Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography

Mohamed Fahmy El-Noamany; Ghada Mahmoud Soltan; Naglaa Fahim Ahmed; Haitham Mohamed Omar El-Ahwal

doi:doi:10.11648/j.ccr.20200403.16

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Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography

Mohamed Fahmy El-Noamany, Ghada Mahmoud Soltan, Naglaa Fahim Ahmed, Haitham Mohamed Omar El-Ahwal

Published in Cardiology and Cardiovascular Research (Volume 4, Issue 3)

Received: 23 May 2020 Accepted: 18 June 2020 Published: 23 July 2020

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Abstract

Background: The right atrium (RA), has received the least attention by researchers. Many reports demonstrated that, RA function may be impaired in the early stages of cardiac disease. The RA plays an important role in maintaining right ventricular (RV) output. RA functional changes have been evaluated in patients with coronary artery disease, but RA affection is not fully elucidated in patients with myocardial infarction (MI) Objective: To assess RA function by 2-Dimensional speckle tracking echocardiography (2D-STE) imaging in patients with acute first left ventricular (LV) inferior wall MI with and without RV involvement. Patients & methods:-Sixty patients with acute first inferior MI were included in this study; 30 patients had ECG signs of inferior MI without RV infarction (group II) and 30 patients had ECG signs of inferior MI with RV involvement (group III). Twenty five age and sex -matched healthy volunteers were included as a control group (group I). Assessment of RA function was done in all subjects using (2D-STE) for measurements of RA septal and free walls longitudinal strain and strain rate (SR). Results:-RA septal wall & global systolic strain were significantly reduced in group III (22.5±14.8% and 40.4±24.5%) compared to group I (37.5±16.3% and 60.4±22.4%) and group II (35.7±17.4% and 54.9±25.73%), (P<0.001), (P=0.008) respectively. RA septal wall and global early diastolic strain rate were also significantly reduced in group III (- 0.77±0.46 s-1 and – 3.61±0.55 s-1) compared to group I (-1.38±0.74 s-1 and – 4.41±0.67 s-1) and group II (-1.07±0.76 s-1 and -3.73±0.76 s-1), (P=0.005), (P<0.001) respectively. Conclusion:-In patients with first LV inferior wall MI with RV involvement, RA functional parameters (RA septal and global strain and SR) were significantly impaired in comparison to healthy controls and patients with first LV inferior wall MI without RV affection. This result may illustrate the significant relation between RV & RA which is still under research.

Published in	Cardiology and Cardiovascular Research (Volume 4, Issue 3)
DOI	10.11648/j.ccr.20200403.16
Page(s)	111-118
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Right Atrium, Inferior MI, Strain, Strain Rate

References

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[6]	Jing Z, Jianchang C, Weiting X, Lan G, Shaikh F, Yanni W (2013) Comparison of left atrial function in healthy individuals versus patients with non-ST-segment elevation myocardial infarction using two-dimensional speckle tracking echocardiography. Cardiovasc J Afr.
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[13]	Nourian, S., Hosseinsabet, A., Jalali, A., & Mohseni-Badalabadi, R. (2016). Evaluation of right atrial function by two-dimensional speckle-tracking echocardiography in patients with right ventricular myocardial infarction. The International Journal of Cardiovascular Imaging, 33 (1), 47–56.
[14]	Badran HM, Soltan G, Hassan H, Nazmy A, Faheem N, Saadan H, Yacoub MH. (2012) Changes in left atrial deformation in hypertrophic cardiomyopathy: Evaluation by vector velocity imaging, Global Cardiology Science & Practice.: 25.
[15]	Haghighi, Z. O., Naderi, N., Amin, A., Taghavi, S., Sadeghi, M., Moladoust, H.,… Haghighi, H. O. (2011). Quantitative assessment of right atrial function by strain and strain rate imaging in patients with heart failure. Acta Cardiologica, 66 (6), 737–742. doi: 10.1080/ac.66.6.2136957.
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Mohamed Fahmy El-Noamany, Ghada Mahmoud Soltan, Naglaa Fahim Ahmed, Haitham Mohamed Omar El-Ahwal. (2020). Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography. Cardiology and Cardiovascular Research, 4(3), 111-118. https://doi.org/10.11648/j.ccr.20200403.16

