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Characteristics of left atrial strain in patients with cardiovascular risk factors
Characteristics of left atrial strain in patients with cardiovascular risk factors
M.Esther Castro-Salazar 1 
, Víctor M. Vargas-Vargas 2 , Roberto Ramírez-Serrano 1 , André R. Gómez-García 1 , Ernesto Hernández-Jiménez 1 , Álvaro J. Montiel-Jarquín 3 , Nancy R. Bertado-Ramírez 4 , Angélica Porras-Juárez 5 , Jorge Loría-Castellanos 6
1 Dirección de Educación e Investigación enSalud, Hospital de Especialidades de Puebla, Instituto Mexicano del Seguro Social, Puebla, Puebla, México; 2 Care Division, Secretaría de Salud del Estado de Puebla, Puebla, Mexico; 3 Dirección de Educación e Investigación en Salud, Unidad Médica de Alta Especialidad Hospital de Especialidades de Puebla, Centro Médico Nacional Gral. de Div. Manuel Ávila Camacho, Instituto Mexicano del Seguro Social, Puebla de Zaragoza, México; 4 Health Education and Research Direction, Hospital de Especialidades de Puebla, Instituto Mexicano del Seguro Social (IMSS), Puebla, Pue., México; 5 Instituto de Ciencias, Benemérita Universidad Autónoma de Puebla, Puebla de Zaragoza, Puebla, México; 6 Red Nacional de Educadores en Simulación Clínica, Ciudad de México, México
*Correspondence: Álvaro J. Montiel-Jarquín. Email: dralmoja@hotmail.com
Abstract
Background: Assessment of left atrial strain has been postulated as an indirect marker for cardiovascular risk stratification in the early stages of disease, facilitating early intervention, treatment and follow-up. Objective: To correlate left atrial strain in patients with cardiovascular risk factors. Material and methods: Descriptive cross-sectional study. Transthoracic echocardiography was performed to determine left atrial reservoir, pump and contraction curves and to correlate them with cardiovascular risk factors. Shapiro-Wilk and χ2 tests were used. Results: 100 patients were included. Patients with arterial hypertension had a mean reservoir strain of 22.63 (± 11.06), patients with type II diabetes had a mean pump strain of 10.01 (± 4.6) and patients with atrial arrhythmias had a mean conduit strain of 7.64 (± 4.60). Atrial arrhythmias for reservoir strain (p = 0.033), arterial hypertension for pump strain (p = 0.019) and hypertriglyceridemia (p = 0.047) are factors associated with reduced phasic deformation. Conclusions: The reduction in atrial strain represents a complex clinical scenario and reflects a high risk for the development of cardiovascular events.
Keywords: Echocardiogram. Atrial strain. Cardiovascular risk factors.
