating left atrial phasic function.</description><subject>diabetes</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - diagnostic imaging</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Echocardiography</subject><subject>Elastic Modulus</subject><subject>Elasticity Imaging Techniques</subject><subject>Female</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Heart Atria - physiopathology</subject><subject>Humans</subject><subject>hypertension</subject><subject>Hypertension - complications</subject><subject>Hypertension - diagnostic imaging</subject><subject>Hypertension - physiopathology</subject><subject>left atrial phasic function</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>speckle tracking</subject><issn>0742-2822</issn><issn>1540-8175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV1v0zAUhi0EYmVwww9AvkRIGbbzYeeyarcVrdom6IA7y3FOqGniFNtZ6c_hn-KQbZf4xpb8vM-RzovQW0rOaDwfQW_7M8qykj1DM5pnJBGU58_RjPCMJUwwdoJeef-TEMIpzV6iE5aleZYV-Qz9ue6tsffKm3vAc-_B-w5swH2D19AEPA_OqBbfbiOh8cVgdTC9xcbiWxVMJD0-mLDFq-MeXADrx19la7w0qoIAHt95Y3_gzaFPlqabgCj8sge9awFvnNK7ERgzX_t26CBO1NHuVHyC86_Ri0a1Ht483Kfo7uJ8s1gl65vLT4v5OtFZylmSC6JTBaUSmRAlJbQkFa2bvKirFEjNRSWauilqyquybpqKaUaE4FTzutS1Zukpej95967_NYAPsjNeQ9sqC_3gZVwsj0vjhYjohwnVrvfeQSP3znTKHSUlcqxEjpXIf5VE-N2Dd6g6qJ_Qxw4iQCfgYFo4_kclzxerm0dpMmWMD_D7KaPcThY85bn8dn0pl8vPV1dr8V2y9C9u_KlH</recordid><startdate>201407</startdate><enddate>201407</enddate><creator>Liu, Yan</creator><creator>Wang, Ke</creator><creator>Su, Dechun</creator><creator>Cong, Tao</creator><creator>Cheng, Yunpeng</creator><creator>Zhang, Ying</creator><creator>Wu, Jian</creator><creator>Sun, Yinghui</creator><creator>Shang, Zhijuan</creator><creator>Liu, Jinqiu</creator><creator>Zhong, Lei</creator><creator>Zou, Lu</creator><creator>Chitian, Changyue</creator><creator>Zhang, Xiuyu</creator><creator>Jiang, Yinong</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201407</creationdate><title>Noninvasive Assessment of Left Atrial Phasic Function in Patients with Hypertension and Diabetes Using Two-Dimensional Speckle Tracking and Volumetric Parameters</title><author>Liu, Yan ; Wang, Ke ; Su, Dechun ; Cong, Tao ; Cheng, Yunpeng ; Zhang, Ying ; Wu, Jian ; Sun, Yinghui ; Shang, Zhijuan ; Liu, Jinqiu ; Zhong, Lei ; Zou, Lu ; Chitian, Changyue ; Zhang, Xiuyu ; Jiang, Yinong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4372-580c3ae9a8488910190b1df56db3e0d78b8fdf6d17b9dffb2c208871c7d9cdc23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>diabetes</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - diagnostic imaging</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Echocardiography</topic><topic>Elastic Modulus</topic><topic>Elasticity Imaging Techniques</topic><topic>Female</topic><topic>Heart Atria - diagnostic imaging</topic><topic>Heart Atria - physiopathology</topic><topic>Humans</topic><topic>hypertension</topic><topic>Hypertension - complications</topic><topic>Hypertension - diagnostic imaging</topic><topic>Hypertension - physiopathology</topic><topic>left atrial phasic function</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>speckle