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ACS Style

Mohamed Fahmy El-Noamany; Ghada Mahmoud Soltan; Naglaa Fahim Ahmed; Haitham Mohamed Omar El-Ahwal. Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography. Cardiol. Cardiovasc. Res. 2020, 4(3), 111-118. doi: 10.11648/j.ccr.20200403.16

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AMA Style

Mohamed Fahmy El-Noamany, Ghada Mahmoud Soltan, Naglaa Fahim Ahmed, Haitham Mohamed Omar El-Ahwal. Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography. Cardiol Cardiovasc Res. 2020;4(3):111-118. doi: 10.11648/j.ccr.20200403.16

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@article{10.11648/j.ccr.20200403.16,
  author = {Mohamed Fahmy El-Noamany and Ghada Mahmoud Soltan and Naglaa Fahim Ahmed and Haitham Mohamed Omar El-Ahwal},
  title = {Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography},
  journal = {Cardiology and Cardiovascular Research},
  volume = {4},
  number = {3},
  pages = {111-118},
  doi = {10.11648/j.ccr.20200403.16},
  url = {https://doi.org/10.11648/j.ccr.20200403.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20200403.16},
  abstract = {Background: The right atrium (RA), has received the least attention by researchers. Many reports demonstrated that, RA function may be impaired in the early stages of cardiac disease. The RA plays an important role in maintaining right ventricular (RV) output. RA functional changes have been evaluated in patients with coronary artery disease, but RA affection is not fully elucidated in patients with myocardial infarction (MI) Objective: To assess RA function by 2-Dimensional speckle tracking echocardiography (2D-STE) imaging in patients with acute first left ventricular (LV) inferior wall MI with and without RV involvement. Patients & methods:-Sixty patients with acute first inferior MI were included in this study; 30 patients had ECG signs of inferior MI without RV infarction (group II) and 30 patients had ECG signs of inferior MI with RV involvement (group III). Twenty five age and sex -matched healthy volunteers were included as a control group (group I). Assessment of RA function was done in all subjects using (2D-STE) for measurements of RA septal and free walls longitudinal strain and strain rate (SR). Results:-RA septal wall & global systolic strain were significantly reduced in group III (22.5±14.8% and 40.4±24.5%) compared to group I (37.5±16.3% and 60.4±22.4%) and group II (35.7±17.4% and 54.9±25.73%), (P<0.001), (P=0.008) respectively. RA septal wall and global early diastolic strain rate were also significantly reduced in group III (- 0.77±0.46 s-1 and – 3.61±0.55 s-1) compared to group I (-1.38±0.74 s-1 and – 4.41±0.67 s-1) and group II (-1.07±0.76 s-1 and -3.73±0.76 s-1), (P=0.005), (P<0.001) respectively. Conclusion:-In patients with first LV inferior wall MI with RV involvement, RA functional parameters (RA septal and global strain and SR) were significantly impaired in comparison to healthy controls and patients with first LV inferior wall MI without RV affection. This result may illustrate the significant relation between RV & RA which is still under research.},
 year = {2020}
}

