| Peer-Reviewed

Evaluation of Left Atrial Functions in Diabetic Patients with Coronary Artery Disease: Strain Imaging Study

Received: 8 January 2022    Accepted: 21 January 2022    Published: 28 January 2022
Views:       Downloads:
Abstract

Background: Diabetes mellitus (DM) and coronary artery disease (CAD) have intimate relationship, which is the most common reason of morbidity and death in diabetic participants. Left ventricular (LV) dysfunction in diabetic participants with CAD was investigated by speckle-tracking echocardiography (STE). However, LA function in participants with CAD has not been evaluated with this technique. Objective: To assess left atrial (LA) functions by STE in diabetic patients with coronary artery disease (CAD). Methods: In 50 participants with CAD, two-dimensional strain echocardiographic imaging was done to asses LA function. A control group of twenty healthy people was included. The procedure included both conventional echocardiography and STE. Peak atrial contraction strain (PACS) and peak atrial longitudinal strain (PALS) were measured as strain parameters. Results: PALS and PACS strain were significantly decreased among patient group than control group (18.46±6.41 versus 52.07±7.8%, P < 0.001 and 9.92±7.74 versus 20.03±1.35%, P < 0.001 respectively). Conclusion: LA strain Parameters is impaired in diabetic patients in comparison with control in spite of normal LV function.

Published in Cardiology and Cardiovascular Research (Volume 6, Issue 1)
DOI 10.11648/j.ccr.20220601.13
Page(s) 14-21
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), 2024. Published by Science Publishing Group

