Left ventricular diastolic function: value of left atrial global longitudinal strain
https://doi.org/10.24835/1607-0771-2020-3-91-104
Abstract
Echocardiography is the method of choice for non-invasive diagnosis of left ventricular diastolic dysfunction, despite the complexity of interpretation in a number of patients, especially with normal transmitral blood flow. Modern technologies, such as speckle tracking echocardiography, allow us to supplement the analysis of diastolic function of the left ventricle with an assessment of global longitudinal strain of the left atrium. Global longitudinal strain of the left atrium reflects the distensibility of the chamber and can be a highly effective index of left atrial dysfunction and an early marker of left ventricular diastolic dysfunction. This review presents an analysis of data from clinical studies on the value of left atrial longitudinal strain in patients with left ventricular diastolic dysfunction.
About the Authors
M. N. Alekhin
Central Clinical Hospital of the Presidential Administration of Russian Federation; Central State Medical Academy of the Presidential Administration of Russian Federation
Russian Federation
Russian Federation
A. O. Kalinin
Clinical Centre Gailezers, Riga East University Hospital; Riga Stradins University
Russian Federation
Russian Federation
References
1. Nagueh S.F., Smiseth O.A., Appleton C.P., Byrd B.F. 3rd, Dokainish H., Edvardsen T., Flachskampf F.A., Gillebert T.C., Klein A.L., Lancellotti P., Marino P., Oh J.K., Popescu B.A., Waggoner A.D. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging // J. Am. Soc. Echocardiogr. 2016. V. 29. No. 4. P. 277-314. Doi: 10.1016/j.echo.2016.01.011.
2. Nagueh S.F., Appleton C.P., Gillebert T.C., Marino P.N., Oh J.K., Smiseth O.A., Waggo ner A.D., Flachskampf F.A., Pellikka P.A., Evangelista A. Recommendations for the evaluation of left ventricular diastolic function by echocardiography // J. Am. Soc. Echocardiogr. 2009. V. 22. No. 2. P. 107-133. Doi: 10.1016/j.echo.2008.11.023.
3. Singh A., Addetia K., Maffessanti F., Mor-Avi V., Lang R.M. LA strain for categorization of LV diastolic dysfunction // JACC Cardiovasc. Imaging. 2017. V. 10. No. 7. P. 735-743. Doi: 10.1016/j.jcmg.2016.08.014.
4. Singh A., Medvedofsky D., Mediratta A., Balaney B., Kruse E., Ciszek B., Shah A.P., Blair J.E., Maffessanti F., Addetia K., Mor-Avi V., Lang R.M. Peak left atrial strain as a single measure for the non-invasive assessment of left ventricular filling pressures // Int. J. Cardiovasc. Imaging. 2019. V. 35. No. 1. P. 23-32. Doi: 10.1007/s10554-018-1425-y.
5. Cameli M., Lisi M., Mondillo S., Padeletti M., Ballo P., Tsioulpas C., Bernazzali S., Maccherini M. Left atrial longitudinal strain by speckle tracking echocardiography correlates well with left ventricular filling pressures in patients with heart failure // Cardiovasc. Ultrasound. 2010. V. 8. P. 14. Doi: 10.1186/1476-7120-8-14.
6. Cameli M., Sparla S., Losito M., Righini F.M., Menci D., Lisi M., D’Ascenzi F., Focardi M., Favilli R., Pierli C., Fineschi M., Mondillo S. Correlation of left atrial strain and Doppler measurements with invasive measurement of left ventricular end-diastolic pressure in patients stratified for different values of ejection fraction // Echocardiography. 2016. V. 33. No. 3. P. 398-405. Doi: 10.1111/echo.13094.
7. Cameli M., Mandoli G.E., Loiacono F., Dini F.L., Henein M., Mondillo S. Left atrial strain: a new parameter for assessment of left ventricular filling pressure // Heart Fail. Rev. 2016. V. 21. No. 1. P. 65-76. Doi: 10.1007/s10741-015-9520-9.
