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.
Abstract

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