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TY  - JOUR
T1  - Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography
AU  - Mohamed Fahmy El-Noamany
AU  - Ghada Mahmoud Soltan
AU  - Naglaa Fahim Ahmed
AU  - Haitham Mohamed Omar El-Ahwal
Y1  - 2020/07/23
PY  - 2020
N1  - https://doi.org/10.11648/j.ccr.20200403.16
DO  - 10.11648/j.ccr.20200403.16
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 111
EP  - 118
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20200403.16
AB  - Background: The right atrium (RA), has received the least attention by researchers. Many reports demonstrated that, RA function may be impaired in the early stages of cardiac disease. The RA plays an important role in maintaining right ventricular (RV) output. RA functional changes have been evaluated in patients with coronary artery disease, but RA affection is not fully elucidated in patients with myocardial infarction (MI) Objective: To assess RA function by 2-Dimensional speckle tracking echocardiography (2D-STE) imaging in patients with acute first left ventricular (LV) inferior wall MI with and without RV involvement. Patients & methods:-Sixty patients with acute first inferior MI were included in this study; 30 patients had ECG signs of inferior MI without RV infarction (group II) and 30 patients had ECG signs of inferior MI with RV involvement (group III). Twenty five age and sex -matched healthy volunteers were included as a control group (group I). Assessment of RA function was done in all subjects using (2D-STE) for measurements of RA septal and free walls longitudinal strain and strain rate (SR). Results:-RA septal wall & global systolic strain were significantly reduced in group III (22.5±14.8% and 40.4±24.5%) compared to group I (37.5±16.3% and 60.4±22.4%) and group II (35.7±17.4% and 54.9±25.73%), (P<0.001), (P=0.008) respectively. RA septal wall and global early diastolic strain rate were also significantly reduced in group III (- 0.77±0.46 s-1 and – 3.61±0.55 s-1) compared to group I (-1.38±0.74 s-1 and – 4.41±0.67 s-1) and group II (-1.07±0.76 s-1 and -3.73±0.76 s-1), (P=0.005), (P<0.001) respectively. Conclusion:-In patients with first LV inferior wall MI with RV involvement, RA functional parameters (RA septal and global strain and SR) were significantly impaired in comparison to healthy controls and patients with first LV inferior wall MI without RV affection. This result may illustrate the significant relation between RV & RA which is still under research.
VL  - 4
IS  - 3
ER  -

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Author Information

Mohamed Fahmy El-Noamany

Cardiology Department, Faculty of Medicine, Menoufiya University, Shibin El Koum, Egypt
Ghada Mahmoud Soltan

Cardiology Department, Faculty of Medicine, Menoufiya University, Shibin El Koum, Egypt
Naglaa Fahim Ahmed

Cardiology Department, Faculty of Medicine, Menoufiya University, Shibin El Koum, Egypt
Haitham Mohamed Omar El-Ahwal

Cardiology Department, Teaching Institutes Organization, Shibin El Koum, Egypt

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APA Style

Mohamed Fahmy El-Noamany, Ghada Mahmoud Soltan, Naglaa Fahim Ahmed, Haitham Mohamed Omar El-Ahwal. (2020). Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography. Cardiology and Cardiovascular Research, 4(3), 111-118. https://doi.org/10.11648/j.ccr.20200403.16

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ACS Style

Mohamed Fahmy El-Noamany; Ghada Mahmoud Soltan; Naglaa Fahim Ahmed; Haitham Mohamed Omar El-Ahwal. Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography. Cardiol. Cardiovasc. Res. 2020, 4(3), 111-118. doi: 10.11648/j.ccr.20200403.16

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AMA Style

Mohamed Fahmy El-Noamany, Ghada Mahmoud Soltan, Naglaa Fahim Ahmed, Haitham Mohamed Omar El-Ahwal. Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography. Cardiol Cardiovasc Res. 2020;4(3):111-118. doi: 10.11648/j.ccr.20200403.16

