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Atrial and Ventricular Deformation Analysis in Normal Fetal Hearts Using Two-Dimensional Speckle Tracking Echocardiography.
Fetal Diagn Ther. 2020 Jul 02 [Online ahead of print]FD

Abstract

OBJECTIVE

Two-dimensional speckle tracking echocardiography (2D-STE)-based strain values of the left and the right ventricle have been established; however, less is known about atrial deformation. The aim of our study was to assess both atrial strain and ventricular strain using 2D-STE in a cardiac 4-chamber view and to investigate the effect of possible influencing factors such as gestational age.

METHODS

Fetal echocardiography was performed on a Toshiba Aplio 500 ultrasound system. Based on an apical or basal 4-chamber view of the fetal heart, left and right ventricular longitudinal peak systolic strain (LVLPSS and RVLPSS) as well as left and right atrial longitudinal peak systolic strain (LALPSS and RALPSS) were assessed by 2D-STE.

RESULTS

A total of 101 healthy fetuses were included. The mean gestational age (GA) was 26.0 ± 5.6 weeks. GA was significantly positively correlated (p < 0.05) with LVLPSS and RVLPSS and significantly negatively correlated (p < 0.05) with LALPSS and RALPSS. The mean values for LVLPSS and RVLPSS were -17.44 ± 2.29% and -16.89 ± 1.72%. The mean values for LALPSS and RALPSS were 34.09 ± 4.17% and 35.36 ± 2.90%.

CONCLUSION

Ventricular and atrial deformation analysis in 2D-STE was technically feasible and showed comparable values to current data. For future research on myocardial function (MF) of the fetus, considering GA as an influencing factor for deformation analysis seems to be adequate. Especially, atrial deformation analysis allows the assessment of diastolic myocardial function. Further research needs to clarify the clinical meaning of these myocardial deformation indices in fetuses at risk.

Authors+Show Affiliations

Department of OB/GYN, Division of Prenatal Medicine, University Hospital UKGM, Justus-Liebig University, Giessen, Germany.Department of OB/GYN, Division of Prenatal Medicine, University Hospital UKGM, Justus-Liebig University, Giessen, Germany.Department of OB/GYN, University Hospital Rechts der Isar, Technical University of Munich, Munich, Germany.Department of OB/GYN, Division of Prenatal Medicine, University Hospital UKGM, Justus-Liebig University, Giessen, Germany.Department of OB/GYN, Division of Prenatal Medicine, University Hospital UKGM, Justus-Liebig University, Giessen, Germany.Department of OB/GYN, Division of Prenatal Medicine, University Hospital UKGM, Justus-Liebig University, Giessen, Germany.Department of OB/GYN, Division of Prenatal Medicine, University Hospital UKGM, Justus-Liebig University, Giessen, Germany, cenzensberger@googlemail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32615558

Citation

Meister, Markus, et al. "Atrial and Ventricular Deformation Analysis in Normal Fetal Hearts Using Two-Dimensional Speckle Tracking Echocardiography." Fetal Diagnosis and Therapy, 2020, pp. 1-12.
Meister M, Axt-Fliedner R, Graupner O, et al. Atrial and Ventricular Deformation Analysis in Normal Fetal Hearts Using Two-Dimensional Speckle Tracking Echocardiography. Fetal Diagn Ther. 2020.
Meister, M., Axt-Fliedner, R., Graupner, O., Kuhn, V., Wolter, A., Götte, M., & Enzensberger, C. (2020). Atrial and Ventricular Deformation Analysis in Normal Fetal Hearts Using Two-Dimensional Speckle Tracking Echocardiography. Fetal Diagnosis and Therapy, 1-12. https://doi.org/10.1159/000508881
Meister M, et al. Atrial and Ventricular Deformation Analysis in Normal Fetal Hearts Using Two-Dimensional Speckle Tracking Echocardiography. Fetal Diagn Ther. 2020 Jul 2;1-12. PubMed PMID: 32615558.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Atrial and Ventricular Deformation Analysis in Normal Fetal Hearts Using Two-Dimensional Speckle Tracking Echocardiography. AU - Meister,Markus, AU - Axt-Fliedner,Roland, AU - Graupner,Oliver, AU - Kuhn,Viktoria, AU - Wolter,Aline, AU - Götte,Malena, AU - Enzensberger,Christian, Y1 - 2020/07/02/ PY - 2019/10/02/received PY - 2020/05/19/accepted PY - 2020/7/3/entrez PY - 2020/7/3/pubmed PY - 2020/7/3/medline KW - Atrial and ventricular strain KW - Atrial deformation KW - Myocardial function KW - Speckle tracking echocardiography KW - Systolic strain SP - 1 EP - 12 JF - Fetal diagnosis and therapy JO - Fetal. Diagn. Ther. N2 - OBJECTIVE: Two-dimensional speckle tracking echocardiography (2D-STE)-based strain values of the left and the right ventricle have been established; however, less is known about atrial deformation. The aim of our study was to assess both atrial strain and ventricular strain using 2D-STE in a cardiac 4-chamber view and to investigate the effect of possible influencing factors such as gestational age. METHODS: Fetal echocardiography was performed on a Toshiba Aplio 500 ultrasound system. Based on an apical or basal 4-chamber view of the fetal heart, left and right ventricular longitudinal peak systolic strain (LVLPSS and RVLPSS) as well as left and right atrial longitudinal peak systolic strain (LALPSS and RALPSS) were assessed by 2D-STE. RESULTS: A total of 101 healthy fetuses were included. The mean gestational age (GA) was 26.0 ± 5.6 weeks. GA was significantly positively correlated (p < 0.05) with LVLPSS and RVLPSS and significantly negatively correlated (p < 0.05) with LALPSS and RALPSS. The mean values for LVLPSS and RVLPSS were -17.44 ± 2.29% and -16.89 ± 1.72%. The mean values for LALPSS and RALPSS were 34.09 ± 4.17% and 35.36 ± 2.90%. CONCLUSION: Ventricular and atrial deformation analysis in 2D-STE was technically feasible and showed comparable values to current data. For future research on myocardial function (MF) of the fetus, considering GA as an influencing factor for deformation analysis seems to be adequate. Especially, atrial deformation analysis allows the assessment of diastolic myocardial function. Further research needs to clarify the clinical meaning of these myocardial deformation indices in fetuses at risk. SN - 1421-9964 UR - https://www.unboundmedicine.com/medline/citation/32615558/Atrial_and_Ventricular_Deformation_Analysis_in_Normal_Fetal_Hearts_Using_Two-Dimensional_Speckle_Tracking_Echocardiography L2 - https://www.karger.com?DOI=10.1159/000508881 DB - PRIME DP - Unbound Medicine ER -
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