Erdei T, Rodrigues JCL, Hartley-Davies R, Dastidar AG, Szantho GV, Hart EC, Nightingale AK, Manghat NE, Hamilton MCK. The effect of left ventricular longitudinal strain on left atrial function and ventricular filling in hypertension.
Clin Radiol 2022;
77:e379-e386. [PMID:
35303990 DOI:
10.1016/j.crad.2022.01.056]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 01/18/2022] [Indexed: 11/16/2022]
Abstract
AIM
To assess the relationship of global longitudinal strain during left atrial (LA) and left ventricular (LV) filling and emptying.
MATERIALS AND METHODS
Using magnetic resonance imaging in 47 hypertensive patients, biplane global LV longitudinal strain was evaluated and related to LA and LV filling and emptying (by volumetric analysis), and to pulmonary vein and trans-mitral flow (by phase-contrast imaging). The results were compared to normal subjects.
RESULTS
In hypertensive patients, reduced global longitudinal LV strain was associated with reduced LA reservoir (47 ± 10 versus 53 ± 9%, p<0.05), reduced LA conduit function (21 ± 9 versus 32 ± 11%, p<0.004), reduced LA early peak emptying rate (150 ± 77 versus 230 ± 88 ml/s, p=0.007), and slower early LV filling (373 ± 141 versus 478 ± 141 ml/s, p=0.03). LA peak filling rate showed a positive correlation to LV peak emptying rate (R=0.331, p=0.02).
CONCLUSION
In hypertensive heart disease, impaired LV longitudinal systolic function causes reduced LA filling and emptying, and this leads directly to impaired LV filling and diastolic dysfunction.
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