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@article{10.11648/j.ccr.20200403.16,
  author = {Mohamed Fahmy El-Noamany and Ghada Mahmoud Soltan and Naglaa Fahim Ahmed and Haitham Mohamed Omar El-Ahwal},
  title = {Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography},
  journal = {Cardiology and Cardiovascular Research},
  volume = {4},
  number = {3},
  pages = {111-118},
  doi = {10.11648/j.ccr.20200403.16},
  url = {https://doi.org/10.11648/j.ccr.20200403.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20200403.16},
  abstract = {Background: The right atrium (RA), has received the least attention by researchers. Many reports demonstrated that, RA function may be impaired in the early stages of cardiac disease. The RA plays an important role in maintaining right ventricular (RV) output. RA functional changes have been evaluated in patients with coronary artery disease, but RA affection is not fully elucidated in patients with myocardial infarction (MI) Objective: To assess RA function by 2-Dimensional speckle tracking echocardiography (2D-STE) imaging in patients with acute first left ventricular (LV) inferior wall MI with and without RV involvement. Patients & methods:-Sixty patients with acute first inferior MI were included in this study; 30 patients had ECG signs of inferior MI without RV infarction (group II) and 30 patients had ECG signs of inferior MI with RV involvement (group III). Twenty five age and sex -matched healthy volunteers were included as a control group (group I). Assessment of RA function was done in all subjects using (2D-STE) for measurements of RA septal and free walls longitudinal strain and strain rate (SR). Results:-RA septal wall & global systolic strain were significantly reduced in group III (22.5±14.8% and 40.4±24.5%) compared to group I (37.5±16.3% and 60.4±22.4%) and group II (35.7±17.4% and 54.9±25.73%), (P<0.001), (P=0.008) respectively. RA septal wall and global early diastolic strain rate were also significantly reduced in group III (- 0.77±0.46 s-1 and – 3.61±0.55 s-1) compared to group I (-1.38±0.74 s-1 and – 4.41±0.67 s-1) and group II (-1.07±0.76 s-1 and -3.73±0.76 s-1), (P=0.005), (P<0.001) respectively. Conclusion:-In patients with first LV inferior wall MI with RV involvement, RA functional parameters (RA septal and global strain and SR) were significantly impaired in comparison to healthy controls and patients with first LV inferior wall MI without RV affection. This result may illustrate the significant relation between RV & RA which is still under research.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Assessment of Right Atrial Function in Patients with First Inferior Myocardial Infarction with & Without Right Ventricular Involvement by 2D Speckle Tracking Echocardiography
AU  - Mohamed Fahmy El-Noamany
AU  - Ghada Mahmoud Soltan
AU  - Naglaa Fahim Ahmed
AU  - Haitham Mohamed Omar El-Ahwal
Y1  - 2020/07/23
PY  - 2020
N1  - https://doi.org/10.11648/j.ccr.20200403.16
DO  - 10.11648/j.ccr.20200403.16
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 111
EP  - 118
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20200403.16
AB  - Background: The right atrium (RA), has received the least attention by researchers. Many reports demonstrated that, RA function may be impaired in the early stages of cardiac disease. The RA plays an important role in maintaining right ventricular (RV) output. RA functional changes have been evaluated in patients with coronary artery disease, but RA affection is not fully elucidated in patients with myocardial infarction (MI) Objective: To assess RA function by 2-Dimensional speckle tracking echocardiography (2D-STE) imaging in patients with acute first left ventricular (LV) inferior wall MI with and without RV involvement. Patients & methods:-Sixty patients with acute first inferior MI were included in this study; 30 patients had ECG signs of inferior MI without RV infarction (group II) and 30 patients had ECG signs of inferior MI with RV involvement (group III). Twenty five age and sex -matched healthy volunteers were included as a control group (group I). Assessment of RA function was done in all subjects using (2D-STE) for measurements of RA septal and free walls longitudinal strain and strain rate (SR). Results:-RA septal wall & global systolic strain were significantly reduced in group III (22.5±14.8% and 40.4±24.5%) compared to group I (37.5±16.3% and 60.4±22.4%) and group II (35.7±17.4% and 54.9±25.73%), (P<0.001), (P=0.008) respectively. RA septal wall and global early diastolic strain rate were also significantly reduced in group III (- 0.77±0.46 s-1 and – 3.61±0.55 s-1) compared to group I (-1.38±0.74 s-1 and – 4.41±0.67 s-1) and group II (-1.07±0.76 s-1 and -3.73±0.76 s-1), (P=0.005), (P<0.001) respectively. Conclusion:-In patients with first LV inferior wall MI with RV involvement, RA functional parameters (RA septal and global strain and SR) were significantly impaired in comparison to healthy controls and patients with first LV inferior wall MI without RV affection. This result may illustrate the significant relation between RV & RA which is still under research.
VL  - 4
IS  - 3
ER  -

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