The International Journal of Cardiovascular Imaging

, Volume 29, Issue 8, pp 1725–1732 | Cite as

Evaluation of biatrial size and functions by different echocardiographic parameters in patients with acute coronary syndromes

  • Mesut Pinar
  • Okan Gulel
  • Zafer Kucuksu
  • Murat Meric
  • Mahmut Sahin
  • Ozcan Yilmaz
Original Paper


After acute coronary syndromes (ACS), cardiac remodelling affecting not only ventricles but also both atria is an important problem associated with an increased risk for adverse cardiovascular outcomes. However, it is usually underestimated to evaluate atrial size and functions. The aim of the present study is to compare left and right atrial size and functions in ACS patients with healthy controls during transthoracic echocardiography by means of diameter, area and volume measurements, and pulsed-wave tissue Doppler imaging (TDI). 150 ACS patients (128 male, 22 female) and 25 healthy controls (19 male, 6 female) were enrolled into the study. Of the ACS patients, 75 had ST-segment elevation myocardial infarction (STEMI) and 75 had non-STEMI. Biatrial diameters, areas, and volumes were measured from different echocardiographic views. Atrial total emptying fraction and expansion index values were calculated from volume measurements. By the pulsed-wave TDI of the atrial walls; peak systolic (S′), peak early diastolic (E′), and peak late diastolic (A′) velocities were measured. Almost all left atrial parameters for diameter, area, and volume measurements were higher in ACS patients. Similarly, they had higher values for the same right atrial parameters. Left and right atrial total emptying fraction and expansion index values were lower in ACS patients than controls. All left and right atrial walls had lower S′ and E′ velocities in ACS patients. ACS cause important alterations in the biatrial size and functions evaluated by echocardiographic diameter, area and volume measurements, and pulsed-wave TDI.


Acute coronary syndromes Atrium Echocardiography Diameter Area Volume Tissue Doppler imaging 



The authors are indebted to Professor Yuksel Bek, M.D., Department of Biostatistics, Ondokuz Mayis University, for statistical support. This study was funded by the Ondokuz Mayis University, Samsun, Turkey (project number: PYO.TIP.1904.09.006).

Conflict of interest

On the behalf of all authors, the corresponding author states that there is no conflict of interest.


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Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Mesut Pinar
    • 1
  • Okan Gulel
    • 2
  • Zafer Kucuksu
    • 3
  • Murat Meric
    • 2
  • Mahmut Sahin
    • 2
  • Ozcan Yilmaz
    • 2
  1. 1.Cardiology Department, Evliya Celebi HospitalDumlupinar UniversityKutahyaTurkey
  2. 2.Cardiology Department, Faculty of MedicineOndokuz Mayis UniversitySamsunTurkey
  3. 3.Cardiology Department, Mengucek Gazi HospitalErzincan UniversityErzincanTurkey

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