Potential role of left atrial strain in estimation of left atrial pressure in patients with chronic heart failure Article Swipe
Yaar Aga
,
Sabrina Abou Kamar
,
Jie Fen Chin
,
Victor J. van den Berg
,
Mihai Strachinaru
,
Daniel J. Bowen
,
René Frowijn
,
Martijn K. Akkerhuis
,
Alina A. Constantinescu
,
Victor A. Umans
,
Marcel L. Geleijnse
,
Eric Boersma
,
Jasper J. Brugts
,
Isabella Kardys
,
Bas M. van Dalen
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1002/ehf2.14372
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1002/ehf2.14372
Aims In a large proportion of heart failure with reduced ejection fraction (HFrEF) patients, echocardiographic estimation of left atrial pressure (LAP) is not possible when the ratio of the peak early left ventricular filling velocity over the late filling velocity (E/A ratio) is not available, which may occur due to several potential causes. Left atrial reservoir strain (LASr) is correlated with LV filling pressures and may serve as an alternative parameter in these patients. The aim of this study was to determine whether LASr can be used to estimate LAP in HFrEF patients in whom E/A ratio is not available. Methods and results Echocardiograms of chronic HFrEF patients were analysed and LASr was assessed with speckle tracking echocardiography. LAP was estimated using the current ASE/EACVI algorithm. Patients were divided into those in whom LAP could be estimated using this algorithm (LAPe) and into those in whom this was not possible because E/A ratio was not available (LAPne). We assessed the prognostic value of LASr on the primary endpoint (PEP), which comprised the composite of hospitalization for the management of acute or worsened HF, left ventricular assist device implantation, cardiac transplantation, and cardiovascular death, whichever occurred first in time. We studied 153 patients with a mean age of 58 years of whom 76% men and 82% who were in NYHA class I‐II. A total of 86 were in the LAPe group and 67 in the LAPne group. LASr was significantly lower in the LAPne group as compared with the LAPe group (15.8% vs. 23.8%, P < 0.001). PEP‐free survival at a median follow‐up of 2.5 years was 78% in LAPe versus 51% in LAPne patients. An increase in LASr was significantly associated with a reduced risk of the PEP in LAPne patients (adjusted hazard ratio: 0.91 per %, 95% confidence interval 0.84–0.98). An abnormal LASr (<18%) was associated with a five‐fold increase in reaching the PEP. Conclusions In HFrEF patients in whom echocardiographic estimation of LAP is not possible due to due to unavailability of E/A ratio, assessing LASr potentially carries added clinical and prognostic value.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/ehf2.14372
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ehf2.14372
- OA Status
- gold
- Cited By
- 13
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4375955999
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4375955999Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1002/ehf2.14372Digital Object Identifier
- Title
-
Potential role of left atrial strain in estimation of left atrial pressure in patients with chronic heart failureWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-05-08Full publication date if available
- Authors
-
Yaar Aga, Sabrina Abou Kamar, Jie Fen Chin, Victor J. van den Berg, Mihai Strachinaru, Daniel J. Bowen, René Frowijn, Martijn K. Akkerhuis, Alina A. Constantinescu, Victor A. Umans, Marcel L. Geleijnse, Eric Boersma, Jasper J. Brugts, Isabella Kardys, Bas M. van DalenList of authors in order
- Landing page
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https://doi.org/10.1002/ehf2.14372Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ehf2.14372Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ehf2.14372Direct OA link when available
- Concepts
-
Medicine, Cardiology, Heart failure, Internal medicine, Ejection fraction, Left atrial pressure, Heart transplantation, Clinical endpoint, Speckle tracking echocardiography, Transplantation, Blood pressure, Randomized controlled trialTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
13Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 5, 2024: 5, 2023: 3Per-year citation counts (last 5 years)
- References (count)
-
34Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| publication_date | 2023-05-08 |
| publication_year | 2023 |
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