Left atrial sphericity in relation to atrial strain and strain rate in atrial fibrillation patients
Purpose Left atrial (LA) sphericity is a novel, geometry-based parameter that has been used to visualize and quantify LA geometrical remodeling in patients with atrial fibrillation (AF). This study examined the association between LA sphericity, and LA longitudinal strain and strain rate measured by...
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| Veröffentlicht in: | The international journal of cardiovascular imaging 2023-09, Vol.39 (9), p.1753-1763 |
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| creator | Hopman, Luuk H.G.A. Bhagirath, Pranav Mulder, Mark J. Demirkiran, Ahmet Mathari, Sulayman El van der Laan, Anja M. van Rossum, Albert C. Kemme, Michiel J.B. Allaart, Cornelis P. Götte, Marco J.W. |
| description | Purpose
Left atrial (LA) sphericity is a novel, geometry-based parameter that has been used to visualize and quantify LA geometrical remodeling in patients with atrial fibrillation (AF). This study examined the association between LA sphericity, and LA longitudinal strain and strain rate measured by feature-tracking in AF patients.
Methods
128 AF patients who underwent cardiovascular magnetic resonance (CMR) imaging in sinus rhythm prior to their pulmonary vein isolation (PVI) procedure were retrospectively analyzed. LA sphericity was calculated by segmenting the LA (excluding the pulmonary veins and the LA appendage) on a 3D contrast enhanced MR angiogram and comparing the resulting shape with a perfect sphere. LA global reservoir strain, conduit strain, contractile strain and corresponding strain rates were derived from cine images using feature-tracking. For statistical analysis, Pearson correlations, multivariable logistic regression analysis, and Student
t
-tests were used.
Results
Patients with a spherical LA (dichotomized by the median value) had a lower reservoir strain and conduit strain compared to patients with a non-spherical LA (-15.4 ± 4.2% vs. -17.1 ± 3.5%,
P
= 0.02 and − 8.2 ± 3.0% vs. -9.5 ± 2.6%,
P
= 0.01, respectively). LA strain rate during early ventricular diastole was also different between both groups (-0.7 ± 0.3s
− 1
vs. -0.9 ± 0.3s
− 1
,
P
= 0.001). In contrast, no difference was found for LA contractile strain (-7.2 ± 2.6% vs. -7.6 ± 2.2%,
P
= 0.30).
Conclusions
LA passive strain is significantly impaired in AF patients with a spherical LA, though this relation was not independent from LA volume.
Key points
This study found that LA passive function, measured using strain assessment, is significantly impaired in AF patients with a spherical LA as compared to patients with a non-spherical LA.
The relation between LA sphericity and LA strain was not independent from LA volume.
In patients with a spherical LA, an increase in LA pressure is related to a deterioration in LA function, while in patients with a normal non-sphere shaped LA, LA function remains largely preserved. |
| doi_str_mv | 10.1007/s10554-023-02866-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10520187</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2854434395</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-c47c48c441c80fffc42bce6798a5b575867503b844504a443c35158a086a817d3</originalsourceid><addsrcrecordid>eNp9kU1PwzAMhiMEYjD4AxxQJS5cCvlsshNCE1_SJC5wjtIs3TJ17UgypP17PLqNwYFDYit-bMd-Ebog-IZgLG8jwULwHFMGRxVFTg_QCVFS5IoRerjn99BpjDOMiWSDwTHqMSmIKBQ9QXbkqpSZFLyps7iYuuCtT6vMN1lwtUm-bbLU7oAUDERMM966wSS3hjdA5cvg603eAoxrUjxDR5Wpozvf2D56f3x4Gz7no9enl-H9KLecFgluabmynBOrcFVV8FpaV8iBMqIUUqhCCsxKxbnA3HDOLIMplMGqMIrIMeuju67uYlnO3dhC72BqvQh-bsJKt8br35HGT_Wk_dSwR4phWVDhelMhtB9LF5Oe-2gdDNS4dhk1VQL6cjYQgF79QWftMjQwH1CF4ooKSoCiHWVDG2Nw1e43BOu1iLoTUYOI-ltETSHpcn-OXcpWNQBYB0QINRMXfnr_U_YL5cyoUg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2868482521</pqid></control><display><type>article</type><title>Left atrial sphericity in relation to atrial strain and strain rate in atrial fibrillation patients</title><source>SpringerLink Journals (MCLS)</source><creator>Hopman, Luuk H.G.A. ; Bhagirath, Pranav ; Mulder, Mark J. ; Demirkiran, Ahmet ; Mathari, Sulayman El ; van der Laan, Anja M. ; van Rossum, Albert C. ; Kemme, Michiel J.B. ; Allaart, Cornelis P. ; Götte, Marco J.W.</creator><creatorcontrib>Hopman, Luuk H.G.A. ; Bhagirath, Pranav ; Mulder, Mark J. ; Demirkiran, Ahmet ; Mathari, Sulayman El ; van der Laan, Anja M. ; van Rossum, Albert C. ; Kemme, Michiel J.B. ; Allaart, Cornelis P. ; Götte, Marco J.W.</creatorcontrib><description>Purpose
Left atrial (LA) sphericity is a novel, geometry-based parameter that has been used to visualize and quantify LA geometrical remodeling in patients with atrial fibrillation (AF). This study examined the association between LA sphericity, and LA longitudinal strain and strain rate measured by feature-tracking in AF patients.
