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Left atrial strain response to acute preload reduction in healthy dogs using a translational blood donation model
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  • Published: 16 January 2026

Left atrial strain response to acute preload reduction in healthy dogs using a translational blood donation model

  • Renata Benedetti Cepinho1,
  • Adriana Aparecida Lopes de Souza1,
  • Carlos Javier Laínez Reyes1,
  • Rodrigo Francisco1,
  • Miriam Harumi Tsunemi2,
  • Mayra de Castro Ferreira Lima1,
  • Luiz Henrique de Araújo Machado1 &
  • …
  • Maria Lúcia Gomes Lourenço1 

Scientific Reports , Article number:  (2026) Cite this article

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We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Cardiology
  • Physiology

Abstract

Left atrial function (LAF) is crucial to hemodynamics, but the effects of preload variation on its echocardiographic indices remain unclear. This study aimed to identify preload-independent phasic LA echocardiographic variables and to assess blood donor dogs as a hypovolemia model. Twenty-six healthy, client-owned dogs underwent transthoracic echocardiography before and after standardized blood donation. Phasic LA volumes and strain parameters were assessed, and a subgroup of dogs donating ≥ 10 mL/kg was also analyzed. After blood withdrawal, significant reductions were observed in maximum LA volume (p = 0.0350), LA ejection volume and LA ejection fraction (p = 0.0204), reservoir strain (p = 0.0149), and contractile strain (p = 0.0149), confirming their preload dependency. Conversely, minimum volume (p = 1.0000), pre-atrial contraction volume (p = 0.4373), and conduit strain (p = 0.2156) did not change significantly in the subgroup, indicating lower sensitivity to acute volume variation. These results demonstrate that different LA functional phases respond differently to preload changes and suggest that some parameters may be more stable for clinical interpretation under variable hemodynamic conditions. The blood donation model proved to be a practical and ethically acceptable method for assessing preload-dependent variables in conscious dogs.

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Data availability

The datasets generated and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

  1. Matsumoto, A. Y. et al. Echocardiographic evaluation of left atrial function: physiological and clinical aspects. Arq. Bras. Cardiol. - Imagem Cardiovasc. 27, 87–96 (2014).

    Google Scholar 

  2. Marino, P. N., Degiovanni, A. & Zanaboni, J. Complex interaction between the atrium and the ventricular filling process: the role of conduit. Open. Heart. 6, e001042 (2019).

    Google Scholar 

  3. Blume, G. G. et al. Left atrial function: physiology, assessment, and clinical implications. Eur. J. Echocardiogr. 12, 421–430 (2011).

    Google Scholar 

  4. Genovese, D. et al. Load dependency of left atrial strain in normal subjects. J. Am. Soc. Echocardiogr. 31, 1221–1228 (2018).

    Google Scholar 

  5. Gottfridsson, P. et al. Left atrial contraction strain and controlled preload alterations, a study in healthy individuals. Cardiovasc. Ultrasound. 20, 4–9 (2022).

    Google Scholar 

  6. Coelho, M. R. et al. Evaluation of left atrial function in asymptomatic dogs with chronic myxomatous mitral valve disease: two-dimensional feature-tracking echocardiography and simpson’s monoplanar methods. Pesq Vet. Bras. 40, 188–196 (2020).

    Google Scholar 

  7. Savarino, P. et al. Left atrial volume and function in Cavalier King Charles spaniels at different ACVIM stages. Res. Vet. Sci. 180, 105428 (2024).

    Google Scholar 

  8. Paranjape, V. V., Henao-Guerrero, N., Menciotti, G. & Saksena, S. Volumetric evaluation of fluid responsiveness using a modified passive leg Raise maneuver during experimental induction and correction of hypovolemia in anesthetized dogs. Vet. Anaesth. Analg. 50, 211–219 (2023).

    Google Scholar 

  9. Paranjape, V. V., Henao-Guerrero, N., Menciotti, G. & Saksena, S. Performance of four cardiac output monitoring techniques vs. intermittent pulmonary artery thermodilution during a modified passive leg Raise maneuver in isoflurane-anesthetized dogs. Front. Vet. Sci. 10, 1238549 (2023).

    Google Scholar 

  10. Marshall, K. A. et al. Ultrasound measurements of the caudal Vena Cava before and after blood donation in 9 Greyhound dogs. Can. Vet. J. 59, 973–980 (2018).

