Progress of two-dimensional speckle tracking echocardiography in evaluating left atrial function in minors

WU Chun-lan; JI Xiao-juan

doi:10.11659/jjssx.02E025034

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Progress of two-dimensional speckle tracking echocardiography in evaluating left atrial function in minors

Review | 更新时间：2025-11-25

- Progress of two-dimensional speckle tracking echocardiography in evaluating left atrial function in minors
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 11, Pages: 1008-1010(2025)
- 作者机构：
  
  1.重庆医科大学附属儿童医院超声医学科/国家儿童健康与疾病临床医学研究中心/儿童发育疾病研究教育部重点实验室/结构性出生缺陷与器官修复重建重庆市重点实验室，重庆 400014
  2.重庆市急救医疗中心超声科，重庆 400014
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.02E025034
  CLC： R540.4+5
- Received：08 February 2025，
  
  Published：25 November 2025
- 稿件说明：
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伍春兰,计晓娟.超声二维斑点追踪技术评估未成年人左心房功能的进展[J].局解手术学杂志,2025,34(11):1008-1010.

WU Chun-lan,JI Xiao-juan.Progress of two-dimensional speckle tracking echocardiography in evaluating left atrial function in minors[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(11):1008-1010.
伍春兰,计晓娟.超声二维斑点追踪技术评估未成年人左心房功能的进展[J].局解手术学杂志,2025,34(11):1008-1010. DOI： 10.11659/jjssx.02E025034.

WU Chun-lan,JI Xiao-juan.Progress of two-dimensional speckle tracking echocardiography in evaluating left atrial function in minors[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(11):1008-1010. DOI： 10.11659/jjssx.02E025034.

摘要

随着超声心动图技术的发展，左心房功能评估在未成年人心血管风险预测中的重要性日益突出。传统二维及多普勒超声虽可评估左心房容积和舒张功能，但其准确性有限。近年来，新兴超声二维斑点追踪技术（2D-STE）使左心房功能三相（储存、管道、泵）评估成为可能，且其敏感性更高，适用于心肌病、肥胖、化疗等高风险未成年人群。本文综述2D-STE在未成年人左心房功能评估中的进展，探讨其在临床早期诊断与预后判断中的潜力与挑战，以期为临床提供参考。

Abstract

With the development of echocardiographic technology，the evaluation of left atrial function has become increasingly crucial in predicting cardiovascular risks in minors. The conventional two-dimensional and Doppler ultrasound can assess the left atrial volume and diastolic function， while have limited accuracies. In recent years， the emerging ultrasound two-dimensional speckle tracking echocardiography（2D-STE） has made it possible to evaluate the three phases of left atrial function （reservoir， conduit， booster pump）， which is more sensitive and suitable for high-risk minors with cardiomyopathy， obesity， or undergoing chemotherapy. This article reviews the progress of 2D-STE in evaluating left atrial function in minors， and discusses its potential and challenges in early clinical diagnosis and prognosis assessment， with the aim of providing a reference for clinical practice.

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Thomas L ， Marwick TH ， Popescu BA ， et al . Left atrial structure and function，and left ventricular diastolic dysfunction：JACC state-of-the-art review ［J］. J Am Coll Cardiol ， 2019 ， 73 （ 15 ）： 1961 - 1977 . doi： 10.1016/j.jacc.2019.01.059 http://dx.doi.org/10.1016/j.jacc.2019.01.059 .

Andersen DM ， Sengeløv M ， Olsen FJ ， et al . Measures of left atrial function predict incident heart failure in a low‐risk general population： the Copenhagen City Heart Study ［J］. Eur J Heart Fail ， 2022 ， 24 （ 3 ）： 483 - 493 . doi： 10.1002/ejhf.2406 http://dx.doi.org/10.1002/ejhf.2406 .

李小庆，胡建波，唐红，等 . 双极射频消融术对心房颤动患者左心房结构和功能的影响［J］. 局解手术学杂志， 2016 ， 25 （ 2 ）： 108 - 112 . doi： 10.11659/jjssx.08E015129 http://dx.doi.org/10.11659/jjssx.08E015129 .

Begic Z ， Djukic M ， Begic E ， et al . Left atrial strain analysis in the realm of pediatric cardiology： advantages and implications ［J］. Technol Health Care ， 2024 ， 32 （ 3 ）： 1255 - 1272 . doi： 10.3233/THC-231087 http://dx.doi.org/10.3233/THC-231087 .

