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Research article2024Peer reviewedOpen access

Veterinary echocardiographers' preferences for left atrial size assessment in dogs: the BENEFIT project

Kuo, M. Y-W.; Haggstrom, J.; Gordon, S. G.; Hoglund, K.; Cote, E.; Lu, T. -L; Dirven, M.; Rishniw, M.; Hung, Y. -W; Ljungvall, I.


Introduction/objectives: Veterinary echocardiographers' preferences for left atrial (LA) size assessment in dogs have never been systematically investi-gated. The primary aim of this international survey study was to investigate echocardiographers' preferences for LA size assessment in dogs. The secondary aim was to investigate echocardiographers' preferences for assessing LA size in subgroups based on geographic, demographic, and professional profiles. Animals, materials, and methods: An online survey instrument was designed, verified, and distributed globally to the veterinary echocardiographers. Results: A total of 670 echocardiographers from 54 countries on six continents completed the survey. Most echocardiographers (n = 621) used linear two-dimensional (2D)-based methods to assess LA size, 379 used subjective assessment, and 151 used M-mode-based methods. Most commonly, echocardiogra-phers combined linear 2D-based methods with subjective assessment (n = 222), whereas 191 used linear 2D-based methods alone. Most echocardiographers (n = 436) using linear 2D-based methods preferred the right parasternal short-axis view and indexed the LA to the aorta. Approximately 30% (n = 191) of the echocardiographers who performed linear measurements from 2D echocardio-grams shared the same preferences regarding dog position, acquisition view, indexing method, and identification of the time-point used for the measurement. The responses were comparably homogeneous across geographic location, training level, years of performing echocardiography, and type of practice. Discussion/conclusion: Most veterinary echocardiographers assessed LA size in dogs using linear 2D echocardiography from a right parasternal short-axis view, and by indexing the LA to the aorta. The respondents' preferences were similar across geographic, demographic, and professional backgrounds. 2023 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (


Heart failure; Valvular disease; disease; Cardiomyopathy; Cardiology; Echocardiography

Published in

Journal of Veterinary Cardiology
2024, Volume: 51, pages: 157-171
Publisher: ELSEVIER