Attila Nemes1, Kálmán Havasi2, Péter Domsik2, Anita Kalapos2, Tamás Forster2. 1. 2nd Department of Medicine and Cardiology Center, Medical Faculty, Albert Szent-Györgyi Clinical Center, University of Szeged, Semmelweis street 6, P.O. Box 427, 6725, Szeged, Hungary. nemes.attila@med.u-szeged.hu. 2. 2nd Department of Medicine and Cardiology Center, Medical Faculty, Albert Szent-Györgyi Clinical Center, University of Szeged, Semmelweis street 6, P.O. Box 427, 6725, Szeged, Hungary.
Abstract
BACKGROUND: In recent studies, alterations in ventricular deformations were demonstrated in adult patients with corrected tetralogy of Fallot by three-dimensional speckle-tracking echocardiography. The present study was designed to assess three-dimensional speckle-tracking echocardiography-derived right atrial volumetric and strain parameters in corrected tetralogy of Fallot. METHODS: A total of 17 patients with corrected tetralogy of Fallot were included in the study. Their results were compared with 18 age- and gender-matched healthy controls. Complete two-dimensional echocardiography and three-dimensional speckle-tracking echocardiography were performed in all cases. RESULTS: Significantly increased right atrial volumes respecting heart cycle were detected in patients with corrected tetralogy of Fallot. Total and passive atrial emptying fractions proved to be significantly decreased in patients with corrected tetralogy of Fallot (26.4 ± 12.4 % vs. 39.1 ± 8.8 %, p = 0.001 and 11.2 ± 6.8 % vs. 19.8 ± 9.0 %, p = 0.003, respectively). Global and mean segmental peak longitudinal (17.3 ± 9.2 % vs. 30.8 ± 11.2 %, p = 0.0007 and 20.6 ± 10.7 % vs. 34.4 ± 10.5 %, p = 0.0005) and area strains (20.1 ± 17.6 % vs. 41.0 ± 19.8 %, p = 0.004 and 28.1 ± 19.8 % vs. 49.1 ± 19.7 %, p = 0.004) as well as global radial peak strain (-9.1 ± 5.1 % vs. -15.0 ± 10.0 %, p = 0.05) were reduced in patients with corrected tetralogy of Fallot compared with controls. CONCLUSIONS: The complexity of right atrial dysfunction can be demonstrated by three-dimensional speckle-tracking echocardiography in patients with corrected tetralogy of Fallot.
BACKGROUND: In recent studies, alterations in ventricular deformations were demonstrated in adult patients with corrected tetralogy of Fallot by three-dimensional speckle-tracking echocardiography. The present study was designed to assess three-dimensional speckle-tracking echocardiography-derived right atrial volumetric and strain parameters in corrected tetralogy of Fallot. METHODS: A total of 17 patients with corrected tetralogy of Fallot were included in the study. Their results were compared with 18 age- and gender-matched healthy controls. Complete two-dimensional echocardiography and three-dimensional speckle-tracking echocardiography were performed in all cases. RESULTS: Significantly increased right atrial volumes respecting heart cycle were detected in patients with corrected tetralogy of Fallot. Total and passive atrial emptying fractions proved to be significantly decreased in patients with corrected tetralogy of Fallot (26.4 ± 12.4 % vs. 39.1 ± 8.8 %, p = 0.001 and 11.2 ± 6.8 % vs. 19.8 ± 9.0 %, p = 0.003, respectively). Global and mean segmental peak longitudinal (17.3 ± 9.2 % vs. 30.8 ± 11.2 %, p = 0.0007 and 20.6 ± 10.7 % vs. 34.4 ± 10.5 %, p = 0.0005) and area strains (20.1 ± 17.6 % vs. 41.0 ± 19.8 %, p = 0.004 and 28.1 ± 19.8 % vs. 49.1 ± 19.7 %, p = 0.004) as well as global radial peak strain (-9.1 ± 5.1 % vs. -15.0 ± 10.0 %, p = 0.05) were reduced in patients with corrected tetralogy of Fallot compared with controls. CONCLUSIONS: The complexity of right atrial dysfunction can be demonstrated by three-dimensional speckle-tracking echocardiography in patients with corrected tetralogy of Fallot.
Entities:
Keywords:
Echocardiography; Function; Right atrial; Speckle-tracking echocardiography; Three-dimensional
Authors: Sebastiaan A Kleijn; Wessel P Brouwer; Mohamed F A Aly; Iris K Rüssel; Gerben J de Roest; Aernout M Beek; Albert C van Rossum; Otto Kamp Journal: Eur Heart J Cardiovasc Imaging Date: 2012-02-17 Impact factor: 6.875
Authors: Jose A Urbano-Moral; Ayan R Patel; Martin S Maron; Jose A Arias-Godinez; Natesa G Pandian Journal: Echocardiography Date: 2012-07-12 Impact factor: 1.724
Authors: Khawaja Afzal Ammar; Timothy E Paterick; Bijoy K Khandheria; M Fuad Jan; Christopher Kramer; Matt M Umland; Alix J Tercius; Lisa Baratta; A Jamil Tajik Journal: Echocardiography Date: 2012-05-17 Impact factor: 1.724
Authors: Sebastiaan A Kleijn; Mohamed F A Aly; Caroline B Terwee; Albert C van Rossum; Otto Kamp Journal: Am J Cardiol Date: 2011-07-23 Impact factor: 2.778
Authors: Myrthe E Menting; Jannet A Eindhoven; Annemien E van den Bosch; Judith A A E Cuypers; Titia P E Ruys; Bas M van Dalen; Jackie S McGhie; Maarten Witsenburg; Willem A Helbing; Marcel L Geleijnse; Jolien W Roos-Hesselink Journal: Eur Heart J Cardiovasc Imaging Date: 2013-11-28 Impact factor: 6.875
Authors: Péter Domsik; Anita Kalapos; Számi Chadaide; Róbert Sepp; Péter Hausinger; Tamás Forster; Attila Nemes Journal: Echocardiography Date: 2014-03-20 Impact factor: 1.724
Authors: Attila Nemes; Árpád Kormányos; Kálmán Havasi; Zsolt Kovács; Péter Domsik; Anita Kalapos; István Hartyánszky; Nóra Ambrus; Tamás Forster Journal: Cardiovasc Diagn Ther Date: 2019-10
Authors: Kálmán Havasi; Péter Domsik; Anita Kalapos; Jackie S McGhie; Jolien W Roos-Hesselink; Tamás Forster; Attila Nemes Journal: Arq Bras Cardiol Date: 2017-02-13 Impact factor: 2.000
Authors: Attila Nemes; Dóra Földeák; Péter Domsik; Anita Kalapos; Árpád Kormányos; Zita Borbényi; Tamás Forster Journal: Arq Bras Cardiol Date: 2018-08-20 Impact factor: 2.000
Authors: Attila Nemes; Árpád Kormányos; Péter Domsik; Anita Kalapos; Nóra Ambrus; Csaba Lengyel; Tamás Forster Journal: Int J Cardiovasc Imaging Date: 2019-07-12 Impact factor: 2.357
Authors: Árpád Kormányos; Anita Kalapos; Péter Domsik; Nándor Gyenes; Nóra Ambrus; Zsuzsanna Valkusz; Csaba Lengyel; Attila Nemes Journal: Quant Imaging Med Surg Date: 2020-03