Published in:
01-10-2019 | Aortic Valve Replacement | Imaging (Q Truong, Section Editor)
Clinical Applications of Echo Strain Imaging: a Current Appraisal
Authors:
Agostina M. Fava, MD, Dane Meredith, MD, Milind Y. Desai, MD
Published in:
Current Treatment Options in Cardiovascular Medicine
|
Issue 10/2019
Login to get access
Abstract
Purpose of review
This article reviews recent advances in echocardiographic strain imaging, particularly in its ability to prognosticate in cardiovascular outcomes and impact clinical decision making.
Recent findings
Strain has been proposed as a sensitive tool in detecting early ventricular dysfunction. Left ventricular global longitudinal strain (LV-GLS) detects subtle changes in myocardial function, often not quantifiable by ejection fraction alone. Thus, LV-GLS provides the opportunity for early decision-making, and the implementation of more effective treatments, improving outcomes in a variety of diseases such as valvular heart diseases, cardio-oncology, ischemic heart disease, cardiomyopathies, heart transplantation, and pericardial diseases and cardiomyopathies.
Summary
Strain is a promising tool for the early detection of myocardial dysfunction in patients with preserved left ventricular ejection fraction and can prognosticate long-term outcomes.