open access

Vol 79, No 9 (2021)
Review paper
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Left atrial strain — a current clinical perspective

Karolina Kupczyńska1, Giulia Elena Mandoli2, Matteo Cameli2, Jarosław D Kasprzak1
DOI: 10.33963/KP.a2021.0105
·
Pubmed: 34599503
·
Kardiol Pol 2021;79(9):955-964.
Affiliations
  1. 1st Department and Chair of Cardiology, Bieganski Hospital, Medical University, Łódź, Poland
  2. Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy

open access

Vol 79, No 9 (2021)
Review article

Abstract

The speckle-tracking technique has become an easily accessible, quick-to-use, and straightforward tool for assessing advanced myocardial function. Achievements in the analysis of the left atrium have demonstrated that it plays an important role in the physiology and pathophysiology of the circulatory system. Deformation analysis allows the detection of even subtle functional abnormalities when atrial enlargement is not yet detected. Thus, left atrial strain has a documented diagnostic and prognostic value in many clinical scenarios. Furthermore, this technique is increasingly entering routine clinical practice. The analysis becomes possible thanks to new tools that simplify the speckle-tracking assessment. Left atrial strain improves diagnostic possibilities of standard echocardiographic examination, and its diagnostic and prognostic value is sometimes comparable with more advanced and less available techniques. In this review, we discuss the principles of performing strain analysis and the results of current research, and thus the potential possibilities of sophisticated atrial assessment application in various clinical scenarios.

Abstract

The speckle-tracking technique has become an easily accessible, quick-to-use, and straightforward tool for assessing advanced myocardial function. Achievements in the analysis of the left atrium have demonstrated that it plays an important role in the physiology and pathophysiology of the circulatory system. Deformation analysis allows the detection of even subtle functional abnormalities when atrial enlargement is not yet detected. Thus, left atrial strain has a documented diagnostic and prognostic value in many clinical scenarios. Furthermore, this technique is increasingly entering routine clinical practice. The analysis becomes possible thanks to new tools that simplify the speckle-tracking assessment. Left atrial strain improves diagnostic possibilities of standard echocardiographic examination, and its diagnostic and prognostic value is sometimes comparable with more advanced and less available techniques. In this review, we discuss the principles of performing strain analysis and the results of current research, and thus the potential possibilities of sophisticated atrial assessment application in various clinical scenarios.

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Keywords

atrial cardiomyopathy; left atrial strain; speckle tracking echocardiography

About this article
Title

Left atrial strain — a current clinical perspective

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 79, No 9 (2021)

Article type

Review paper

Pages

955-964

DOI

10.33963/KP.a2021.0105

Pubmed

34599503

Bibliographic record

Kardiol Pol 2021;79(9):955-964.

Keywords

atrial cardiomyopathy
left atrial strain
speckle tracking echocardiography

Authors

Karolina Kupczyńska
Giulia Elena Mandoli
Matteo Cameli
Jarosław D Kasprzak

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