8. Brecht A., Oertelt-Prigione S., Seeland U., Rucke M, Hattasch R., Wagelohner T., Regitz-Zagrosek V., Baumann G., Knebel F., Stangl V. Left atrial function in preclinical diastolic dysfunction: twodimen sional speckle-tracking echocardiographyderived results from the BEFRI trial // J. Am. Soc. Echocardiogr. 2016. V. 29. No. 8. P. 750-758. Doi: 10.1016/j.echo.2016.03.013.
9. Khan U.A., de Simone G., Hill J., Tighe D.A., Aurigemma G.P. Depressed atrial function in diastolic dysfunction: a speckle tracking imaging study // Echocardiography. 2013. V. 30. No. 3. P. 309-316. Doi: 10.1111/echo.
10. Lancellotti P., Galderisi M., Edvardsen T., Donal E., Goliasch G., Cardim N., Magne J., Laginha S., Hagendorff A., Haland T.F., Aaberge L., Martinez C., Rapacciuolo A., Santoro C., Ilardi F., Postolache A., Dulgheru R., Mateescu A.D., Beladan C.C., Deleanu D., Marchetta S., Auffret V., Schwammenthal E., Habib G., Popescu B.A. Echo-Doppler estimation of left ventricular filling pressure: results of the multicentre EACVI Euro-Filling study // Eur. Heart J. Cardiovasc. Imaging. 2017. V. 18. No. 9. P. 961-968. Doi: 10.1093/ehjci/jex067.
11. Andersen O.S., Smiseth O.A., Dokainish H., Abudiab M.M., Schutt R.C., Kumar A., Sato K., Harb S., Gude E., Remme E.W., Andreassen A.K., Ha J.W., Xu J., Klein A.L., Nagueh S.F. Estimating left ventricular filling pressure by echocardiography // J. Am. Coll. Cardiol. 2017. V. 69. No. 15. P. 1937-1948. Doi: 10.1016/j.jacc.2017.01.058.
12. Алехин М.Н., Гришин А.М., Петрова О.А. Эхо-кардиографическая оценка диастолической функции левого желудочка сердца у пациентов с сохранной фракцией выброса // Кардиология. 2017. Т. 57. № 2. С. 40-45.
13. Almeida J.G., Fontes-Carvalho R., Sampaio F., Ribeiro J., Bettencourt P., Flachskampf F.A., Leite-Moreira A., Azevedo A. Impact of the 2016 ASE/EACVI recommendations on the prevalence of diastolic dysfunction in the general population // Eur. Heart J. Cardiovasc. Imaging. 2018. V. 19. No. 4. P. 380-386. Doi: 10.1093/ehjci/jex252.
14. Huttin O., Fraser A.G., Coiro S., Bozec E., Selton-Suty C., Lamiral Z., Frikha Z., Rossignol P., Zannad F., Girerd N. Impact of changes in consensus diagnostic recommendations on the echocardiographic prevalence of diastolic dysfunction // J. Am. Coll. Cardiol. 2017. V. 69. No. 25. P. 3119-3121. Doi: 10.1016/j.jacc.2017.04.039.
15. Edvardsen T., Smiseth O.A. Evaluation of diastolic function by echocardiography: important progression, but issues to be resolved // Eur. Heart J. Cardio vasc. Imaging. 2018. V. 19. No. 4. P. 387-388. Doi: 10.1093/ehjci/jex319.
16. Fernandes R.M., Le Bihan D., Vilela A.A., Barretto R.B.M., Santos E.S., Assef J.E., Pedra S.R.F., Sousa A.G.M.R., Timerman A. Association between left atrial strain and left ventricular diastolic function in patients with acute coronary syndrome // J. Echocardiogr. 2019. V. 17. No. 3. P. 138-146. Doi: 10.1007/s12574-018-0403-7.
17. Morris D.A., Belyavskiy E., Aravind-Kumar R., Kropf M., Frydas A., Braunauer K., Marquez E., Krisper M., Lindhorst R., Osmanoglou E., Boldt L.H., Blaschke F., Haverkamp W., Tschope C., Edelmann F., Pieske B., Pieske-Kraigher E. Potential usefulness and clinical relevance of adding left atrial strain to left atrial volume index in the detection of left ventricular diastolic dysfunction // JACC Cardiovasc. Imaging. 2018. V. 11. No. 10. P. 1405-1415. Doi: 10.1016/j.jcmg.2017.07.029.
