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Updated: May 2, 2026

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
Published on: October 20, 2016
Three-dimensional speckle tracking echocardiography allows detailed evaluation of left atrial function in
Péter Domsik1, Anita Kalapos, Számi Chadaide
12nd Department of Medicine and Cardiology Center, Medical Faculty, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary.
Insights
Hypertrophic cardiomyopathy (HCM) significantly alters left atrial (LA) function, increasing its volume and reducing strain. Three-dimensional speckle tracking echocardiography (3DSTE) effectively quantifies these changes in HCM patients compared to controls.
Area of Science:
- Cardiology
- Medical Imaging
- Echocardiography
Background:
- Hypertrophic cardiomyopathy (HCM) is a generalized myopathic condition affecting the heart's muscle.
- Reduced left atrial (LA) function is a known characteristic of HCM, assessed through various methods.
- Three-dimensional speckle tracking echocardiography (3DSTE) is a novel technique for evaluating LA function.
Purpose of the Study:
- To compare LA volumetric and strain parameters derived from 3DSTE in HCM patients versus healthy controls.
- To assess the utility of 3DSTE in detecting functional abnormalities of the left atrium in HCM.
Main Methods:
- The study included 23 HCM patients and 23 age- and gender-matched healthy controls.
- Both two-dimensional Doppler echocardiography and 3DSTE were performed on all participants.
- LA volumes, atrial stroke volumes, and emptying fractions were calculated.
Main Results:
- HCM patients exhibited significantly increased LA maximum, minimum, and pre-atrial contraction volumes compared to controls.
- Atrial stroke volumes were elevated, while emptying fractions were reduced in HCM patients.
- Mean global radial, longitudinal, and 3D strain parameters were significantly reduced in HCM patients.
Conclusions:
- Three-dimensional speckle tracking echocardiography provides a detailed assessment of left atrial function in hypertrophic cardiomyopathy.
- 3DSTE enables precise volumetric and strain measurements for evaluating LA (dys)function in HCM.
Introduction:
Hypertrophic cardiomyopathy (HCM) represents a generalized myopathic process affecting both ventricular and atrial myocardium. Reduced left atrial (LA) function was demonstrated in HCM by different methods. Three-dimensional (3D) speckle tracking echocardiography (STE) has just been introduced for the evaluation of LA. This study was designed to compare 3DSTE-derived LA volumetric and strain parameters in HCM with healthy controls.
Methods:
The study comprised 23 consecutive HCM patients (mean age: 48.5 ± 15.1 years, 14 men). Their results were compared to 23 age- and gender-matched healthy controls. Complete two-dimensional Doppler echocardiography and 3DSTE have been performed in all cases.
Results:
Calculated LA maximum (66.4 ± 20.4 mL vs. 36.0 ± 6.1 mL, P < 0.0001) and minimum (39.2 ± 19.1 vs. 16.0 ± 4.6 mL, P < 0.0001) volumes and LA volume before atrial contraction (53.6 ± 19.9 vs. 24.0 ± 6.2 mL, P < 0.0001) were significantly increased in HCM patients. Atrial stroke volumes respecting cardiac cycles proved to be increased, while emptying fractions were decreased in subjects with HCM. Mean global radial (-12.2 ± 6.7% vs. -19.6 ± 11.7, P < 0.05), longitudinal (26.5 ± 16.5% vs. 29.8 ± 12.1%, P < 0.05) and 3D strain (-6.1 ± 4.4% vs. -12.5 ± 10.2%, P < 0.05) proved to be significantly reduced in HCM patients as compared with matched controls.
Conclusions:
Three-dimensional speckle tracking echocardiography allows detailed evaluation of LA (dys) function in HCM by volumetric and strain measurements.
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