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Published in:

01-01-2016

Echocardiographic assessment of left ventricular systolic function: from ejection fraction to torsion

Authors: Matteo Cameli, Sergio Mondillo, Marco Solari, Francesca Maria Righini, Valentina Andrei, Carla Contaldi, Eugenia De Marco, Michele Di Mauro, Roberta Esposito, Sabina Gallina, Roberta Montisci, Andrea Rossi, Maurizio Galderisi, Stefano Nistri, Eustachio Agricola, Donato Mele

Published in: Heart Failure Reviews | Issue 1/2016

Abstract

Assessment of left ventricular (LV) systolic function is the cornerstone of the echocardiographic examination. There are many echocardiographic parameters that can be used for clinical and research purposes, each one with its pros and cons. The LV ejection fraction is the most used one due to its feasibility and predictability, but it also has many limits, related to both the imaging technique used for calculation and to the definition itself. LV longitudinal function is expression of subendocardial fibers contraction. Because the subendocardium is often involved early in many pathological processes, its analysis has been a fertile field for the development of sensitive parameters. Longitudinal function can be evaluated in many ways, such as M-mode echocardiography, tissue Doppler imaging, and speckle tracking echocardiography. This latter is a relatively new tool to assess LV function through measurement of myocardial strain, with a high temporal and spatial resolution and a better inter- and intra-observer reproducibility compared to Doppler strain. It is angle independent, not affected by translation cardiac movements, and can assess simultaneously the entire myocardium along all the three-dimensional geometrical (longitudinal, circumferential, and radial) axes. Speckle tracking echocardiography also allows the analysis of LV torsion. The aim of this paper was to review the main echocardiographic parameters of LV systolic function and to describe its pros and cons.

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Title: Echocardiographic assessment of left ventricular systolic function: from ejection fraction to torsion
Authors: Matteo Cameli
Sergio Mondillo
Marco Solari
Francesca Maria Righini
Valentina Andrei
Carla Contaldi
Eugenia De Marco
Michele Di Mauro
Roberta Esposito
Sabina Gallina
Roberta Montisci
Andrea Rossi
Maurizio Galderisi
Stefano Nistri
Eustachio Agricola
Donato Mele
Publication date: 01-01-2016
Publisher: Springer US
Published in: Heart Failure Reviews / Issue 1/2016
Print ISSN: 1382-4147
Electronic ISSN: 1573-7322
DOI: https://doi.org/10.1007/s10741-015-9521-8

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Echocardiographic assessment of left ventricular systolic function: from ejection fraction to torsion

Abstract

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Abstract

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