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Open AccessArticle

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

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Department of Medical Biotechnologies, Division of Cardiology, University of Siena, 53100 Siena, Italy
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Institute of Cardiology, University Foundation of Cardiology, Porto Alegre 90620-000, Brazil
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CHU Limoges, Hôpital Dupuytren, Service Cardiologie, F-87042, 87042 Limoges, France
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Cardiology Department, INSERM U1094, Faculté de médecine de Limoges, 2, rue Marcland, 87000 Limoges, France
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Section of Cardiology, Department of Medicine, University of Verona, 37126 Verona, Italy
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UOC Cardiologia/UTIC—“Santa Maria delle Grazie” Hospital Pozzuoli, 80078 Pozzuoli, Italy
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Department of Cardiovascular Diseases, University Hospital Centre Zagreb, 10000 Zagreb, Croatia
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Department of Cardiology, Antwerp University Hospital, 2650 Edegem, Belgium
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Department of Cardiology, Medical University of Lodz, 91347 Lodz, Poland
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UO Cardiologia, Ospedale Infermi di Rimini, 47923 Rimini, Italy
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Ramazzini Hospital, 41012 Carpi, Italy
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Cardiology Department—Heart Valve Clinic—University Hospital Liege, B-4000 Liege, Belgium
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Department of Advanced Biomedical Sciences, Federico II, University Hospital, 80131 Naples, Italy
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Non-Invasive Department, Heart Hospital—Hamad Medical Corporation, Doha 3050, Qatar
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Cardiothoracic and Vascular Department, Pisa University, 56126 Pisa, Italy
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Cardiologia e Medicina Cardiovascolare—Fondazione Toscana Gabriele Monasterio, 56124 Pisa, Italy
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Cardiovascular Research Center Aalst, OLV Clinic, 9300 Aalst, Belgium
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Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, 35122 Padua, Italy
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Department “Gailezers”, Riga East Clinical University Hospital, LV-1038 Riga, Latvia
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Department of Cardiovascular Surgery, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia
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Cardiology Department, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia
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Department of Clinical Physiology and Echocardiography—Heart Valve Clinic, Lille University Hospital, 59800 Lille, France
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Institute for Emergency Cardiovascular Diseases and Transplant of Targu Mures, 540136 Targu Mures, Romania
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Heart and Lung Center, Helsinki University Hospital and Helsinki University, 00100 Helsinki, Finland
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Department of Cardiology, Herlev and Gentofte Hospital, University of Copenhagen, 2900 Copenhagen, Denmark
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Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania
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Department of Cardiology, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain
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Centre for Cardiovascular Diseases, University Hospital of Brussels, B-1090 Brussels, Belgium
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Korgialenio Benakio—Red Cross Hospital, 115 26 Athens, Greece
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Department of Family Medicine, University of Szeged, H-6725 Szeged, Hungary
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Department of Noninvasive Functional Diagnostic and Imaging, National Heart Hospital, 1309 Sofia, Bulgaria
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Centre Hospitalier Universitaire de Rennes, Inserm, University of Rennes, LTSI—UMR 1099, F-35000 Rennes, France
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Department of Cardiology, University of Medicine and Pharmacy Carol Davila—Emergency and University Hospital, 050474 Bucharest, Romania
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Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Milan, Italy
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Center for Cardiological Innovation, Department of Cardiology, Oslo University Hospital, Rikshospitalet, 0372 Oslo, Norway
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Faculty of Medicine, University of Oslo, 0315 Oslo, Norway
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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)
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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