Left atrial strain

LA strain adds functional context using reservoir, conduit, and contraction components.

Clinically reviewed 24 May 2026 · EchoRapp clinical content

Simple approach

Review reservoir strain first. Conduit and contraction strain add context but are more dependent on rhythm, loading, and tracking quality.

Detailed tutorial

LA strain is most useful when the tracing quality is good and the rhythm is stable. Interpret the values with rhythm, filling pressure, and valve disease in mind.

  • Reservoir strain reflects atrial filling during ventricular systole.
  • Conduit strain reflects passive emptying.
  • Contraction strain reflects active atrial contraction and is not meaningful in atrial fibrillation.

When imported from vendor software, confirm that the measurement convention matches the report convention.

Educational use only. MediRapp Academy content is provided for education and training. It is not medical advice and does not replace clinical judgment, institutional protocols, or the cited guideline documents. Always confirm values and recommendations against the current guidelines before clinical use.