Evaluation of right atrial function by two-dimensional speckle-tracking echocardiography in patients with right ventricular myocardial infarction

  • Saeed Nourian
  • Ali HosseinsabetEmail author
  • Arash Jalali
  • Reza Mohseni-Badalabadi
Original Paper


Right ventricular myocardial infarction (RVMI) damages the systolic and diastolic functions of the RV, so the right atrium interacts with the RV with an acutely altered function. The aim of our study was to compare right atrial function as evaluated by 2D speckle-tracking echocardiography (2DSTE) between patients with inferior wall myocardial infarction (INFMI) and patients affected by both inferior myocardial infarction and right ventricular myocardial infarction (INFMI + RVMI). Our study recruited 70 consecutive patients with INFMI (43 patients without RVMI and 27 patients with RVMI). Right atrial function was evaluated by 2DSTE. Early diastolic strain, systolic strain rate, absolute value of early diastolic strain rate, expansion index, and diastolic emptying index of the right atrium were reduced in the patients with INFMI + RVMI compared to the patients with INFMI. The area under the curve for early diastolic strain for INFMI diagnosis was 0.682 (p value = 0.011, 95 % CI 0.550–0.815). Right atrial early diastolic longitudinal strain <27.5 % had 59.3 % sensitivity and 79.1 % specificity for the discrimination of INFMI + RVMI from INFMI. Our results demonstrated that right atrial reservoir and conduit functions were impaired in the patients with INFMI + RVMI compared with the patients with INFMI.


Myocardial infarction Right atrium Right ventricle 2D speckle-tracking echocardiography 


Compliance with ethical standards

Conflict of interest


Informed consent

Informed consent was obtained from all patients participated in the study.

Research involving human rights

All procedures performed in this study involving human patients were in accordance with the ethical standards of our university and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer Science+Business Media Dordrecht 2016

Authors and Affiliations

  • Saeed Nourian
    • 1
  • Ali Hosseinsabet
    • 1
    Email author
  • Arash Jalali
    • 1
  • Reza Mohseni-Badalabadi
    • 1
  1. 1.Tehran Heart CenterTehran University of Medical SciencesTehranIran

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