Feasibility and functional correlates of left atrial volume changes during stress echocardiography in chronic coronary syndromes.

Adrenergic beta-1 Receptor Agonists / administration & dosage Aged Aged, 80 and over Argentina Atrial Function, Left Atrial Pressure Brazil Chronic Disease Coronary Artery Disease / diagnostic imaging Echocardiography, Doppler, Pulsed Echocardiography, Stress Europe Exercise Feasibility Studies Female Heart Atria / diagnostic imaging Humans Italy Male Middle Aged Predictive Value of Tests Prospective Studies Syndrome Vasodilator Agents / administration & dosage

Dipyridamole Dobutamine Echocardiography Exercise Left atrial volume Stress

Journal

The international journal of cardiovascular imaging

ISSN: 1875-8312

Titre abrégé: Int J Cardiovasc Imaging

Pays: United States

ID NLM: 100969716

Informations de publication

Date de publication:
Mar 2021

Historique:

received: 27 08 2020

accepted: 09 10 2020

pubmed: 16 10 2020

medline: 29 6 2021

entrez: 15 10 2020

Statut: ppublish

Résumé

An enlarged left atrial volume index (LAVI) at rest mirrors increased LA pressure and/or impairment of LA function. A cardiovascular stress may acutely modify left atrial volume (LAV) within minutes. Aim of this study was to assess the feasibility and functional correlates of LAV-stress echocardiography (SE) Out of 514 subjects referred to 10 quality-controlled labs, LAV-SE was completed in 490 (359 male, age 67 ± 12 years) with suspected or known chronic coronary syndromes (n = 462) or asymptomatic controls (n = 28). The utilized stress was exercise in 177, vasodilator in 167, dobutamine in 146. LAV was measured with the biplane disk summation method. SE was performed with the ABCDE protocol. The intra-observer and inter-observer LAV variability were 5% and 8%, respectively. ∆-LAVI changes (stress-rest) were negatively correlated with resting LAVI (r = - 0.271, p < 0.001) and heart rate reserve (r = -.239, p < 0.001). LAV-dilators were defined as those with stress-rest increase ≥ 6.8 ml/m

Identifiants

DOI: 10.1007/s10554-020-02071-5 PMID: 33057991

pubmed: 33057991

doi: 10.1007/s10554-020-02071-5

pii: 10.1007/s10554-020-02071-5

doi:

Substances chimiques

Adrenergic beta-1 Receptor Agonists 0

Vasodilator Agents 0

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

Pagination

953-964

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