FEV1 is independently related with impaired left atrial strain in chronic obstructive pulmonary disease patients: A speckle tracking study. (8th September 2021)

• Record Type: Journal Article
• Authors: Kalaycıoğlu, Ezgi; Çetin, Mustafa; Kırış, Tuncay; Özyıldız, Ali Gökhan; Turan, Turhan; Yılmaz, Ahmet Seyda
• Is Part Of: Clinical respiratory journal. Volume 15:Number 12(2021)
• Page Start: 1359
• Page End: 1367
• Publication Date: 2021-09-08
• Subjects: chronic obstructive pulmonary disease -- forced expiratory volume -- left atrial mechanical function -- two‐dimensional speckle tracking echocardiography; Respiratory organs -- Diseases -- Periodicals; Respiratory organs -- Periodicals; 616.24
• DOI: 10.1111/crj.13442
• Languages: English
• ISSNs: 1752-6981

Abstract

Abstract: Background: Atrial fibrillation (AF) is common in chronic obstructive pulmonary disease (COPD) patients. It is known that impaired forced expiratory volume in 1 s (FEV1) is one of the risk factors of cardiovascular disease. Two‐dimensional speckle tracking echocardiography (2D‐STE) can detect deterioration of left atrial mechanical functions in the subclinical stage. We hypothesized that reduced lung functions, measured by FEV1 in COPD patients, may be associated with impaired left atrial (LA) mechanical functions. Objectives: Present study included 127 consecutive COPD patients. We divided study population into two groups: patients with normal LA strain ( n = 20) or with impaired LA strain ( n = 107). Results: In univariate logistic regression analysis, age ( p : 0.001), FEV1% ( p < 0.001), FEV1 ( p < 0.001), FEV1/forced vital capacity (FVC) ( p : 0.014), white blood cell ( p : 0.012), LA Max vol ( p : 0.026), C‐reactive protein ( p :0.001), arterial oxygen pressure (PaO2 ) ( p : 0.019), arterial oxygen saturation (SO2 ) ( p : 0.021), left ventricle ejection fraction (LVEF) ( p : 0.042), and mitral A‐wave velocity ( p : 0.017) were associated with impaired LA‐strain. In multivariate logistic regression analysis, age ( p : 0.043), FEV1 ( p < 0.001), LA Max vol ( p : 0.004), and LVEF ( p : 0.004) were independently associated with impaired LA strain. Conclusion: FEV1 is associated with impaired left atrial strain independently of arterial blood gas and left ventricular diastolic dysfunction parameters in COPD patients with preserved left ventricular systolic function.