陈博 . 二维斑点追踪成像技术对冠状动脉不同程度狭窄的价值［J］. 影像技术， 2024 ， 36 （ 4 ）： 30 - 34 . doi： 10.3969/j.issn.1001-0270. 2024.04.06 http://dx.doi.org/10.3969/j.issn.1001-0270.2024.04.06 .

Madueme PC ， Mazur W ， Hor KN ， et al . Comparison of area-length method by echocardiography versus full-volume quantification by cardiac magnetic resonance imaging for the assessment of left atrial volumes in children， adolescents， and young adults ［J］. Pediatr Cardiol ， 2013 ， 35 （ 4 ）： 645 - 651 . doi： 10.1007/s00246-013-0833-y http://dx.doi.org/10.1007/s00246-013-0833-y .

Cantinotti M ， Marchese P ， Scalese M ， et al . Normal values and patterns of normality and physiological variability of mitral and tricuspid inflow pulsed Doppler in healthy children ［J］. Healthcare ， 2022 ， 10 （ 2 ）： 355 . doi： 10.3390/healthcare10020355 http://dx.doi.org/10.3390/healthcare10020355 .

Eidem BW ， McMahon CJ ， Cohen RR ， et al . Impact of cardiac growth on Doppler tissue imaging velocities： a study in healthy children ［J］. J Am Soc Echocardiogr ， 2004 ， 17 （ 3 ）： 212 - 221 . doi： 10.1016/j.echo.2003.12.005 http://dx.doi.org/10.1016/j.echo.2003.12.005 .

Kutty S ， Padiyath A ， Li L ， et al . Functional maturation of left and right atrial systolic and diastolic performance in infants，children，and adolescents ［J］. J Am Soc Echocardiogr ， 2013 ， 26 （ 4 ）： 398 - 409 . doi： 10.1016/j.echo.2012.12.016 http://dx.doi.org/10.1016/j.echo.2012.12.016 .

Donal E ， Galli E ， Schnell F . Left atrial strain： a must or a plus for routine clinical practice？［J］. Circ Cardiovasc Imaging ， 2017 ， 10 （ 10 ）： e007023 . doi： 10.1161/CIRCIMAGING.117.007023 http://dx.doi.org/10.1161/CIRCIMAGING.117.007023 .

Pilichowska-Paszkiet E ， Baran J ， Sygitowicz G ， et al . Noninvasive assessment of left atrial fibrosis. Correlation between echocardiography，biomarkers，and electroanatomical mapping ［J］. Echocardiography ， 2018 ， 35 （ 9 ）： 1326 - 1334 . doi： 10.1111/echo.14043 http://dx.doi.org/10.1111/echo.14043 .

Hope KD ， Wang Y ， Banerjee MM ， et al . Left atrial mechanics in children： insights from new applications of strain imaging ［J］. Int J Cardiovasc Imaging ， 2019 ， 35 （ 1 ）： 57 - 65 . doi： 10.1007/s10554-018-1429-7 http://dx.doi.org/10.1007/s10554-018-1429-7 .

Davarpasand T ， Jalali A ， Mohseni-Badalabadi R ， et al . Normal ranges of left atrial phasic strains and strain rates by 2D speckle-tracking echocardiography in pediatrics： a systematic review and meta-analysis ［J］. Sci Rep ， 2024 ， 14 （ 1 ）： 25888 . doi： 10.1038/s41598-024-76411-z http://dx.doi.org/10.1038/s41598-024-76411-z .

Binka E ， Urbina EM ， Manlhiot C ， et al . Association of childhood blood pressure with left atrial size and function：study of high blood pressure in pediatrics-adult hypertension in youth（SHIP AHOY）［J］. J Pediatr ， 2023 ， 255 ： 190 - 197.e1 . doi： 10.1016/j.jpeds.2022.11.031 http://dx.doi.org/10.1016/j.jpeds.2022.11.031 .

Kaplinski M ， Griffis H ， Wang Y ， et al . Left atrial size and strain in hypertensive children compared to age-，sex-，and race/ethnicity-matched controls ［J］. Pediatr Cardiol ， 2024 . doi： 10.1007/s00246-024-03719-y http://dx.doi.org/10.1007/s00246-024-03719-y .

