Aim: To analyze the potential usefulness and clinical relevance of the assessment by echocardiography with left atrial strain, based on the myocardial atrial deformation curves with speckle-tracking velocity vector imaging (VVI), in the analysis of short-form recurrent atrial extrasystoles in ambulatory patients not suffering from organic cardiopathy. 

 

Results: The analysis of the dynamic curves segmental deformation generated after an atrial extrasystole can reveal different points of origin of the extrasystole and detect specific anatomical alterations in the interatrial conduction at the level of the Bachmann’s fascicle showing different models of electro anatomical activation possibly involved in the appearance of repetitive forms Conclusions: Our ambulatory study employing the left atrial longitudinal strain, particularly in its segmental analysis, provides new insights into its the usefulness and potential clinical relevance.

Jose Miguel Soler Picart completed his cardiology studies at the Ramón y Cajal Hospital in Madrid in 1990 and has since provided care in his native Andorra for 35 years. He has also implanted 400 pacemakers under initially difficult conditions and published five independent indexed publications with little institutional support. He was awarded the Forttuna Award for Cardiologist of the Year in 2024.