PMID- 22660522 OWN - NLM STAT- MEDLINE DCOM- 20130703 LR - 20211021 IS - 1432-1971 (Electronic) IS - 0172-0643 (Linking) VI - 34 IP - 1 DP - 2013 Jan TI - Left atrial volume change throughout the cardiac cycle in children with congenital heart disease associated with increased pulmonary blood flow: evaluation using a novel left atrium-tracking method. PG - 105-11 LID - 10.1007/s00246-012-0395-4 [doi] AB - There is a paucity of data regarding the significance of left atrial (LA) volume and its changes throughout the cardiac cycle in pediatric patients with heart disease. The recently developed LA volume-tracking (LAVT) method can automatically construct the LA volume curve. The study group consisted of 48 pediatric patients with ventricular septal defect (n = 34) or patent ductus arteriosus (n = 14) and age-matched healthy controls. Maximum and minimum LA volumes (LAVmax and LAVmin, respectively) were measured. The total LA emptying volume (LAVtotal) was defined as LAVmax--LAVmin. Volume parameters were standardized by dividing by body surface area (BSA). The total LA emptying fraction (%LAVtotal) was defined as the ratio of LAVtotal to LAVmax. In the patient group, there was a positive correlation between the ratio of pulmonary to systemic blood flow (Qp/Qs) and LAVmax/BSA, LAVmin/BSA, and LAVtotal/BSA (r = 0.42, 0.44, and 0.34, respectively). LAVmin/BSA was positively correlated with the ratio of early mitral inflow velocity to early mitral annular diastolic tissue Doppler velocity (E/E') (r = 0.32). The %LAVtotal had a negative correlation with left-ventricular (LV) end-diastolic pressure (r = -0.32). There were significant correlations between serum B-type natriuretic peptide level and LAVmax/BSA, LAVmin/BSA, and %LAVtotal (r = 0.38, 0.49, and -0.35, respectively). The LAVT method is useful in the evaluation of LV diastolic function in pediatric patients with chronic LV volume overload. FAU - Sakata, Miho AU - Sakata M AD - Department of Pediatrics, School of Medicine, University of Tokushima, Tokushima 770-8503, Japan. mhsakata@clin.med.tokushima-u.ac.jp FAU - Hayabuchi, Yasunobu AU - Hayabuchi Y FAU - Inoue, Miki AU - Inoue M FAU - Onishi, Tatsuya AU - Onishi T FAU - Kagami, Shoji AU - Kagami S LA - eng PT - Journal Article DEP - 20120604 PL - United States TA - Pediatr Cardiol JT - Pediatric cardiology JID - 8003849 SB - IM MH - Atrial Function, Left/*physiology MH - Cardiac Catheterization MH - Child MH - Child, Preschool MH - Echocardiography, Doppler MH - Female MH - Heart Atria/diagnostic imaging/*physiopathology MH - Heart Defects, Congenital/diagnostic imaging/*physiopathology MH - Humans MH - Male MH - Observer Variation MH - Pulmonary Circulation/*physiology EDAT- 2012/06/05 06:00 MHDA- 2013/07/05 06:00 CRDT- 2012/06/05 06:00 PHST- 2011/12/28 00:00 [received] PHST- 2012/05/11 00:00 [accepted] PHST- 2012/06/05 06:00 [entrez] PHST- 2012/06/05 06:00 [pubmed] PHST- 2013/07/05 06:00 [medline] AID - 10.1007/s00246-012-0395-4 [doi] PST - ppublish SO - Pediatr Cardiol. 2013 Jan;34(1):105-11. doi: 10.1007/s00246-012-0395-4. Epub 2012 Jun 4.