中华医学会儿科学分会内分泌遗传代谢学组，中华医学会儿科学分会儿童保健学组，中华医学会儿科学分会临床营养学组，等 . 中国儿童肥胖诊断评估与管理专家共识［J］. 中华儿科杂志， 2022 ， 60 （ 6 ）： 507 - 515 . doi： 10.3760/cma.j.cn112140-20220112-00043 http://dx.doi.org/10.3760/cma.j.cn112140-20220112-00043 .

Steele JM ， Urbina EM ， Mazur WM ， et al . Left atrial strain and diastolic function abnormalities in obese and type 2 diabetic adolescents and young adults ［J］. Cardiovasc Diabetol ， 2020 ， 19 （ 1 ）： 163 . doi： 10.1186/s12933-020-01139-9 http://dx.doi.org/10.1186/s12933-020-01139-9 .

Paysal J ， Merlin E ， Rochette E ， et al . Left atrial remodeling in adolescents with obesity evaluated by speckle-tracking echocardiography ［J］. Int J Obes （Lond）， 2024 ， 48 （ 1 ）： 111 - 117 . doi： 10.1038/s41366-023-01397-z http://dx.doi.org/10.1038/s41366-023-01397-z .

Dragulescu A ， Mertens L ， Friedberg MK . Interpretation of left ventricular diastolic dysfunction in children with cardiomyopathy by echocardiography ［J］. Circ Cardiovasc Imaging ， 2013 ， 6 （ 2 ）： 254 - 261 . doi： 10.1161/CIRCIMAGING.112.000175 http://dx.doi.org/10.1161/CIRCIMAGING.112.000175 .

Sabatino J ， Di Salvo G ， Prota C ， et al . Left atrial strain to identify diastolic dysfunction in children with cardiomyopathies ［J］. J Clin Med ， 2019 ， 8 （ 8 ）： 1243 . doi： 10.3390/jcm8081243 http://dx.doi.org/10.3390/jcm8081243 .

Łuczak-Woźniak K ， Niszczota C ， Obsznajczyk K ， et al . Abnormal left atrial strain and left atrial stiffness index are associated with adverse outcomes in children with cardiomyopathies：a pilot study ［J］. Sci Rep ， 2024 ， 14 （ 1 ）： 21059 . doi： 10.1038/s41598-024-72175-8 http://dx.doi.org/10.1038/s41598-024-72175-8 .

Loar RW ， Colquitt JL ， Rainusso NC ， et al . Assessing the left atrium of childhood cancer survivors ［J］. Int J Cardiovasc Imaging ， 2021 ， 37 （ 1 ）： 155 - 162 . doi： 10.1007/s10554-020-01970-x http://dx.doi.org/10.1007/s10554-020-01970-x .

Shakti D ， Friedman KG ， Harrild DM ， et al . Left atrial size and function in patients with congenital aortic valve stenosis ［J］. Am J Cardiol ， 2018 ， 122 （ 9 ）： 1541 - 1545 . doi： 10.1016/j.amjcard.2018.07.027 http://dx.doi.org/10.1016/j.amjcard.2018.07.027 .

Tan ESJ ， Jin XY ， Oon YY ， et al . Prognostic value of left atrial strain in aortic stenosis： a competing risk analysis ［J］. J Am Soc Echocardiogr ， 2023 ， 36 （ 1 ）： 29 - 37.e5 . doi： 10.1016/j.echo.2022.10.011 http://dx.doi.org/10.1016/j.echo.2022.10.011 .

Suzuki K ， Kato T ， Koyama S ， et al . Influence of percutaneous occlusion of atrial septal defect on left atrial function evaluated using 2D speckle tracking echocardiography ［J］. Int Heart J ， 2020 ， 61 （ 1 ）： 83 - 88 . doi： 10.1536/ihj.19-173 http://dx.doi.org/10.1536/ihj.19-173 .

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Related Institution

Department of Ultrasound，Children's Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/National Clinical Research Center for Child Health and Disorders/National International Science and Technology Cooperation Base for Child Development and Disorders/Chongqing Key Laboratory of Child Infective Immunity

Department of Cardiovascular Medicine，Southwest Hospital，Third Military Medical University

Department of Pediatric,Sichuan People′ s Hospital,Sichuan Academy of Medical Sciences

Department of Pediatric,Affiliated Hospital of Southwest Medical University

Department of Pediatric,Chengdu Women and Children′s Central Hospital

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