{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T12:28:21Z","timestamp":1759580901331,"version":"3.37.3"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,7,3]],"date-time":"2018-07-03T00:00:00Z","timestamp":1530576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2018,10]]},"abstract":"Aim<\/jats:title>We intended to assess the left atrial deformation parameters, using two\u2010dimensional speckle tracking (2DSTE<\/jats:styled-content>) and transesophageal echocardiography (TEE<\/jats:styled-content>), and determine the correlation between these two techniques in order to recognize the patients at risk for cardioembolic events.<\/jats:p><\/jats:sec>Method<\/jats:title>Strain and strain rate were measured using 2DSTE<\/jats:styled-content> among 26 patients in sinus rhythm, with isolated moderate to severe mitral stenosis. Left atrial (LA<\/jats:styled-content>) volume parameters (maximum, minimum and preatrial contraction) were measured. Among 26 patients, TEE<\/jats:styled-content> was performed to detect left atrial thrombosis or spontaneous echo contrast. Left atrial appendage velocity (LAAV<\/jats:styled-content>) was also assessed.<\/jats:p><\/jats:sec>Results<\/jats:title>A significant correlation was observed between LAAV<\/jats:styled-content> and the average value of left atrial peak systolic strain (LA<\/jats:styled-content>\u2010RES<\/jats:styled-content>) (r<\/jats:italic>\u00a0=\u00a00.638, P<\/jats:italic>\u00a0=\u00a00.001). The sensitivity and specificity of mean LA<\/jats:styled-content>\u2010RES<\/jats:styled-content> (cutoff\u00a0=\u00a016.75%) for detecting LAAV<\/jats:styled-content>\u00a0<\u00a025\u00a0cm\/s were 88.9% and 80%, respectively. The sensitivity and specificity of mean LA<\/jats:styled-content>\u2010RES<\/jats:styled-content> (cutoff\u00a0=\u00a018.14%) for detecting LAAV<\/jats:styled-content>\u00a0<\u00a025\u00a0cm\/s and\/or dense smoky pattern were 77.8% and 83.3%, respectively, and those of left atrial maximum volume indexed for body surface area(cutoff\u00a0=\u00a050.75\u00a0cc\/m2<\/jats:sup>), for discriminating LAAV<\/jats:styled-content>\u00a0<\u00a025\u00a0cm\/s and\/or dense smoky pattern, were 73.3% and 83.3%, respectively. A meaningful correlation was witnessed between mean LA<\/jats:styled-content>\u2010RES<\/jats:styled-content> and left atrial ejection fraction (r<\/jats:italic>\u00a0=\u00a00.736, P<\/jats:italic>\u00a0<\u00a00.001), and left atrial expansion index (r<\/jats:italic>\u00a0=\u00a00.743, P<\/jats:italic>\u00a0<\u00a00.001).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The average value of left atrial reservoir function using 2DSTE<\/jats:styled-content> can be used as a predictive factor for detecting LAAV<\/jats:styled-content>\u00a0<\u00a025\u00a0cm\/s and\/or dense SEC<\/jats:styled-content> and thus recognizing high\u2010risk patients for cardioembolic events with moderate to severe mitral stenosis. In addition, assessment of LA<\/jats:styled-content> function and LA<\/jats:styled-content> volume can also be helpful.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.14088","type":"journal-article","created":{"date-parts":[[2018,7,4]],"date-time":"2018-07-04T01:30:30Z","timestamp":1530667830000},"page":"1550-1556","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The correlation between conventional echocardiography and two\u2010dimensional speckle strain imaging for evaluating left atrial function in patients with moderate to severe mitral stenosis"],"prefix":"10.1111","volume":"35","author":[{"given":"Mohammad","family":"Sahebjam","sequence":"first","affiliation":[{"name":"Tehran Heart Center Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5824-7098","authenticated-orcid":false,"given":"Vahide","family":"Montazeri","sequence":"additional","affiliation":[{"name":"Tehran Heart Center Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arezoo","family":"Zoroufian","sequence":"additional","affiliation":[{"name":"Tehran Heart Center Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2927-3742","authenticated-orcid":false,"given":"Ali","family":"Hosseinsabet","sequence":"additional","affiliation":[{"name":"Tehran Heart Center Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masoumeh","family":"Lotfi\u2010Tokaldany","sequence":"additional","affiliation":[{"name":"Tehran Heart Center Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arash","family":"Jalali","sequence":"additional","affiliation":[{"name":"Tehran Heart Center Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,7,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61171-9"},{"key":"e_1_2_7_3_1","first-page":"75","article-title":"Clinical and echocardiographic predictors of left atrial thrombus in rheumatic mitral stenosis","volume":"15","author":"Ali M","year":"2009","journal-title":"Ann King Edward Med Univ"},{"key":"e_1_2_7_4_1","first-page":"160","article-title":"Interrelationship between rhythm, left atrial size and thrombus formation in patients with mitral stenosis","volume":"45","author":"Shah I","year":"2012","journal-title":"Pak Heart J"},{"key":"e_1_2_7_5_1","first-page":"1469","volume-title":"Braunwalds Heart Disease; 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