18. Калинин А.О., Алехин М.Н., Бахс Г., Шипачов П.Н. Оценка состояния миокарда предсердий у здоровых лиц в режиме двухмерной серошкальной деформации // Кардиология. 2010. Т. 50. № 2. С. 62-68.
19. Badano L.P., Kolias T.J., Muraru D., Abraham T.P., Aurigemma G., Edvardsen T., D’Hooge J., Donal E., Fraser A.G., Marwick T., Mertens L., Popescu B.A., Sengupta P.P., Lancellotti P., Thomas J.D., Voigt J.U.; Industry representatives; Reviewers: This document was reviewed by members of the 2016-2018 EACVI Scientific Documents Commi ttee. Standardization of left atrial, right ventricular, and right atrial deformation imaging using twodimensional speckle tracking echocardiography: a consensus document of the EACVI/ASE/Industry Task Force to standardize deformation imaging // Eur. Heart J. Cardiovasc Imaging. 2018. V. 19. No. 6. P. 591-600. Doi: 10.1093/ehjci/jey042.
20. Jarasunas J., Aidietis A., Aidietiene S. Left atrial strain - an early marker of left ventricular diastolic dysfunction in patients with hypertension and paroxys mal atrial fibrillation // Cardiovasc. Ultrasound. 2018. V. 16. No. 1. P. 29. Doi: 10.1186/s12947-018-0147-6.
21. Cameli M., Lisi M., Righini F.M., Massoni A., Natali B.M., Focardi M., Tacchini D., Geyer A., Curci V., Di Tommaso C., Lisi G., Maccherini M., Chiavarelli M., Massetti M., Tanganelli P., Mondillo S. Usefulness of atrial deformation analysis to predict left atrial fibrosis and endocardial thickness in patients undergoing mitral valve operations for severe mitral regurgitation secondary to mitral valve prolapse // Am. J. Cardiol. 2013. V. 111. No. 4. P. 595-601. Doi: 10.1016/j.amjcard.2012.10.049.
22. Wakami K., Ohte N., Asada K., Fukuta H., Goto T., Mukai S., Narita H., Kimura G. Correlation between left ventricular end-diastolic pressure and peak left atrial wall strain during left ventricular systole // J. Am. Soc. Echocardiogr. 2009. V. 22. No. 7. P. 847-851. Doi: 10.1016/j.echo.2009.04.026.
23. Pellicori P., Zhang J., Lukaschuk E., Joseph A.C., Bourantas C.V., Loh H., Bragadeesh T., Clark A.L., Cleland J.G. Left atrial function measured by cardiac magnetic resonance imaging in patients with heart failure: clinical associations and prognostic value // Eur. Heart J. 2015. V. 36. No. 12. P. 733-742. Doi: 10.1093/eurheartj/ehu405.
24. Lundberg A., Johnson J., Hage C., Back M., Merkely B., Venkateshvaran A., Lund L.H., Nagy A.I., Manouras A. Left atrial strain improves estimation of filling pressures in heart failure: a simultaneous echocardiographic and invasive haemodynamic study // Clin. Res. Cardiol. 2019. V. 108. No. 6. P. 703-715. Doi: 10.1007/s00392-018-1399-8.
25. Mandoli G.E., Sisti N., Mondillo S., Cameli M. Left atrial strain in left ventricular diastolic dysfunction: have we finally found the missing piece of the puzzle? // Heart Fail. Rev. 2020. V. 25. No. 3. P. 409-417. Doi: 10.1007/s10741-019-09889-9.
Review
For citations:
Alekhin M.N., Kalinin A.O. Left ventricular diastolic function: value of left atrial global longitudinal strain. Ultrasound & Functional Diagnostics. 2020;(3):91-104. (In Russ.) https://doi.org/10.24835/1607-0771-2020-3-91-104
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