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Current Cardiology Reports

Evolving Applications of Echocardiography in the Evaluation of Left Atrial and Right Ventricular Strain

  • Open Access
  • 22-04-2024
  • Echocardiography
  • Echocardiography (JM Gardin and AH Waller, Section Editors)
Published in:
Authors
Adam Serafin
Wojciech Kosmala
Thomas H. Marwick
Published in
Current Cardiology Reports | Issue 6/2024

Abstract

Purpose of Review

Speckle-tracking echocardiography (STE) can assess myocardial motion in non-LV chambers—including assessment of left atrial (LA) and right ventricular (RV) strain. This review seeks to highlight the diagnostic, prognostic, and clinical significance of these parameters in heart failure, atrial fibrillation (AF), diastolic dysfunction, pulmonary hypertension (PH), tricuspid regurgitation, and heart transplant recipients.

Recent Findings

Impaired LA strain reflects worse LV diastolic function in individuals with and without HF, and this is associated with decreased exercise capacity. Initiating treatments targeting these functional aspects may enhance exercise capacity and potentially prevent heart failure (HF). Impaired LA strain also identifies patients with a high risk of AF, and this recognition may lead to preventive strategies. Impaired RV strain has significant clinical and prognostic implications across various clinical scenarios, including HF, PH, tricuspid regurgitation, or in heart transplant recipients.

Summary

STE should not be limited to the assessment of deformation of the LV myocardium. The use of LA and RV strain is supported by a substantial evidence base, and these parameters should be used more widely.
Title
Evolving Applications of Echocardiography in the Evaluation of Left Atrial and Right Ventricular Strain
Authors
Adam Serafin
Wojciech Kosmala
Thomas H. Marwick
Publication date
22-04-2024
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 6/2024
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-024-02058-x
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This content is intended for healthcare professionals outside of the UK.

Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
Learn more Link opens in a new window
Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME