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Open AccessArticle

Multicentric Atrial Strain COmparison between Two Different Modalities: MASCOT HIT Study

by
Matteo Cameli
1,*,
Marcelo Haertel Miglioranza
2,
Julien Magne
3,4,
Giulia Elena Mandoli
1,
Giovanni Benfari
5,
Roberta Ancona
6,
Gerolamo Sibilio
6,
Vlatka Reskovic Luksic
7,
Dosen Dejan
7,
Leonardo Griseli
2,
Caroline M. Van De Heyning
8,
Philippe Mortelmans
8,
Blazej Michalski
9,
Karolina Kupczynska
9,
Giovanna Di Giannuario
10,
Fiorella Devito
11,
Raluca Dulgheru
12,
Federica Ilardi
12,13,
Alessandro Salustri
14,
Galal Abushahba
14,
Doralisa Morrone
15,
Iacopo Fabiani
15,16,
Martin Penicka
17,
Asim Katbeh
17,
Giuseppe Sammarco
18,
Roberta Esposito
13,
Ciro Santoro
13,
Maria Concetta Pastore
1,
Salvatore Comenale Pinto
6,
Artem Kalinin
19,
Žanna Pičkure
19,
Katja Ažman Juvan
20,
Anja Zupan Mežnar
21,
Augustine Coisne
22,
Amandine Coppin
22,
Mihaela Maria Opris
23,
Dan Octavian Nistor
23,
Riitta Paakkanen
24,
Tor Biering-Sørensen
25,
Flemming Javier Olsen
25,
Tomas Lapinskas
26,
Jolanta Justina Vaškelyté
26,
Laura Galian-Gay
27,
Guillem Casas
27,
Andreea Iulia Motoc
28,
Constantinos Hristou Papadopoulos
29,
Savvas Loizos
29,
Gergely Ágoston
30,
Istvan Szabó
30,
Krasimira Hristova
31,
Svetlin Netkov Tsonev
31,
Elena Galli
32,
Dragos Vinereanu
33,
Sorina Mihaila Baldea
33,
Denisa Muraru
18,34,
Sergio Mondillo
1,
Erwan Donal
32,
Maurizio Galderisi
13,
Bernard Cosyns
28,
Thor Edvardsen
35,36 and
Bogdan A. Popescu
37
1
Department of Medical Biotechnologies, Division of Cardiology, University of Siena, 53100 Siena, Italy
2
Institute of Cardiology, University Foundation of Cardiology, Porto Alegre 90620-000, Brazil
3
CHU Limoges, Hôpital Dupuytren, Service Cardiologie, F-87042, 87042 Limoges, France
4
Cardiology Department, INSERM U1094, Faculté de médecine de Limoges, 2, rue Marcland, 87000 Limoges, France
5
Section of Cardiology, Department of Medicine, University of Verona, 37126 Verona, Italy
6
UOC Cardiologia/UTIC—“Santa Maria delle Grazie” Hospital Pozzuoli, 80078 Pozzuoli, Italy
7
Department of Cardiovascular Diseases, University Hospital Centre Zagreb, 10000 Zagreb, Croatia
8
Department of Cardiology, Antwerp University Hospital, 2650 Edegem, Belgium
9
Department of Cardiology, Medical University of Lodz, 91347 Lodz, Poland
10
UO Cardiologia, Ospedale Infermi di Rimini, 47923 Rimini, Italy
11
Ramazzini Hospital, 41012 Carpi, Italy
12
Cardiology Department—Heart Valve Clinic—University Hospital Liege, B-4000 Liege, Belgium
13
Department of Advanced Biomedical Sciences, Federico II, University Hospital, 80131 Naples, Italy
14
Non-Invasive Department, Heart Hospital—Hamad Medical Corporation, Doha 3050, Qatar
15
Cardiothoracic and Vascular Department, Pisa University, 56126 Pisa, Italy
16
Cardiologia e Medicina Cardiovascolare—Fondazione Toscana Gabriele Monasterio, 56124 Pisa, Italy
17
Cardiovascular Research Center Aalst, OLV Clinic, 9300 Aalst, Belgium
18
Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, 35122 Padua, Italy
19
Department “Gailezers”, Riga East Clinical University Hospital, LV-1038 Riga, Latvia
20
Department of Cardiovascular Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia
21
Cardiology Department, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia
22
Department of Clinical Physiology and Echocardiography—Heart Valve Clinic, Lille University Hospital, 59800 Lille, France
23
Institute for Emergency Cardiovascular Diseases and Transplant of Targu Mures, 540136 Targu Mures, Romania
24
Heart and Lung Center, Helsinki University Hospital and Helsinki University, 00100 Helsinki, Finland
25
Department of Cardiology, Herlev and Gentofte Hospital, University of Copenhagen, 2900 Copenhagen, Denmark
26
Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania
27
Department of Cardiology, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain
28
Centre for Cardiovascular Diseases, University Hospital of Brussels, B-1090 Brussels, Belgium
29
Korgialenio Benakio—Red Cross Hospital, 115 26 Athens, Greece
30
Department of Family Medicine, University of Szeged, H-6725 Szeged, Hungary
31
Department of Noninvasive Functional Diagnostic and Imaging, National Heart Hospital, 1309 Sofia, Bulgaria
32
Centre Hospitalier Universitaire de Rennes, Inserm, University of Rennes, LTSI—UMR 1099, F-35000 Rennes, France
33
Department of Cardiology, University of Medicine and Pharmacy Carol Davila—Emergency and University Hospital, 050474 Bucharest, Romania
34
Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Milan, Italy
35
Center for Cardiological Innovation, Department of Cardiology, Oslo University Hospital, Rikshospitalet, 0372 Oslo, Norway
36
Faculty of Medicine, University of Oslo, 0315 Oslo, Norway
37
Department of Cardiology, University of Medicine and Pharmacy “Carol Davila”—Euroecolab, Emergency Institute for Cardiovascular Diseases “Prof. Dr. C. C. Iliescu”, Sos. Fundeni 258, 022328 Bucharest, Romania
*
Author to whom correspondence should be addressed.
Diagnostics 2020, 10(11), 946; https://doi.org/10.3390/diagnostics10110946
Received: 12 October 2020 / Revised: 7 November 2020 / Accepted: 10 November 2020 / Published: 13 November 2020
(This article belongs to the Special Issue Trends and Novelties in Cardiovascular Imaging)
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Abstract

Two methods are currently available for left atrial (LA) strain measurement by speckle tracking echocardiography, with two different reference timings for starting the analysis: QRS (QRS-LASr) and P wave (P-LASr). The aim of MASCOT HIT study was to define which of the two was more reproducible, more feasible, and less time consuming. In 26 expert centers, LA strain was analyzed by two different echocardiographers (young vs senior) in a blinded fashion. The study population included: healthy subjects, patients with arterial hypertension or aortic stenosis (LA pressure overload, group 2) and patients with mitral regurgitation or heart failure (LA volume–pressure overload, group 3). Difference between the inter-correlation coefficient (ICC) by the two echocardiographers using the two techniques, feasibility and analysis time of both methods were analyzed. A total of 938 subjects were included: 309 controls, 333 patients in group 2, and 296 patients in group 3. The ICC was comparable between QRS-LASr (0.93) and P-LASr (0.90). The young echocardiographers calculated QRS-LASr in 90% of cases, the expert ones in 95%. The feasibility of P-LASr was 85% by young echocardiographers and 88% by senior ones. QRS-LASr young median time was 110 s (interquartile range, IR, 78-149) vs senior 110 s (IR 78-155); for P-LASr, 120 s (IR 80-165) and 120 s (IR 90-161), respectively. LA strain was feasible in the majority of patients with similar reproducibility for both methods. QRS complex guaranteed a slightly higher feasibility and a lower time wasting compared to the use of P wave as the reference. View Full-Text
Keywords: speckle tracking echocardiography; left atrial strain; reference point; multi-centric study; standardization speckle tracking echocardiography; left atrial strain; reference point; multi-centric study; standardization
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MDPI and ACS Style

Cameli, M.; Miglioranza, M.H.; Magne, J.; Mandoli, G.E.; Benfari, G.; Ancona, R.; Sibilio, G.; Reskovic Luksic, V.; Dejan, D.; Griseli, L.; Van De Heyning, C.M.; Mortelmans, P.; Michalski, B.; Kupczynska, K.; Di Giannuario, G.; Devito, F.; Dulgheru, R.; Ilardi, F.; Salustri, A.; Abushahba, G.; Morrone, D.; Fabiani, I.; Penicka, M.; Katbeh, A.; Sammarco, G.; Esposito, R.; Santoro, C.; Pastore, M.C.; Comenale Pinto, S.; Kalinin, A.; Pičkure, Ž.; Ažman Juvan, K.; Zupan Mežnar, A.; Coisne, A.; Coppin, A.; Opris, M.M.; Nistor, D.O.; Paakkanen, R.; Biering-Sørensen, T.; Olsen, F.J.; Lapinskas, T.; Vaškelyté, J.J.; Galian-Gay, L.; Casas, G.; Motoc, A.I.; Papadopoulos, C.H.; Loizos, S.; Ágoston, G.; Szabó, I.; Hristova, K.; Tsonev, S.N.; Galli, E.; Vinereanu, D.; Mihaila Baldea, S.; Muraru, D.; Mondillo, S.; Donal, E.; Galderisi, M.; Cosyns, B.; Edvardsen, T.; Popescu, B.A. Multicentric Atrial Strain COmparison between Two Different Modalities: MASCOT HIT Study. Diagnostics 2020, 10, 946. https://doi.org/10.3390/diagnostics10110946

AMA Style

Cameli M, Miglioranza MH, Magne J, Mandoli GE, Benfari G, Ancona R, Sibilio G, Reskovic Luksic V, Dejan D, Griseli L, Van De Heyning CM, Mortelmans P, Michalski B, Kupczynska K, Di Giannuario G, Devito F, Dulgheru R, Ilardi F, Salustri A, Abushahba G, Morrone D, Fabiani I, Penicka M, Katbeh A, Sammarco G, Esposito R, Santoro C, Pastore MC, Comenale Pinto S, Kalinin A, Pičkure Ž, Ažman Juvan K, Zupan Mežnar A, Coisne A, Coppin A, Opris MM, Nistor DO, Paakkanen R, Biering-Sørensen T, Olsen FJ, Lapinskas T, Vaškelyté JJ, Galian-Gay L, Casas G, Motoc AI, Papadopoulos CH, Loizos S, Ágoston G, Szabó I, Hristova K, Tsonev SN, Galli E, Vinereanu D, Mihaila Baldea S, Muraru D, Mondillo S, Donal E, Galderisi M, Cosyns B, Edvardsen T, Popescu BA. Multicentric Atrial Strain COmparison between Two Different Modalities: MASCOT HIT Study. Diagnostics. 2020; 10(11):946. https://doi.org/10.3390/diagnostics10110946

Chicago/Turabian Style

Cameli, Matteo; Miglioranza, Marcelo H.; Magne, Julien; Mandoli, Giulia E.; Benfari, Giovanni; Ancona, Roberta; Sibilio, Gerolamo; Reskovic Luksic, Vlatka; Dejan, Dosen; Griseli, Leonardo; Van De Heyning, Caroline M.; Mortelmans, Philippe; Michalski, Blazej; Kupczynska, Karolina; Di Giannuario, Giovanna; Devito, Fiorella; Dulgheru, Raluca; Ilardi, Federica; Salustri, Alessandro; Abushahba, Galal; Morrone, Doralisa; Fabiani, Iacopo; Penicka, Martin; Katbeh, Asim; Sammarco, Giuseppe; Esposito, Roberta; Santoro, Ciro; Pastore, Maria C.; Comenale Pinto, Salvatore; Kalinin, Artem; Pičkure, Žanna; Ažman Juvan, Katja; Zupan Mežnar, Anja; Coisne, Augustine; Coppin, Amandine; Opris, Mihaela M.; Nistor, Dan O.; Paakkanen, Riitta; Biering-Sørensen, Tor; Olsen, Flemming J.; Lapinskas, Tomas; Vaškelyté, Jolanta J.; Galian-Gay, Laura; Casas, Guillem; Motoc, Andreea I.; Papadopoulos, Constantinos H.; Loizos, Savvas; Ágoston, Gergely; Szabó, Istvan; Hristova, Krasimira; Tsonev, Svetlin N.; Galli, Elena; Vinereanu, Dragos; Mihaila Baldea, Sorina; Muraru, Denisa; Mondillo, Sergio; Donal, Erwan; Galderisi, Maurizio; Cosyns, Bernard; Edvardsen, Thor; Popescu, Bogdan A. 2020. "Multicentric Atrial Strain COmparison between Two Different Modalities: MASCOT HIT Study" Diagnostics 10, no. 11: 946. https://doi.org/10.3390/diagnostics10110946

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