The Assessment of Myocardial Longitudinal Strain in a Paediatric Spanish Population Using a New Software Analysis
Background: Two-dimensional speckle-tracking echocardiography (2DSTE) has been present for years. However, it is underutilized due to the expertise and time requirements for its analysis. Our aims were to provide strain values in a paediatric Spanish population and to assess the feasibility and repr...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-06-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/11/12/3272 |
| _version_ | 1797486108727050240 |
|---|---|
| author | Cristhian H. Aristizábal-Duque Juan Fernández Cabeza Isabel María Blancas Sánchez Mónica Delgado Ortega Pilar Aparicio Martinez Manuel Romero-Saldaña Francisco Javier Fonseca del Pozo Manuel Pan Martin Ruiz Ortiz María Dolores Mesa-Rubio |
| author_facet | Cristhian H. Aristizábal-Duque Juan Fernández Cabeza Isabel María Blancas Sánchez Mónica Delgado Ortega Pilar Aparicio Martinez Manuel Romero-Saldaña Francisco Javier Fonseca del Pozo Manuel Pan Martin Ruiz Ortiz María Dolores Mesa-Rubio |
| author_sort | Cristhian H. Aristizábal-Duque |
| collection | DOAJ |
| description | Background: Two-dimensional speckle-tracking echocardiography (2DSTE) has been present for years. However, it is underutilized due to the expertise and time requirements for its analysis. Our aims were to provide strain values in a paediatric Spanish population and to assess the feasibility and reproducibility of a new strain software analysis in our environment. Methods: A cross-sectional study of 156 healthy children aged 6 to 17 years. Longitudinal strain (LS) analysis of the left ventricle, right ventricle, and left atrium was performed. Feasibility and reproducibility were assessed. The associations of clinical and echocardiographic variables with strain values were investigated by multivariate analysis. Results: Mean age was 11 ± 3 years (50% female). Feasibility of LS measurement ranged from 94.2% for left ventricle global LS (LVGLS) to 98.1% for other chamber strain parameters. Strain values were 26.7 ± 2.3% for LVGLS; 30.5 ± 4.4% and 26.9 ± 4% for right ventricle free wall LS (RVFWLS) and four chambers view LS (RV4CLS) respectively; and 57.8 ± 10.5%, 44.9 ± 9.5%, and 12.9 ± 5.5% for left atrium LS reservoir phase (LALSr), conduct phase (LALScd) and contraction phase (LALSct), also respectively. Body surface area (BSA) and age presented a negative correlation with strain values. Higher values were found in females than in males, except for LALScd. Excellent intra- and inter-observer reproducibility were found for right and left ventricular strain measurement, with intraclass correlation coefficients (ICC) ranging from 0.88 to 0.98, respectively. In conclusion, we described strain values in a healthy Spanish paediatric population. LS assessment by this new strain analysis software by semi-automatic manner was highly feasible and reproducible. |
| first_indexed | 2024-03-09T23:29:28Z |
| format | Article |
| id | doaj.art-aa4684ff5013441f9cc2cc93d470f199 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T23:29:28Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-aa4684ff5013441f9cc2cc93d470f1992023-11-23T17:13:12ZengMDPI AGJournal of Clinical Medicine2077-03832022-06-011112327210.3390/jcm11123272The Assessment of Myocardial Longitudinal Strain in a Paediatric Spanish Population Using a New Software AnalysisCristhian H. Aristizábal-Duque0Juan Fernández Cabeza1Isabel María Blancas Sánchez2Mónica Delgado Ortega3Pilar Aparicio Martinez4Manuel Romero-Saldaña5Francisco Javier Fonseca del Pozo6Manuel Pan7Martin Ruiz Ortiz8María Dolores Mesa-Rubio9Cardiology Department, Reina Sofia University Hospital, Maimonides Institute of Biomedical Research of Cordoba (IMIBIC), 14004 Cordoba, SpainCardiology Department, Reina Sofia University Hospital, Maimonides Institute of Biomedical Research of Cordoba (IMIBIC), 14004 Cordoba, SpainUrgency Department, Reina Sofia University Hospital, Maimonides Institute of Biomedical Research of Cordoba (IMIBIC), 14004 Cordoba, SpainCardiology Department, Reina Sofia University Hospital, Maimonides Institute of Biomedical Research of Cordoba (IMIBIC), 14004 Cordoba, SpainDepartment of Nursing, Pharmacology and Physiotherapy, Faculty of Medicine and Nursing, Maimonides Institute of Biomedical Research of Cordoba (IMIBIC), University of Córdoba, 14004 Cordoba, SpainCórdoba and Guadalquivir Health District, Reina Sofia University Hospital, Maimonides Institute of Biomedical Research of Cordoba (IMIBIC), 14004 Cordoba, SpainCórdoba and Guadalquivir Health District, Reina Sofia University Hospital, Maimonides Institute of Biomedical Research of Cordoba (IMIBIC), 14004 Cordoba, SpainCardiology Department, Reina Sofia University Hospital, Maimonides Institute of Biomedical Research of Cordoba (IMIBIC), 14004 Cordoba, SpainCardiology Department, Reina Sofia University Hospital, Maimonides Institute of Biomedical Research of Cordoba (IMIBIC), 14004 Cordoba, SpainCardiology Department, Reina Sofia University Hospital, Maimonides Institute