Myocardial strain of the left ventricle by speckle tracking echocardiography: From physics to clinical practice.

Speckle tracking echocardiography (STE) is a reliable imaging technique of recognized clinical value in several settings. This method uses the motion of ultrasound backscatter speckles within echocardiographic images to derive myocardial velocities and deformation parameters, providing crucial insig...

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Publicado en:Echocardiography Vol. 41; no. 1; pp. 1 - 26
Autores principales: Gherbesi, Elisa, Gianstefani, Silvia, Angeli, Francesco, Ryabenko, Khrystyna, Bergamaschi, Luca, Armillotta, Matteo, Guerra, Emiliano, Tuttolomondo, Domenico, Gaibazzi, Nicola, Squeri, Angelo, Spaziani, Cristina, Pizzi, Carmine, Carugo, Stefano
Formato: diagnostic images pictorial review tables/charts tracings Journal Article
Publicado: Wiley-Blackwell Jan2024
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Myocardial strain of the left ventricle by speckle tracking echocardiography: From physics to clinical practice.
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        au:
          Gherbesi, Elisa
          Gianstefani, Silvia
          Angeli, Francesco
          Ryabenko, Khrystyna
          Bergamaschi, Luca
          Armillotta, Matteo
          Guerra, Emiliano
          Tuttolomondo, Domenico
          Gaibazzi, Nicola
          Squeri, Angelo
          Spaziani, Cristina
          Pizzi, Carmine
          Carugo, Stefano
        affil: Department of Cardio‐Thoracic‐Vascular Diseases, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy
      sug:
        subj:
          Heart Ventricle, Left Ultrasonography
          Echocardiography Methods
          Myocardial Diseases Diagnosis
          Diagnostic Imaging
          Myocardial Diseases Pathology
          Myocardial Diseases Physiopathology
          Blood Flow Velocity
          Ventricular Dysfunction, Left Diagnosis
          Myocardial Contraction Physiology
          Ventricular Function, Left Physiology
      ab: Speckle tracking echocardiography (STE) is a reliable imaging technique of recognized clinical value in several settings. This method uses the motion of ultrasound backscatter speckles within echocardiographic images to derive myocardial velocities and deformation parameters, providing crucial insights on several cardiac pathological and physiological processes. Its feasibility, reproducibility, and accuracy have been widely demonstrated, being myocardial strain of the various chambers inserted in diagnostic algorithms and guidelines for various pathologies. The most important parameters are Global longitudinal strain (GLS), Left atrium (LA) reservoir strain, and Global Work Index (GWI): based on large studies the average of the lower limit of normality are −16%, 23%, and 1442 mmHg%, respectively. For GWI, it should be pointed out that myocardial work relies primarily on non‐invasive measurements of blood pressure and segmental strain, both of which exhibit high variability, and thus, this variability constitutes a significant limitation of this parameter. In this review, we describe the principal aspects of the theory behind the use of myocardial strain, from cardiac mechanics to image acquisition techniques, outlining its limitation, and its principal clinical applications: in particular, GLS have a role in determine subclinical myocardial dysfunction (in cardiomyopathies, cardiotoxicity, target organ damage in ambulatory patients with arterial hypertension) and LA strain in determine the risk of AF, specifically in ambulatory patients with arterial hypertension.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        review
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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