Normal Systolic and Diastolic Functions of the Left Ventricle and Left Atrium by Cine Magnetic Resonance Imaging

Volume and phase characteristics of the left ventricle (LV) and left atrium (LA) were assessed in 31 healthy Asian adults (19 males and 12 females) using cine magnetic resonance imaging (MRI) and an automated boundary detection algorithm. Volume indexes of the LV and LA were smaller than published results obtained mostly from Westerners. Other than LV mass index and percent emptying of the LA, there was no gender difference in all LV/LA indexes. In associating LV/LA functions with the body size and heart rate (HR), we found that LV mass and the minimum LA volume correlated strongly with the body surface area, the maximum LA volume and the reservoir volume correlated strongly with the body weight, and the time to LV peak-filling rate (LVPFRt) and the time to LA peak-emptying rate (LAPERt) correlated strongly with the HR. In associating LV with LA functions, we found that LA conduit volume contributed more than 50% of the LV stroke volume, and correlated with both systolic and diastolic functions of the LV. Moreover, LVPFRt and LAPERt were virtually identical, indicating a mechanical coupling between LV and LA during diastole. In conclusion, using time-resolved, three-dimensional volume data obtained from cine MRI, we have established normative values of LV and LA functions and their functional relationships in healthy Asian adults. The imaging acquisition protocol, data analysis algorithms, and the established normative values provide the basis for the study of left heart function in patients.