Left atrium stress echocardiography: correlation between left atrial volume, function, and B-lines at rest and during stress
Aim: Left atrial volume index (LAVI), left atrial reservoir function through left atrial reservoir strain (LASr), and B-lines in lung ultrasound serve as supplementary indicators of left ventricular filling pressures. This study analyzes the interrelation between LAVI, LASr, and B-lines in both rest...
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Open Exploration Publishing Inc.
2024-02-01
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| Series: | Exploration of Cardiology |
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| Online Access: | https://www.explorationpub.com/uploads/Article/A101218/101218.pdf |
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| author | Costantina Prota Lauro Cortigiani Ettore Campagnano Karina Wierzbowska-Drabik Jaroslaw Kasprzak Paolo Colonna Elisa Merli Fiore Manganelli Nicola Gaibazzi Antonello D’Andrea Emma Cerracchio Laura Meola Rodolfo Citro Bruno Villari Quirino Ciampi |
| author_facet | Costantina Prota Lauro Cortigiani Ettore Campagnano Karina Wierzbowska-Drabik Jaroslaw Kasprzak Paolo Colonna Elisa Merli Fiore Manganelli Nicola Gaibazzi Antonello D’Andrea Emma Cerracchio Laura Meola Rodolfo Citro Bruno Villari Quirino Ciampi |
| author_sort | Costantina Prota |
| collection | DOAJ |
| description | Aim: Left atrial volume index (LAVI), left atrial reservoir function through left atrial reservoir strain (LASr), and B-lines in lung ultrasound serve as supplementary indicators of left ventricular filling pressures. This study analyzes the interrelation between LAVI, LASr, and B-lines in both resting and peak vasodilator stress. Methods: Dipyridamole stress echocardiography (SE) was conducted on 252 individuals (180 males, 71%, age 65 years ± 10 years) with chronic coronary syndromes. LAVI was quantified using the biplane disk summation method; LASr was obtained using 2-dimensional speckle tracking echocardiography; B-lines were evaluated through a simplified 4-site scan in the third intercostal space during lung ultrasound. Results: During SE, a reduction in LAVI (26 ml/m2 ± 14 ml/m2 vs. 24 ml/m2 ± 12 ml/m2, P < 0.001) and an increase in LASr from rest (33% ± 8% vs. 38% ± 10%, P < 0.001) were respectively observed from rest to stress. B-lines were increased significantly during SE, from 19 (7.5%) to 29 (11.5%), P < 0.001. A substantial, inverse linear correlation was identified between LAVI and LASr both at rest (r = –0.301, P < 0.001) and peak stress (r = –0.279, P < 0.001). At group analysis, peak B-lines showed a direct correlation with peak LAVI (r = 0.151, P = 0.017) and an inverse correlation with peak LASr (r = –0.234, P < 0.001). In individual assessments, 9.7% (20/207) of patients displayed stress B-lines with normal LAVI and preserved LASr, while 20% (9/45) exhibited stress B-lines with abnormalities in both LAVI and LASr. Conclusions: Vasodilator SE with combined left atrial and volume assessment, related to pulmonary congestion, is feasible with a high success rate. Pulmonary congestion is more frequent with dilated left atrium with reduced atrial contractile reserve (ClinicalTrials.gov identifier: NCT030.49995; NCT050.81115). |
| format | Article |
| id | doaj-art-2a20af77f7854dd5bd05f8b71e24e4e5 |
| institution | Matheson Library |
| issn | 2994-5526 |
| language | English |
| publishDate | 2024-02-01 |
| publisher | Open Exploration Publishing Inc. |
| record_format | Article |
| series | Exploration of Cardiology |
| spelling | doaj-art-2a20af77f7854dd5bd05f8b71e24e4e52025-07-15T02:12:18ZengOpen Exploration Publishing Inc.Exploration of Cardiology2994-55262024-02-0121193010.37349/ec.2024.00018Left atrium stress echocardiography: correlation between left atrial volume, function, and B-lines at rest and during stressCostantina Prota0https://orcid.org/0000-0003-0393-9876Lauro Cortigiani1https://orcid.org/0000-0002-1804-4939Ettore Campagnano2Karina Wierzbowska-Drabik3https://orcid.org/0000-0002-7623-5389Jaroslaw Kasprzak4https://orcid.org/0000-0002-5850-8187Paolo Colonna5https://orcid.org/0000-0001-5864-2012Elisa Merli6https://orcid.org/0000-0002-7689-1167Fiore Manganelli7https://orcid.org/0000-0002-1442-9604Nicola Gaibazzi8https://orcid.org/0000-0002-2207-3388Antonello D’Andrea9https://orcid.org/0000-0002-9698-9145Emma Cerracchio10Laura Meola11https://orcid.org/0000-0002-9927-4639Rodolfo Citro12https://orcid.org/0000-0002-7796-6298Bruno Villari13Quirino Ciampi14https://orcid.org/0000-0003-4775-8380Cardiology Department, San Giovanni di Dio e Ruggi D’Aragona Hospital, 