Key result
Altered left atrial strain during stress echocardiography predicts incident atrial fibrillation.
Why the study?
The relationship between alterations of left atrial strain and the development of atrial fibrillation, and the diagnostic and prognostic role of stress echocardiography, require evaluation.
Left atrial strain assessment during stress echocardiography may serve as a predictor of early left atrial disease and the development of atrial fibrillation.
May flag early AF risk on stress echo; leaves open incremental value over resting assessment.
Interest in advanced echocardiographic imaging methods is growing. The left atrial strain (LAS) is among the recently developed echocardiographic parameters. LAS represents an index of tissue deformation of the left atrium (LA). This parameter is an expression of the LA function. Several arrhythmias depend on the impaired LA function. LAS can be assessed with a resting echocardiogram. The evaluation of LAS during stress echocardiography represents another model for assessing LA function. The development of altered LAS during physical or pharmacological stress is a predictor of early LA disease. Our review aims to evaluate the relationship between the alterations of the LAS and the development of atrial fibrillation (AF), and the diagnostic and prognostic role of the stress echocardiogram in clinical practice.
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Mauriello et al. (2024) conducted a review in Atrial fibrillation. Left atrial strain (LAS) assessment during stress echocardiography was evaluated on Development of atrial fibrillation. This review evaluates the diagnostic and prognostic role of left atrial strain alterations during stress echocardiography in predicting the development of atrial fibrillation.
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