    Google Scholar 

  11. Tréz, T. A. Considerações sobre o conceito Dos 3Rs e o potencial conflito com novas compreensões do animal experimental. Rev. Bras. Zoociências. 19, 97–113 (2018).

    Google Scholar 

  12. Kuo, K. W. & McMichael, M. Small animal transfusion medicine. Vet. Clin. North. Am. Small Anim. Pract. 50, 1203–1214 (2020).

    Google Scholar 

  13. Decloedt, A., Verheyen, T., Sys, S., De Clercq, D. & van Loon, G. Quantification of left ventricular longitudinal strain, strain rate, velocity, and displacement in healthy horses by 2-dimensional speckle tracking. J. Vet. Intern. Med. 25, 330–338 (2011).

    Google Scholar 

  14. McGraw, K. O. & Wong, S. P. Forming inferences about some intraclass correlation coefficients. Psychol. Methods. 1, 30–46 (1996).

    Google Scholar 

  15. Keene, B. W. et al. ACVIM consensus guidelines for the diagnosis and treatment of myxomatous mitral valve disease in dogs. J. Vet. Intern. Med. 33, 1127–1140 (2019).

    Google Scholar 

  16. Baron Toaldo, M. et al. Left atrial speckle tracking echocardiography in clinically healthy dogs: variability and prediction intervals. Vet. J. 270, 105577 (2021).

    Google Scholar 

  17. Thomas, W. P. et al. Recommendations for standards in transthoracic two-dimensional echocardiography in the dog and Cat. J. Vet. Intern. Med. 7, 247–252 (1993).

    Google Scholar 

  18. Hall, J. E. & Hall, M. E. Guyton and Hall Textbook of Medical Physiology. 14th ed. (Elsevier, Philadelphia, 2020).

  19. Gan, G. C. H., Bhat, A., Chen, H. H. L., Fernandez, F., Byth, K., Eshoo, S. & Thomas, L. Determinants of left atrial reservoir strain: independent effects of left atrial volume and left ventricular global longitudinal strain. Echocardiography 37, 2018–2028 (2020).

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Acknowledgements

We would like to thank the Graduate Program in Veterinary Medicine at FMVZ-UNESP, Botucatu.

Funding

This research received no external funding.

Author information

Authors and Affiliations

  1. Department of Veterinary Clinics, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu, 18618-681, SP, Brazil

    Renata Benedetti Cepinho, Adriana Aparecida Lopes de Souza, Carlos Javier Laínez Reyes, Rodrigo Francisco, Mayra de Castro Ferreira Lima, Luiz Henrique de Araújo Machado & Maria Lúcia Gomes Lourenço

  2. Institute of Biosciences, São Paulo State University (UNESP), Botucatu, 18618-691, SP, Brazil

    Miriam Harumi Tsunemi

Authors
  1. Renata Benedetti Cepinho
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  2. Adriana Aparecida Lopes de Souza
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Contributions

Conceptualization, R.B.C. and M.L.G.L.; methodology, R.B.C., M.C.F.L. and A.A.L.S.; investigation, R.B.C.; formal analysis, M.H.T.; data curation, R.B.C.; writing—original draft preparation, R.B.C.; writing—review and editing, R.B.C., M.L.G.L., R.F. and C.J.L.R.; supervision, M.L.G.L.; statistical interpretation, R.B.C.; statistical analysis, M.H.T. All authors have read and agreed to the published version of the manuscript. This study have been deposited in the Unesp Intitucional Repository São Paulo State University, Unesp – Brazil in the accession repository link below:https://repositorio.unesp.br/entities/publication/2600cbd2-d495-4314-8221-58bb8a96683e.

Corresponding author

Correspondence to Maria Lúcia Gomes Lourenço.

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The authors declare no competing interests.

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Cepinho, R.B., de Souza, A.A.L., Reyes, C.J.L. et al. Left atrial strain response to acute preload reduction in healthy dogs using a translational blood donation model. Sci Rep (2026). https://doi.org/10.1038/s41598-026-35086-4

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  • Received: 08 June 2025

  • Accepted: 02 January 2026

  • Published: 16 January 2026

  • DOI: https://doi.org/10.1038/s41598-026-35086-4

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Keywords

  • Left atrial function
  • Preload
  • Echocardiography
  • Strain
  • Blood donation
  • Dogs
  • Hemodynamics
  • Volumetric indices
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