84131 Salerno, ItalyCardiology Department, San Luca Hospital, 55100 Lucca, ItalyCardiology Department, Fatebenefratelli Hospital, 82100 Benevento, ItalyDepartment of Internal Disease and Clinical Pharmacology, Bieganski Hospital, Medical University, 91347 Lodz, PolandCardiology Department, Hospital Medical University, 91347 Lodz, PolandDepartment of Cardiology, Policlinico Hospital, 70120 Bari, ItalyDepartment of Cardiology, Ospedale per gli Infermi, 48018 Faenza, Ravenna, ItalyDepartment of Cardiology, San Giuseppe Moscati Hospital, 83100 Avellino, ItalyCardiology Department, Parma University Hospital, 43126 Parma, ItalyCardiology Department, Umberto I Hospital, 84014 Nocera Inferiore, Salerno, ItalyCardiology Department, Fatebenefratelli Hospital, 82100 Benevento, ItalyCardiology Department, San Luca Hospital, 55100 Lucca, ItalyCardiology Department, San Giovanni di Dio e Ruggi D’Aragona Hospital, 84131 Salerno, ItalyCardiology Department, Fatebenefratelli Hospital, 82100 Benevento, ItalyCardiology Department, Fatebenefratelli Hospital, 82100 Benevento, ItalyAim: Left atrial volume index (LAVI), left atrial reservoir function through left atrial reservoir strain (LASr), and B-lines in lung ultrasound serve as supplementary indicators of left ventricular filling pressures. This study analyzes the interrelation between LAVI, LASr, and B-lines in both resting and peak vasodilator stress. Methods: Dipyridamole stress echocardiography (SE) was conducted on 252 individuals (180 males, 71%, age 65 years ± 10 years) with chronic coronary syndromes. LAVI was quantified using the biplane disk summation method; LASr was obtained using 2-dimensional speckle tracking echocardiography; B-lines were evaluated through a simplified 4-site scan in the third intercostal space during lung ultrasound. Results: During SE, a reduction in LAVI (26 ml/m2 ± 14 ml/m2 vs. 24 ml/m2 ± 12 ml/m2, P < 0.001) and an increase in LASr from rest (33% ± 8% vs. 38% ± 10%, P < 0.001) were respectively observed from rest to stress. B-lines were increased significantly during SE, from 19 (7.5%) to 29 (11.5%), P < 0.001. A substantial, inverse linear correlation was identified between LAVI and LASr both at rest (r = –0.301, P < 0.001) and peak stress (r = –0.279, P < 0.001). At group analysis, peak B-lines showed a direct correlation with peak LAVI (r = 0.151, P = 0.017) and an inverse correlation with peak LASr (r = –0.234, P < 0.001). In individual assessments, 9.7% (20/207) of patients displayed stress B-lines with normal LAVI and preserved LASr, while 20% (9/45) exhibited stress B-lines with abnormalities in both LAVI and LASr. Conclusions: Vasodilator SE with combined left atrial and volume assessment, related to pulmonary congestion, is feasible with a high success rate. Pulmonary congestion is more frequent with dilated left atrium with reduced atrial contractile reserve (ClinicalTrials.gov identifier: NCT030.49995; NCT050.81115).https://www.explorationpub.com/uploads/Article/A101218/101218.pdfstress echocardiographyleft atrial volumeleft atrial reservoir function |
| spellingShingle | Costantina Prota Lauro Cortigiani Ettore Campagnano Karina Wierzbowska-Drabik Jaroslaw Kasprzak Paolo Colonna Elisa Merli Fiore Manganelli Nicola Gaibazzi Antonello D’Andrea Emma Cerracchio Laura Meola Rodolfo Citro Bruno Villari Quirino Ciampi Left atrium stress echocardiography: correlation between left atrial volume, function, and B-lines at rest and during stress Exploration of Cardiology stress echocardiography left atrial volume left atrial reservoir function |
| title | Left atrium stress echocardiography: correlation between left atrial volume, function, and B-lines at rest and during stress |
| title_full | Left atrium stress echocardiography: correlation between left atrial volume, function, and B-lines at rest and during stress |
| title_fullStr | Left atrium stress echocardiography: correlation between left atrial volume, function, and B-lines at rest and during stress |
| title_full_unstemmed | Left atrium stress echocardiography: correlation between left atrial volume, function, and B-lines at rest and during stress |
| title_short | Left atrium stress echocardiography: correlation between left atrial volume, function, and B-lines at rest and during stress |
| title_sort | left atrium stress echocardiography correlation between left atrial volume function and b lines at rest and during stress |
| topic | stress echocardiography left atrial volume left atrial reservoir function |
| url | https://www.explorationpub.com/uploads/Article/A101218/101218.pdf |
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