Right ventricular longitudinal shortening and right atrial volumes are not associated in healthy adults-detailed analysis from the three-dimensional speckle-tracking echocardiographic MAGYAR-Healthy Study.
IF 2.9 2区 医学Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Attila Nemes, Árpád Kormányos, Gergely Rácz, Nóra Ambrus, Csaba Lengyel
{"title":"Right ventricular longitudinal shortening and right atrial volumes are not associated in healthy adults-detailed analysis from the three-dimensional speckle-tracking echocardiographic MAGYAR-Healthy Study.","authors":"Attila Nemes, Árpád Kormányos, Gergely Rácz, Nóra Ambrus, Csaba Lengyel","doi":"10.21037/qims-24-223","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>There is a close relationship between volumes of the right atrium (RA) and dimensions and derived functional sphincter-like features of the tricuspid annulus (TA). However, its relation to longitudinal TA motion is not clear, which can even be considered to be a characteristic of the longitudinal shortening of the right ventricle (RV) and represented by TA plane systolic excursion (TAPSE). Therefore, the aim of this cohort study was to perform a detailed analysis of the relationship of three-dimensional speckle-tracking echocardiography (3DSTE)-derived RA volumes and RV longitudinal shortening in healthy individuals. These parameters were also examined in case of average values and larger/smaller than mean values.</p><p><strong>Methods: </strong>The present study comprised 93 healthy adults (mean age: 27.7±6.3 years, 46 men), who participated in a complete medical investigation including two-dimensional, TAPSE, Doppler and 3DSTE-derived RA volumetric echocardiographic assessments.</p><p><strong>Results: </strong>RA volumes, stroke volumes and emptying fractions were not related to TAPSE. In case of low, mean and high TAPSE, maximum [50.4±22.4 <i>vs.</i> 49.5±15.5 <i>vs.</i> 49.0±15.8 mL, P= not significant (ns)], preatrial contraction (36.9±16.8 <i>vs.</i> 34.5±10.4 <i>vs.</i> 35.6±10.5 mL, P= ns) and minimum (28.7±13.6 <i>vs.</i> 27.2±9.4 <i>vs.</i> 26.6±9.3 mL, P= ns) RA volumes did not differ. Higher RA volumes showed no associations with TAPSE either.</p><p><strong>Conclusions: </strong>3DSTE-derived RA volumes and M-mode echocardiography-derived TAPSE representing RV longitudinal shortening are not associated in healthy adults. None of the RA volumes showed correlations with TAPSE.</p>","PeriodicalId":54267,"journal":{"name":"Quantitative Imaging in Medicine and Surgery","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11250288/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Quantitative Imaging in Medicine and Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.21037/qims-24-223","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/21 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: There is a close relationship between volumes of the right atrium (RA) and dimensions and derived functional sphincter-like features of the tricuspid annulus (TA). However, its relation to longitudinal TA motion is not clear, which can even be considered to be a characteristic of the longitudinal shortening of the right ventricle (RV) and represented by TA plane systolic excursion (TAPSE). Therefore, the aim of this cohort study was to perform a detailed analysis of the relationship of three-dimensional speckle-tracking echocardiography (3DSTE)-derived RA volumes and RV longitudinal shortening in healthy individuals. These parameters were also examined in case of average values and larger/smaller than mean values.
Methods: The present study comprised 93 healthy adults (mean age: 27.7±6.3 years, 46 men), who participated in a complete medical investigation including two-dimensional, TAPSE, Doppler and 3DSTE-derived RA volumetric echocardiographic assessments.
Results: RA volumes, stroke volumes and emptying fractions were not related to TAPSE. In case of low, mean and high TAPSE, maximum [50.4±22.4 vs. 49.5±15.5 vs. 49.0±15.8 mL, P= not significant (ns)], preatrial contraction (36.9±16.8 vs. 34.5±10.4 vs. 35.6±10.5 mL, P= ns) and minimum (28.7±13.6 vs. 27.2±9.4 vs. 26.6±9.3 mL, P= ns) RA volumes did not differ. Higher RA volumes showed no associations with TAPSE either.
Conclusions: 3DSTE-derived RA volumes and M-mode echocardiography-derived TAPSE representing RV longitudinal shortening are not associated in healthy adults. None of the RA volumes showed correlations with TAPSE.
背景：右心房（RA）的体积与三尖瓣环（TA）的尺寸和衍生的括约肌样功能特征之间存在密切关系。然而，其与三尖瓣环纵向运动的关系并不明确，甚至可以认为三尖瓣环纵向运动是右心室（RV）纵向缩短的一个特征，并以三尖瓣环平面收缩期偏移（TAPSE）为代表。因此，这项队列研究的目的是详细分析三维斑点追踪超声心动图（3DSTE）得出的健康人右心室容积与右心室纵向缩短的关系。这些参数还检查了平均值和大于/小于平均值的情况：本研究包括 93 名健康成年人（平均年龄：27.7±6.3 岁，46 名男性），他们参加了完整的医学调查，包括二维、TAPSE、多普勒和 3DSTE 导出的 RA 容积超声心动图评估：RA 容量、搏出量和排空分数与 TAPSE 无关。在低TAPSE、平均TAPSE和高TAPSE的情况下，最大[50.4±22.4 vs. 49.5±15.5 vs. 49.0±15.8 mL，P=无显著性（ns）]、心房前收缩（36.9±16.8 vs. 34.5±10.4 vs. 35.6±10.5 mL，P= ns）和最小（28.7±13.6 vs. 27.2±9.4 vs. 26.6±9.3 mL，P= ns）RA 容量没有差异。较高的 RA 容量与 TAPSE 也没有关联：结论：在健康成年人中，3DSTE 导出的 RA 容量与 M 型超声心动图导出的代表 RV 纵向缩短的 TAPSE 无关。没有一种 RA 容量与 TAPSE 呈相关性。
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