Keywords

Diabetic Patients, Coronary Artery Disease, Left Atrial Functions

References
[1] Cherukuri L, Birudaraju D, Kinninger A, Chaganti BT, Pidikiti S, Pozon RG, et al. Evaluation of left atrium indices among high heart rate and heart rate variability patients with advancement in computed tomography technology: The CONVERGE registry. Journal of Nuclear Medicine Technology. 2020. (1485-1489).
[2] Valderrábano RJ, Linares MI. Diabetes mellitus and bone health: epidemiology, etiology and implications for fracture risk stratification. Clinical diabetes and endocrinology. 2018 (18: 82).
[3] Hollstein T, Schulte DM, Schulz J, Glück A, Ziegler AG, Bonifacio E, et al. Autoantibody-negative insulin-dependent diabetes mellitus after SARS-CoV-2 infection: a case report. Nature metabolism. 2020 (1021–1024).
[4] Gutierrez JP, Garcia-Saiso S, Aracena BM. Mexico's household health expenditure on diabetes and hypertension: What is the additional financial burden? PLoS One. 2021 (373-380).
[5] Liu YY, Xie MX, Xu JF, Wang XF, Lv Q, Lu XF, et al. Evaluation of left atrial function in patients with coronary artery disease by two-dimensional strain and strain rate imaging. Echocardiography. 2011; 28 (535−571).
[6] Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 2010; 87: 4–14.
[7] Fonarow GC, Srikanthan P. Diabetic cardiomyopathy. Endocrinol Metab Clin North Am. 2006; (575–599).
[8] Demirağ N, Parildar H, CigerliO, Gulmez O. Assessment of left atrial function in patients with type 2 diabetes mellitus with disease duration of six months. Cardiovascular journal of Africa. 2018 (1311–1314).
[9] Hamabe L, Mandour AS, Shimada K, Uemura A, Yilmaz Z, Nagaoka K, etal. Role of Two-Dimensional Speckle-Tracking Echocardiography in Early Detection of Left Ventricular Dysfunction in Dogs. Animals. 2021; 11 (8). (2361-2364).
[10] Perk G, Tunick PA, Kronzon I. Non-Doppler two-dimensional strain imaging by echocardiography: from technical considerations to clinical applications. J Am Soc Echocardiograph 2007; 20: (234–243).
[11] Al-Noamany MF, Sultan GM, Dawood AA, Sebaeia NF, Moustafa ML. Assessment of left atrial function in patients with heart failure: correlation with brain natriuretic peptide levels. Menoufia Medical Journal. 2020; 33 (835-842).
[12] Lang, R. M., Badano, L. P., Mor-Avi, V., et al. (2015) Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiography 28, 1–39.
[13] Nagueh, S. F., Smiseth, O. A., Appleton, C. P., et al. (2016) Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging, 17 (12), 1321–1360.
[14] Prioli A, Marino P, Lanzoni L, Zardini P. Increasing degrees of left ventricular filling impairment modulates left atrial function in humans. Am J Cardiol 1998; 82: 756–761.
[15] Inoue S, Murakami Y, Sano K, et al. Atrium as a source of brain natriuretic polypeptide in patients with atrial fibrillation. J Card Fail 2000; 6: 92–96.
[16] Garcia-Fernandez MA, Azevedo J, Moreno M, et al: Regional left ventricular diastolic dysfunction evaluated by pulsed-tissue Doppler echocardiography. Echocardiography 1999; 16: 491– 500.
[17] Cameli M, Caputo M, Mondillo S, et al: Feasibility and reference values of left atrial longitudinal strain imaging by two-dimensional speckle tracking. Cardiovasc Ultrasound 2009; 7: 6.
[18] Kim DG, Lee KJ, Lee S, et al: Feasibility of two-dimensional global longitudinal strain and strain rate imaging for the assessment of left atrial function: A study in subjects with a low probability of cardiovascular disease and normal exercise capacity. Echocardiography 2009; 26: 1179–1187.
[19] Miyoshi H, Oishi Y, Mizuguchi Y, et al: Effect of an increase in left ventricular pressure overload on left atrial left ventricular coupling in patients with hypertension: A two-dimensional speckle tracking echocardiographic study. Echocardiography 2013; 30: 658–666.
[20] Marsch SC, Dalmas S, Philbin DM, et al: Post-ischemic diastolic dysfunction. J Cardiothorac Vasc Anesth 1994; 8: 611– 617.
[21] Stefanadis C, Dernellis J, Tsiamis E, et al. Effects of pacing induced and balloon coronary occlusion ischemia on left atrial function in patients with coronary artery disease. J Am Coll Cardiol 1999; 33: 687–696.
[22] James TN, Burch GE. The atrial coronary arteries in man. Circulation 1958; 17: 90–98.
[23] Mondillo S, Cameli M, Caputo ML, et al. Early detection of left atrial strain abnormalities by speckle-tracking in hypertensive and diabetic patients with normal left ventricle (143-156).
[24] Zoppini G, Bonapace S, Bergamini C, Rossi A, Trombetta M, Lanzoni L, et al. Targher G. Evidence of left atrial remodeling and left ventricular diastolic dysfunction in type 2 diabetes mellitus with preserved systolic function. Nutrition, Metabolism and Cardiovascular Diseases. 2016; 26 (11-13).
[25] Aslan B, Peker T, Tenekecioğlu E, Aktan A, Özbek M, Karadeniz M. Assessment of Left Atrial Volumes and Functions in Patients with Coronary Slow Flow. E Journal of Cardiovascular Medicine. 2021; 9 (113-121).
[26] Russo Cesare, Zhezhen Jin, Shunichi Homma, Tatjana Rundek, Mitchell SV Elkind, et al. Left atrial minimum volume and reservoir function as correlates of left ventricular diastolic function: Impact of left ventricular systolic function. Heart 2012; 98 (1368–1374).
[27] Atas H, Kepez A, Atas DB. Effects of diabetes mellitus on left atrial volume and functions in normotensive patients without symptomatic cardiovascular disease. J Diabetes Complicate 2014 (858-862).
[28] Facchini Emanuela; Degiovanni, Anna; Marino, Paolo N. left atrium function in patients with coronary artery disease. Curr opin Cardiol. 2014; 29 (50); 423-429.
Cite This Article
  • APA Style

    Mohamed Elnoamany, Mohamed Yahia, Mohammed Gaber, Fatma Alzahraa Zain. (2022). Evaluation of Left Atrial Functions in Diabetic Patients with Coronary Artery Disease: Strain Imaging Study. Cardiology and Cardiovascular Research, 6(1), 14-21. https://doi.org/10.11648/j.ccr.20220601.13

    Copy | Download

    ACS Style

    Mohamed Elnoamany; Mohamed Yahia; Mohammed Gaber; Fatma Alzahraa Zain. Evaluation of Left Atrial Functions in Diabetic Patients with Coronary Artery Disease: Strain Imaging Study. Cardiol. Cardiovasc. Res. 2022, 6(1), 14-21. doi: 10.11648/j.ccr.20220601.13