Methods
128 AF patients who underwent cardiovascular magnetic resonance (CMR) imaging in sinus rhythm prior to their pulmonary vein isolation (PVI) procedure were retrospectively analyzed. LA sphericity was calculated by segmenting the LA (excluding the pulmonary veins and the LA appendage) on a 3D contrast enhanced MR angiogram and comparing the resulting shape with a perfect sphere. LA global reservoir strain, conduit strain, contractile strain and corresponding strain rates were derived from cine images using feature-tracking. For statistical analysis, Pearson correlations, multivariable logistic regression analysis, and Student
t
-tests were used.
Results
Patients with a spherical LA (dichotomized by the median value) had a lower reservoir strain and conduit strain compared to patients with a non-spherical LA (-15.4 ± 4.2% vs. -17.1 ± 3.5%,
P
= 0.02 and − 8.2 ± 3.0% vs. -9.5 ± 2.6%,
P
= 0.01, respectively). LA strain rate during early ventricular diastole was also different between both groups (-0.7 ± 0.3s
− 1
vs. -0.9 ± 0.3s
− 1
,
P
= 0.001). In contrast, no difference was found for LA contractile strain (-7.2 ± 2.6% vs. -7.6 ± 2.2%,
P
= 0.30).
Conclusions
LA passive strain is significantly impaired in AF patients with a spherical LA, though this relation was not independent from LA volume.
Key points
This study found that LA passive function, measured using strain assessment, is significantly impaired in AF patients with a spherical LA as compared to patients with a non-spherical LA.
The relation between LA sphericity and LA strain was not independent from LA volume.
In patients with a spherical LA, an increase in LA pressure is related to a deterioration in LA function, while in patients with a normal non-sphere shaped LA, LA function remains largely preserved.</description><identifier>ISSN: 1875-8312</identifier><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1875-8312</identifier><identifier>EISSN: 1573-0743</identifier><identifier>DOI: 10.1007/s10554-023-02866-2</identifier><identifier>PMID: 37515682</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Cardiac arrhythmia ; Cardiac Imaging ; Cardiology ; Contractility ; Diastole ; Fibrillation ; Imaging ; Magnetic resonance ; Magnetic resonance imaging ; Medicine ; Medicine & Public Health ; Original Paper ; Radiology ; Regression analysis ; Shape ; Statistical analysis ; Strain rate ; Tracking ; Veins ; Ventricle</subject><ispartof>The international journal of cardiovascular imaging, 2023-09, Vol.39 (9), p.1753-1763</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-c47c48c441c80fffc42bce6798a5b575867503b844504a443c35158a086a817d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10554-023-02866-2$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10554-023-02866-2$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37515682$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hopman, Luuk H.G.A.</creatorcontrib><creatorcontrib>Bhagirath, Pranav</creatorcontrib><creatorcontrib>Mulder, Mark J.</creatorcontrib><creatorcontrib>Demirkiran, Ahmet</creatorcontrib><creatorcontrib>Mathari, Sulayman El</creatorcontrib><creatorcontrib>van der Laan, Anja M.</creatorcontrib><creatorcontrib>van Rossum, Albert C.</creatorcontrib><creatorcontrib>Kemme, Michiel J.B.</creatorcontrib><creatorcontrib>Allaart, Cornelis P.</creatorcontrib><creatorcontrib>Götte, Marco J.W.</creatorcontrib><title>Left atrial sphericity in relation to atrial strain and strain rate in atrial fibrillation patients</title><title>The international journal of cardiovascular imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>Purpose
Left atrial (LA) sphericity is a novel, geometry-based parameter that has been used to visualize and quantify LA geometrical remodeling in patients with atrial fibrillation (AF). This study examined the association between LA sphericity, and LA longitudinal strain and strain rate measured by feature-tracking in AF patients.