of Biomedical Research of Cordoba (IMIBIC), 14004 Cordoba, SpainBackground: Two-dimensional speckle-tracking echocardiography (2DSTE) has been present for years. However, it is underutilized due to the expertise and time requirements for its analysis. Our aims were to provide strain values in a paediatric Spanish population and to assess the feasibility and reproducibility of a new strain software analysis in our environment. Methods: A cross-sectional study of 156 healthy children aged 6 to 17 years. Longitudinal strain (LS) analysis of the left ventricle, right ventricle, and left atrium was performed. Feasibility and reproducibility were assessed. The associations of clinical and echocardiographic variables with strain values were investigated by multivariate analysis. Results: Mean age was 11 ± 3 years (50% female). Feasibility of LS measurement ranged from 94.2% for left ventricle global LS (LVGLS) to 98.1% for other chamber strain parameters. Strain values were 26.7 ± 2.3% for LVGLS; 30.5 ± 4.4% and 26.9 ± 4% for right ventricle free wall LS (RVFWLS) and four chambers view LS (RV4CLS) respectively; and 57.8 ± 10.5%, 44.9 ± 9.5%, and 12.9 ± 5.5% for left atrium LS reservoir phase (LALSr), conduct phase (LALScd) and contraction phase (LALSct), also respectively. Body surface area (BSA) and age presented a negative correlation with strain values. Higher values were found in females than in males, except for LALScd. Excellent intra- and inter-observer reproducibility were found for right and left ventricular strain measurement, with intraclass correlation coefficients (ICC) ranging from 0.88 to 0.98, respectively. In conclusion, we described strain values in a healthy Spanish paediatric population. LS assessment by this new strain analysis software by semi-automatic manner was highly feasible and reproducible.https://www.mdpi.com/2077-0383/11/12/3272Ehocardiographychildventricular functionmyocardial strainspeckle-tracking |
| spellingShingle | Cristhian H. Aristizábal-Duque Juan Fernández Cabeza Isabel María Blancas Sánchez Mónica Delgado Ortega Pilar Aparicio Martinez Manuel Romero-Saldaña Francisco Javier Fonseca del Pozo Manuel Pan Martin Ruiz Ortiz María Dolores Mesa-Rubio The Assessment of Myocardial Longitudinal Strain in a Paediatric Spanish Population Using a New Software Analysis Journal of Clinical Medicine Ehocardiography child ventricular function myocardial strain speckle-tracking |
| title | The Assessment of Myocardial Longitudinal Strain in a Paediatric Spanish Population Using a New Software Analysis |
| title_full | The Assessment of Myocardial Longitudinal Strain in a Paediatric Spanish Population Using a New Software Analysis |
| title_fullStr | The Assessment of Myocardial Longitudinal Strain in a Paediatric Spanish Population Using a New Software Analysis |
| title_full_unstemmed | The Assessment of Myocardial Longitudinal Strain in a Paediatric Spanish Population Using a New Software Analysis |
| title_short | The Assessment of Myocardial Longitudinal Strain in a Paediatric Spanish Population Using a New Software Analysis |
| title_sort | assessment of myocardial longitudinal strain in a paediatric spanish population using a new software analysis |
| topic | Ehocardiography child ventricular function myocardial strain speckle-tracking |
| url | https://www.mdpi.com/2077-0383/11/12/3272 |
| work_keys_str_mv | AT cristhianharistizabalduque theassessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT juanfernandezcabeza theassessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT isabelmariablancassanchez theassessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT monicadelgadoortega theassessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT pilarapariciomartinez theassessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT manuelromerosaldana theassessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT franciscojavierfonsecadelpozo theassessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT manuelpan theassessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT martinruizortiz theassessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT mariadoloresmesarubio theassessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT cristhianharistizabalduque assessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT juanfernandezcabeza assessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT isabelmariablancassanchez assessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT monicadelgadoortega assessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT pilarapariciomartinez assessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT manuelromerosaldana assessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT franciscojavierfonsecadelpozo assessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT manuelpan assessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT martinruizortiz assessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis AT mariadoloresmesarubio assessmentofmyocardiallongitudinalstraininapaediatricspanishpopulationusinganewsoftwareanalysis |