Related Experiment Video
Updated: Jul 4, 2026

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
Published on: October 20, 2016
Left ventricular longitudinal and radial synchrony and their determinants in healthy subjects
Arnold C Ng1, Da T Tran, Mark Newman
1Department of Cardiology, Liverpool Hospital, University of New South Wales, Sydney, Australia.
Insights
This study establishes normal reference ranges for left ventricular (LV) synchrony in healthy adults. LV systolic and diastolic synchrony show gender specificity and depend on LV function, unlike radial synchrony.
Area of Science:
- Cardiology
- Echocardiography
- Cardiac Mechanics
Background:
- Left ventricular (LV) synchrony is crucial for cardiac function.
- Reference values and determinants of LV synchrony in healthy individuals are not well-established.
- Understanding these factors is essential for accurate echocardiographic assessment.
Purpose of the Study:
- To determine reference values for LV longitudinal and radial synchrony in healthy adults.
- To investigate the impact of physiologic variables (age, gender) on LV synchrony.
- To compare different echocardiographic methods for assessing LV synchrony.
Main Methods:
- Prospective study of 122 healthy volunteers (age 19-68).
- Tissue Doppler imaging used for longitudinal systolic (SDTs) and diastolic (SDTe) synchrony.
- 2D speckle tracking used for radial (SDTrepsilon) and longitudinal (SDTlepsilon) systolic synchrony.
Main Results:
- Established normal ranges for SDTs, SDTe, SDTrepsilon, and SDTlepsilon.
- SDTs was gender-specific and dependent on LV ejection fraction.
- SDTe depended on isovolumic relaxation time and mean Em velocity.
- Radial synchrony (SDTrepsilon) was independent of clinical/echocardiographic variables.
- No correlation found between longitudinal and radial synchrony.
Conclusions:
- Provides normal reference ranges for LV synchrony using Doppler and speckle tracking.
- LV longitudinal synchrony is influenced by gender and global LV function.
- 2D speckle-derived radial synchrony is independent of clinical factors but has higher variability.
- Longitudinal and radial synchrony are distinct and do not correlate.
Objective:
The reference values and impact of physiologic variables on echocardiographic quantification of left ventricular (LV) synchrony in a large series of healthy persons are unknown. This study prospectively investigated the impact of age, gender, and other physiologic parameters on LV longitudinal and radial synchrony.
Methods:
LV longitudinal systolic and diastolic synchrony using tissue Doppler imaging were measured as the standard deviation of times to 12 regional peak myocardial systolic Sm (SDTs) and early diastolic Em (SDTe) velocities in 122 healthy volunteers (age 19-68 years, 64 men). By using 2-dimensional speckle tracking, radial synchrony was measured as the standard deviation of times to 6 regional peak strain (SDTrepsilon) in the short-axis papillary muscle level. Longitudinal systolic synchrony was also measured as the standard deviation of times to 12 regional peak strain (SDTlepsilon).
Results:
The mean QRS duration and LV ejection fraction were 87 +/- 12 msec and 61% +/- 5.5%, respectively. The mean SDTs and SDTe were 37.1 +/- 17.4 msec and 17.3 +/- 6.7 msec, respectively. Gender and the mean Sm velocity from the 6 basal LV segments were independent predictors of SDTs, whereas the isovolumic relaxation time and mean Em velocity independently predicted SDTe. The mean SDTrepsilon was 19.2 +/- 14.6 msec. SDTrepsilon did not correlate with any clinical or echocardiographic parameters. The mean SDTlepsilon was 40.4 +/- 11.8 msec. Isovolumic relaxation time, pulmonary S/D ratio, and mean Sm independently predicted SDTlepsilon. There was no correlation between LV longitudinal and radial synchrony. Intraobserver and interobserver variability analyses showed the highest correlation for SDTs compared with SDTrepsilon and SDTlepsilon.
Conclusion:
This study establishes normal reference ranges for LV systolic and diastolic synchrony measured with tissue Doppler velocity-based and 2-dimensional speckle tracking-based methods in a large group of healthy subjects of both genders across a wide age group. SDTs is gender specific and dependent on global LV systolic function, whereas SDTe is dependent on global LV diastolic function. Two-dimensional speckle-derived radial synchrony is independent of any clinical and echocardiographic variables but has higher intraobserver and interobserver variability compared with SDTs. LV longitudinal synchrony does not correlate with radial synchrony.
More Related Videos
11:50High-frequency High-resolution Echocardiography: First Evidence on Non-invasive Repeated Measure of Myocardial Strain, Contractility, and Mitral Regurgitation in the Ischemia-reperfused Murine Heart
Published on: July 9, 2010
06:34Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
Related Concept Videos
Assessment of apical radial pulse
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Correlation between ECG and Cardiac Cycle
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...
Electrophysiology of Normal Cardiac Rhythm
Assessment of radial pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
Cardiovascular System Abnormal Findings II: Auscultation
Abnormal Heart Sounds
Gallops:
Pulse rhythm
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...