Methods
128 AF patients who underwent cardiovascular magnetic resonance (CMR) imaging in sinus rhythm prior to their pulmonary vein isolation (PVI) procedure were retrospectively analyzed. LA sphericity was calculated by segmenting the LA (excluding the pulmonary veins and the LA appendage) on a 3D contrast enhanced MR angiogram and comparing the resulting shape with a perfect sphere. LA global reservoir strain, conduit strain, contractile strain and corresponding strain rates were derived from cine images using feature-tracking. For statistical analysis, Pearson correlations, multivariable logistic regression analysis, and Student
t
-tests were used.
Results
Patients with a spherical LA (dichotomized by the median value) had a lower reservoir strain and conduit strain compared to patients with a non-spherical LA (-15.4 ± 4.2% vs. -17.1 ± 3.5%,
P
= 0.02 and − 8.2 ± 3.0% vs. -9.5 ± 2.6%,
P
= 0.01, respectively). LA strain rate during early ventricular diastole was also different between both groups (-0.7 ± 0.3s
− 1
vs. -0.9 ± 0.3s
− 1
,
P
= 0.001). In contrast, no difference was found for LA contractile strain (-7.2 ± 2.6% vs. -7.6 ± 2.2%,
P
= 0.30).
Conclusions
LA passive strain is significantly impaired in AF patients with a spherical LA, though this relation was not independent from LA volume.
Key points
This study found that LA passive function, measured using strain assessment, is significantly impaired in AF patients with a spherical LA as compared to patients with a non-spherical LA.
The relation between LA sphericity and LA strain was not independent from LA volume.
In patients with a spherical LA, an increase in LA pressure is related to a deterioration in LA function, while in patients with a normal non-sphere shaped LA, LA function remains largely preserved.</description><subject>Cardiac arrhythmia</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Contractility</subject><subject>Diastole</subject><subject>Fibrillation</subject><subject>Imaging</subject><subject>Magnetic resonance</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Radiology</subject><subject>Regression analysis</subject><subject>Shape</subject><subject>Statistical analysis</subject><subject>Strain rate</subject><subject>Tracking</subject><subject>Veins</subject><subject>Ventricle</subject><issn>1875-8312</issn><issn>1569-5794</issn><issn>1875-8312</issn><issn>1573-0743</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1PwzAMhiMEYjD4AxxQJS5cCvlsshNCE1_SJC5wjtIs3TJ17UgypP17PLqNwYFDYit-bMd-Ebog-IZgLG8jwULwHFMGRxVFTg_QCVFS5IoRerjn99BpjDOMiWSDwTHqMSmIKBQ9QXbkqpSZFLyps7iYuuCtT6vMN1lwtUm-bbLU7oAUDERMM966wSS3hjdA5cvg603eAoxrUjxDR5Wpozvf2D56f3x4Gz7no9enl-H9KLecFgluabmynBOrcFVV8FpaV8iBMqIUUqhCCsxKxbnA3HDOLIMplMGqMIrIMeuju67uYlnO3dhC72BqvQh-bsJKt8br35HGT_Wk_dSwR4phWVDhelMhtB9LF5Oe-2gdDNS4dhk1VQL6cjYQgF79QWftMjQwH1CF4ooKSoCiHWVDG2Nw1e43BOu1iLoTUYOI-ltETSHpcn-OXcpWNQBYB0QINRMXfnr_U_YL5cyoUg</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Hopman, Luuk H.G.A.</creator><creator>Bhagirath, Pranav</creator><creator>Mulder, Mark J.</creator><creator>Demirkiran, Ahmet</creator><creator>Mathari, Sulayman El</creator><creator>van der Laan, Anja M.</creator><creator>van Rossum, Albert C.</creator><creator>Kemme, Michiel J.B.</creator><creator>Allaart, Cornelis P.</creator><creator>Götte, Marco J.W.</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230901</creationdate><title>Left atrial sphericity in relation to atrial strain and strain rate in atrial fibrillation patients</title><author>Hopman, Luuk H.G.A. ; Bhagirath, Pranav ; Mulder, Mark J. ; Demirkiran, Ahmet ; Mathari, Sulayman El ; van der Laan, Anja M. ; van Rossum, Albert C. ; Kemme, Michiel J.B. ; Allaart, Cornelis P. ; Götte, Marco J.W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-c47c48c441c80fffc42bce6798a5b575867503b844504a443c35158a086a817d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cardiac arrhythmia</topic><topic>Cardiac Imaging</topic><topic>Cardiology</topic><topic>Contractility</topic><topic>Diastole</topic><topic>Fibrillation</topic><topic>Imaging</topic><topic>Magnetic resonance</topic><topic>Magnetic resonance imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Radiology</topic><topic>Regression analysis</topic><topic>Shape</topic><topic>Statistical analysis</topic><topic>Strain rate</topic><topic>Tracking</topic><topic>Veins</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hopman, Luuk H.G.A.