Untersuchung rechtsatrialer Funktionsstörungen mittels 3-D-Speckle-Tracking-Echokardiographie bei Patienten mit korrigierter Fallot-Tetralogie: Erkenntnisse aus dem CSONGRAD-Register und der MAGYAR-Path-Studie

Translated title of the contribution: Evaluation of right atrial dysfunction in patients with corrected tetralogy of Fallot using 3D speckle-tracking echocardiography: Insights from the CSONGRAD Registry and MAGYAR-Path Study

Attila Nemes, Kálmán Havasi, Péter Domsik, Anita Kalapos, T. Forster

Research output: Contribution to journalArticle

9 Citations (Scopus)

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.

Original languageGerman
Pages (from-to)980-988
Number of pages9
JournalHerz
Volume40
Issue number7
DOIs
Publication statusPublished - Nov 1 2015

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Tetralogy of Fallot
Registries
Echocardiography
Cardiac Volume

Keywords

  • Echocardiography
  • Function
  • Right atrial
  • Speckle-tracking echocardiography
  • Three-dimensional

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Untersuchung rechtsatrialer Funktionsstörungen mittels 3-D-Speckle-Tracking-Echokardiographie bei Patienten mit korrigierter Fallot-Tetralogie : Erkenntnisse aus dem CSONGRAD-Register und der MAGYAR-Path-Studie. / Nemes, Attila; Havasi, Kálmán; Domsik, Péter; Kalapos, Anita; Forster, T.

In: Herz, Vol. 40, No. 7, 01.11.2015, p. 980-988.

Research output: Contribution to journalArticle

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title = "Untersuchung rechtsatrialer Funktionsst{\"o}rungen mittels 3-D-Speckle-Tracking-Echokardiographie bei Patienten mit korrigierter Fallot-Tetralogie: Erkenntnisse aus dem CSONGRAD-Register und der MAGYAR-Path-Studie",
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.",
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T1 - Untersuchung rechtsatrialer Funktionsstörungen mittels 3-D-Speckle-Tracking-Echokardiographie bei Patienten mit korrigierter Fallot-Tetralogie

T2 - Erkenntnisse aus dem CSONGRAD-Register und der MAGYAR-Path-Studie

AU - Nemes, Attila

AU - Havasi, Kálmán

AU - Domsik, Péter

AU - Kalapos, Anita

AU - Forster, T.

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N2 - 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.

AB - 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.

KW - Echocardiography

KW - Function

KW - Right atrial

KW - Speckle-tracking echocardiography

KW - Three-dimensional

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