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Updated: Jul 31, 2026

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
Published on: October 20, 2016
[Contrast echocardiography: from diagnosis to treatment]
M Peltier1, A E Dubart, C Tribouilloy
1Service de Cardiologie B, CHU d'Amiens, Hôpital Sud, Amiens.
Insights
Contrast echocardiography uses microbubbles to visualize heart perfusion and function. New research explores using these microbubbles for targeted drug delivery to heart cells, opening therapeutic possibilities.
Area of Science:
- Cardiology
- Medical Imaging
- Biotechnology
Background:
- Contrast echocardiography is a standard tool in laboratories, offering insights into myocardial perfusion beyond conventional imaging.
- Validated applications include assessing left ventricular ejection fraction, detecting coronary stenosis, and identifying the no-reflow phenomenon in myocardial infarction.
Purpose of the Study:
- To explore the evolving role of contrast echocardiography beyond diagnostic imaging.
- To investigate the potential of microbubbles as vectors for therapeutic agent delivery in cardiovascular medicine.
Main Methods:
- Utilizing contrast echocardiography at rest and during stress tests for enhanced myocardial perfusion assessment.
- Leveraging advances in microbubble-ultrasound interactions to explore therapeutic applications.
Main Results:
- Contrast echocardiography provides crucial information on myocardial perfusion, validated in various cardiac conditions.
- Microbubbles are being investigated not only as vascular tracers but also as carriers for active molecules, enabling detection of angiogenesis, thrombi, and inflammation.
Conclusions:
- Contrast echocardiography is expanding its utility from diagnostics to therapeutics.
- Preliminary animal studies suggest microbubbles can be engineered for targeted drug or genetic material delivery to cardiomyocytes.
Abstract:
Contrast echocardiography is widely used in echocardiographic laboratories. When used at rest or with a stress test, it provides complementary information concerning myocardial perfusion not available with conventional imaging. Its applications in the evaluation of left ventricular ejection fraction, the detection of coronary stenosis and the no reflow phenomenon in acute myocardial infarction have been validated. Advances in our understanding of the interaction between the microbubbles and ultrasound have led to considering the microbubble not just as a vascular tracer but also as a vector of active molecules. The detection of angiogenesis, thrombi, or intravascular inflammation are possible with contrast echocardiography. Therefore, new perspectives in myocardial contrast echo are opening up in therapeutics. Preliminary studies in the animal suggest that it may be possible to use microbubbles to deliver drugs or genetic material to the heart of the cardiomyocytes.
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