</creatorcontrib><creatorcontrib>Bhagirath, Pranav</creatorcontrib><creatorcontrib>Mulder, Mark J.</creatorcontrib><creatorcontrib>Demirkiran, Ahmet</creatorcontrib><creatorcontrib>Mathari, Sulayman El</creatorcontrib><creatorcontrib>van der Laan, Anja M.</creatorcontrib><creatorcontrib>van Rossum, Albert C.</creatorcontrib><creatorcontrib>Kemme, Michiel J.B.</creatorcontrib><creatorcontrib>Allaart, Cornelis P.</creatorcontrib><creatorcontrib>Götte, Marco J.W.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</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)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The international journal of cardiovascular imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hopman, Luuk H.G.A.</au><au>Bhagirath, Pranav</au><au>Mulder, Mark J.</au><au>Demirkiran, Ahmet</au><au>Mathari, Sulayman El</au><au>van der Laan, Anja M.</au><au>van Rossum, Albert C.</au><au>Kemme, Michiel J.B.</au><au>Allaart, Cornelis P.</au><au>Götte, Marco J.W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Left atrial sphericity in relation to atrial strain and strain rate in atrial fibrillation patients</atitle><jtitle>The international journal of cardiovascular imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>39</volume><issue>9</issue><spage>1753</spage><epage>1763</epage><pages>1753-1763</pages><issn>1875-8312</issn><issn>1569-5794</issn><eissn>1875-8312</eissn><eissn>1573-0743</eissn><abstract>Purpose
Left atrial (LA) sphericity is a novel, geometry-based parameter that has been used to visualize and quantify LA geometrical remodeling in patients with atrial fibrillation (AF). This study examined the association between LA sphericity, and LA longitudinal strain and strain rate measured by feature-tracking in AF patients.
Methods
128 AF patients who underwent cardiovascular magnetic resonance (CMR) imaging in sinus rhythm prior to their pulmonary vein isolation (PVI) procedure were retrospectively analyzed. LA sphericity was calculated by segmenting the LA (excluding the pulmonary veins and the LA appendage) on a 3D contrast enhanced MR angiogram and comparing the resulting shape with a perfect sphere. LA global reservoir strain, conduit strain, contractile strain and corresponding strain rates were derived from cine images using feature-tracking. For statistical analysis, Pearson correlations, multivariable logistic regression analysis, and Student
t
-tests were used.
Results
Patients with a spherical LA (dichotomized by the median value) had a lower reservoir strain and conduit strain compared to patients with a non-spherical LA (-15.4 ± 4.2% vs. -17.1 ± 3.5%,
P
= 0.02 and − 8.2 ± 3.0% vs. -9.5 ± 2.6%,
P
= 0.01, respectively). LA strain rate during early ventricular diastole was also different between both groups (-0.7 ± 0.3s
− 1
vs. -0.9 ± 0.3s
− 1
,
P
= 0.001). In contrast, no difference was found for LA contractile strain (-7.2 ± 2.6% vs. -7.6 ± 2.2%,
P
= 0.30).
Conclusions
LA passive strain is significantly impaired in AF patients with a spherical LA, though this relation was not independent from LA volume.
Key points
This study found that LA passive function, measured using strain assessment, is significantly impaired in AF patients with a spherical LA as compared to patients with a non-spherical LA.
The relation between LA sphericity and LA strain was not independent from LA volume.
In patients with a spherical LA, an increase in LA pressure is related to a deterioration in LA function, while in patients with a normal non-sphere shaped LA, LA function remains largely preserved.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>37515682</pmid><doi>10.1007/s10554-023-02866-2</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | SpringerLink Journals (MCLS) |
| subjects | Cardiac arrhythmia Cardiac Imaging Cardiology Contractility Diastole Fibrillation Imaging Magnetic resonance Magnetic resonance imaging Medicine Medicine & Public Health Original Paper Radiology Regression analysis Shape Statistical analysis Strain rate Tracking Veins Ventricle |
| title | Left atrial sphericity in relation to atrial strain and strain rate in atrial fibrillation patients |
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