tracking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Yan</creatorcontrib><creatorcontrib>Wang, Ke</creatorcontrib><creatorcontrib>Su, Dechun</creatorcontrib><creatorcontrib>Cong, Tao</creatorcontrib><creatorcontrib>Cheng, Yunpeng</creatorcontrib><creatorcontrib>Zhang, Ying</creatorcontrib><creatorcontrib>Wu, Jian</creatorcontrib><creatorcontrib>Sun, Yinghui</creatorcontrib><creatorcontrib>Shang, Zhijuan</creatorcontrib><creatorcontrib>Liu, Jinqiu</creatorcontrib><creatorcontrib>Zhong, Lei</creatorcontrib><creatorcontrib>Zou, Lu</creatorcontrib><creatorcontrib>Chitian, Changyue</creatorcontrib><creatorcontrib>Zhang, Xiuyu</creatorcontrib><creatorcontrib>Jiang, Yinong</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Yan</au><au>Wang, Ke</au><au>Su, Dechun</au><au>Cong, Tao</au><au>Cheng, Yunpeng</au><au>Zhang, Ying</au><au>Wu, Jian</au><au>Sun, Yinghui</au><au>Shang, Zhijuan</au><au>Liu, Jinqiu</au><au>Zhong, Lei</au><au>Zou, Lu</au><au>Chitian, Changyue</au><au>Zhang, Xiuyu</au><au>Jiang, Yinong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Noninvasive Assessment of Left Atrial Phasic Function in Patients with Hypertension and Diabetes Using Two-Dimensional Speckle Tracking and Volumetric Parameters</atitle><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle><addtitle>Echocardiography</addtitle><date>2014-07</date><risdate>2014</risdate><volume>31</volume><issue>6</issue><spage>727</spage><epage>735</epage><pages>727-735</pages><issn>0742-2822</issn><eissn>1540-8175</eissn><abstract>Objective
To evaluate the left atrial phasic function of hypertensive patients with or without coexisting diabetes using two‐dimensional speckle tracking echocardiography (2DSTE)‐based strain and strain rate imaging and volumetric parameters.
Methods
The study included an isolated hypertension group (HT group) comprising 99 patients, a hypertension and diabetes group (HT + DM group) comprising 65 patients, and 26 age‐matched healthy controls. The 2DSTE‐based strain and strain rate images were studied, and the following parameters were measured: peak left atrial longitudinal strain (LAS‐S), early diastolic (LAS‐E) and late diastolic (LAS‐A) atrial longitudinal strains, and systolic (LASR‐S), early diastolic (LASR‐E) and late diastolic (LASR‐A) strain rates.
Results
The LAS‐S and LASR‐S were lower in the HT group and the HT + DM group compared with the control group (P < 0.001). The LAS‐E and LASR‐E were lower in the HT group (14.9 ± 5.5% and −1.1 ± 0.4/sec, respectively) than in the control group (22.1 ± 8.3% and −1.7 ± 0.6/sec, respectively) (P < 0.001), and they were further depressed in the HT + DM group (12.3 ± 6.3% and −1.0 ± 0.4/sec, respectively) (P < 0.05). There were no significant differences in LAS‐A or LASR‐A among the 3 groups (P > 0.05). Multivariate regression analysis revealed that HT and DM were independently related to LAS‐E and LASR‐E.
Conclusions
Hypertension can lead to abnormal left atrial reservoir and conduit functions, and coexisting diabetes can further impair conduit function. 2DSTE‐derived strain and strain rate imaging are sensitive methods for evaluating left atrial phasic function.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24354465</pmid><doi>10.1111/echo.12492</doi><tpages>9</tpages></addata></record> |
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| subjects | diabetes Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - diagnostic imaging Diabetes Mellitus, Type 2 - physiopathology Echocardiography Elastic Modulus Elasticity Imaging Techniques Female Heart Atria - diagnostic imaging Heart Atria - physiopathology Humans hypertension Hypertension - complications Hypertension - diagnostic imaging Hypertension - physiopathology left atrial phasic function Male Middle Aged Reproducibility of Results Sensitivity and Specificity speckle tracking |
| title | Noninvasive Assessment of Left Atrial Phasic Function in Patients with Hypertension and Diabetes Using Two-Dimensional Speckle Tracking and Volumetric Parameters |
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