Evidence map›Paper›PMID 41016927›Full record

ArticleEcho research and practice2025

Left ventricular myocardial strain in neonates is influenced by the definition of the basal region of interest.

Tom Roar Omdal, Umael Khan, Britt Engan, Lars Sandve Oppedal, Jörg Kessler, Cathrine Ebbing, Knut Matre, Elisabeth Leirgul, Gottfried Greve

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Article in Echo research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Tom Roar OmdalDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway. tomroar.omdal@helse-bergen.no.ORCID http://orcid.org/0000-0002-3378-0336
Umael KhanDepartment of Internal Medicine, Haukeland University Hospital, Bergen, Norway.
Britt EnganDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway.
Lars Sandve OppedalDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway.
Jörg KesslerDepartment of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway.
Cathrine EbbingDepartment of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway.
Knut MatreDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Elisabeth LeirgulDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway.
Gottfried GreveDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrevious studies have examined the effects of various acquisition- and post-processing parameters such as frame rate/heart rate ratio, probe frequency, smoothing, drift compensation, and region of interest width on strain in the perinatal age group. The aim of this study was to examine how measurement of left ventricular strain is influenced by different definitions of the basal region of interest.

methodsTransthoracic echocardiography was performed on 41 healthy neonates within ten days after birth. Left ventricle longitudinal strain was assessed in four-, three-, and two-chamber views, with global longitudinal strain calculated as a mean of these. Segmental and layer-specific strains were measured in the four-chamber view. During image processing, the basal region of interest was placed at four different levels in early diastole, ranging from the mitral valve annulus (level 1) to the leaflet tips (level 4).

resultsDisplacement of the basal region of interest from level 1 to level 4 resulted in a significant change in longitudinal strain values between : from − 19.0% to -20.6% for global longitudinal strain, and from − 18.5% to -20.7%, -19.4% to -20.1%, and − 19.2% to -21.0% for four-chamber, three-chamber and two-chamber strain, respectively (p < 0.001 for all measures). Similar changes were observed for segmental and layer-specific longitudinal strain analyses.

conclusionThe placement of the basal region of interest significantly impacted left ventricular strain measurements in neonates. These findings highlight the importance of precise and consistent region of interest positioning to ensure reproducible myocardial function assessments.

Indexed as

EchocardiographyNeonateRegion of interestSpeckle trackingStrain

Identifiers

PMID41016927
PMCPMC12477783

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