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Updated: May 12, 2026

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
Published on: October 20, 2016
Speckle tracking echocardiography in pediatric and congenital heart disease
Jonathan Forsey1, Mark K Friedberg, Luc Mertens
1The Labatt Family Heart Center, The Hospital for Sick Children, The University of Toronto, Toronto, Ontario, Canada.
Insights
Speckle tracking echocardiography assesses myocardial strain, a valuable tool for adult heart disease. In pediatrics, it shows promise for early dysfunction detection and ventricular function analysis in congenital heart disease.
Area of Science:
- Cardiology
- Medical Imaging
- Pediatric Cardiology
Background:
- Speckle tracking echocardiography (STE) is an advanced echocardiographic technique.
- It is widely used in adult acquired heart disease for diagnosis and management.
- Its pediatric application is limited due to a lack of vendor-independent technology and normative data.
Purpose of the Study:
- To explore the potential of STE in pediatric cardiology.
- To highlight STE's role in early detection of myocardial dysfunction.
- To emphasize its utility in quantifying ventricular function and detecting dyssynchrony in congenital heart disease.
Main Methods:
- Utilizing speckle tracking echocardiography for myocardial strain assessment.
- Analyzing ventricular function and detecting dyssynchrony.
- Addressing the need for vendor-independent technology and normative data.
Main Results:
- STE is an emerging technique with increasing use in adult cardiology.
- Pediatric application is currently limited, primarily serving as a research tool.
- Potential applications in pediatrics include early dysfunction detection and improved assessment of congenital heart disease.
Conclusions:
- Speckle tracking echocardiography holds significant potential for pediatric cardiology.
- Further development of vendor-independent technology and normative data is crucial for wider adoption.
- STE can enhance the early detection and management of myocardial dysfunction and congenital heart disease in children.
Abstract:
Assessment of myocardial strain using speckle tracking echocardiography is an emerging echocardiographic technique that is increasingly used in the diagnosis and management of acquired heart disease in adults. In pediatric heart disease, this is still mainly considered as a research tool as the application of this technology has been slowed by the lack of vendor-independent technology and of normative data across the different age ranges. We believe that the technology has potential applications for the early detection of myocardial dysfunction, the quantification of ventricular function in congenital heart disease, and the detection of dyssynchrony.
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