    Copy | Download

    AMA Style

    Mohamed Elnoamany, Mohamed Yahia, Mohammed Gaber, Fatma Alzahraa Zain. Evaluation of Left Atrial Functions in Diabetic Patients with Coronary Artery Disease: Strain Imaging Study. Cardiol Cardiovasc Res. 2022;6(1):14-21. doi: 10.11648/j.ccr.20220601.13

    Copy | Download

  • @article{10.11648/j.ccr.20220601.13,
      author = {Mohamed Elnoamany and Mohamed Yahia and Mohammed Gaber and Fatma Alzahraa Zain},
      title = {Evaluation of Left Atrial Functions in Diabetic Patients with Coronary Artery Disease: Strain Imaging Study},
      journal = {Cardiology and Cardiovascular Research},
      volume = {6},
      number = {1},
      pages = {14-21},
      doi = {10.11648/j.ccr.20220601.13},
      url = {https://doi.org/10.11648/j.ccr.20220601.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20220601.13},
      abstract = {Background: Diabetes mellitus (DM) and coronary artery disease (CAD) have intimate relationship, which is the most common reason of morbidity and death in diabetic participants. Left ventricular (LV) dysfunction in diabetic participants with CAD was investigated by speckle-tracking echocardiography (STE). However, LA function in participants with CAD has not been evaluated with this technique. Objective: To assess left atrial (LA) functions by STE in diabetic patients with coronary artery disease (CAD). Methods: In 50 participants with CAD, two-dimensional strain echocardiographic imaging was done to asses LA function. A control group of twenty healthy people was included. The procedure included both conventional echocardiography and STE. Peak atrial contraction strain (PACS) and peak atrial longitudinal strain (PALS) were measured as strain parameters. Results: PALS and PACS strain were significantly decreased among patient group than control group (18.46±6.41 versus 52.07±7.8%, P < 0.001 and 9.92±7.74 versus 20.03±1.35%, P < 0.001 respectively). Conclusion: LA strain Parameters is impaired in diabetic patients in comparison with control in spite of normal LV function.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Evaluation of Left Atrial Functions in Diabetic Patients with Coronary Artery Disease: Strain Imaging Study
    AU  - Mohamed Elnoamany
    AU  - Mohamed Yahia
    AU  - Mohammed Gaber
    AU  - Fatma Alzahraa Zain
    Y1  - 2022/01/28
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ccr.20220601.13
    DO  - 10.11648/j.ccr.20220601.13
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
    SP  - 14
    EP  - 21
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20220601.13
    AB  - Background: Diabetes mellitus (DM) and coronary artery disease (CAD) have intimate relationship, which is the most common reason of morbidity and death in diabetic participants. Left ventricular (LV) dysfunction in diabetic participants with CAD was investigated by speckle-tracking echocardiography (STE). However, LA function in participants with CAD has not been evaluated with this technique. Objective: To assess left atrial (LA) functions by STE in diabetic patients with coronary artery disease (CAD). Methods: In 50 participants with CAD, two-dimensional strain echocardiographic imaging was done to asses LA function. A control group of twenty healthy people was included. The procedure included both conventional echocardiography and STE. Peak atrial contraction strain (PACS) and peak atrial longitudinal strain (PALS) were measured as strain parameters. Results: PALS and PACS strain were significantly decreased among patient group than control group (18.46±6.41 versus 52.07±7.8%, P < 0.001 and 9.92±7.74 versus 20.03±1.35%, P < 0.001 respectively). Conclusion: LA strain Parameters is impaired in diabetic patients in comparison with control in spite of normal LV function.
    VL  - 6
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Cardiology Department, Faculty of Medicine, Menoufia University, Shebin El-Kom, Menoufia, Egypt

  • Cardiology Department, Faculty of Medicine, Menoufia University, Shebin El-Kom, Menoufia, Egypt

  • Cardiology Department, Faculty of Medicine, Menoufia University, Shebin El-Kom, Menoufia, Egypt

  • Cardiology Department, Faculty of Medicine, Menoufia University, Shebin El-Kom, Menoufia, Egypt

  • Sections