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Updated: Mar 21, 2026

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
Published on: October 20, 2016
Longitudinal strain bull's eye plot patterns in patients with cardiomyopathy and concentric left ventricular
Dan Liu1,2, Kai Hu1,2, Peter Nordbeck1,2
1Comprehensive Heart Failure Center, Würzburg, Germany.
Insights
Diagnosing the causes of left ventricular hypertrophy using echocardiography is difficult. Longitudinal strain bull's eye plots from 2D speckle tracking imaging can help identify cardiomyopathies and guide cardiac workup.
Area of Science:
- Cardiology
- Medical Imaging
- Biomedical Engineering
Background:
- Left ventricular hypertrophy (LVH) diagnosis remains challenging despite imaging advances.
- Echocardiography is crucial, but identifying LVH causes requires further refinement.
- Understanding myocardial function is key to diagnosing cardiomyopathies.
Purpose of the Study:
- To review the utility of longitudinal strain bull's eye plots in evaluating LVH.
- To explore how these plots aid in identifying various cardiomyopathies.
- To assess the potential of bull's eye plots as a diagnostic tool in cardiac workup.
Main Methods:
- Review of studies utilizing 2D speckle tracking imaging (STI).
- Analysis of longitudinal strain bull's eye plot patterns in different cardiac conditions.
- Correlation of plot features with etiological factors of LVH and cardiomyopathies.
Main Results:
- Longitudinal strain bull's eye plots provide an intuitive overview of global and regional left ventricular function.
- Distinct plot patterns are observed in various cardiomyopathies and LVH.
- Bull's eye mapping is clinically feasible and aids in etiological diagnosis.
Conclusions:
- Longitudinal strain bull's eye plots are valuable for assessing left ventricular myocardial function.
- These plots offer insights into the etiology of cardiomyopathies and LVH.
- Bull's eye plot analysis can be integrated into cardiac workup for LVH patients.
Abstract:
Despite substantial advances in the imaging techniques and pathophysiological understanding over the last decades, identification of the underlying causes of left ventricular hypertrophy by means of echocardiographic examination remains a challenge in current clinical practice. The longitudinal strain bull's eye plot derived from 2D speckle tracking imaging offers an intuitive visual overview of the global and regional left ventricular myocardial function in a single diagram. The bull's eye mapping is clinically feasible and the plot patterns could provide clues to the etiology of cardiomyopathies. The present review summarizes the longitudinal strain, bull's eye plot features in patients with various cardiomyopathies and concentric left ventricular hypertrophy and the bull's eye plot features might serve as one of the cardiac workup steps on evaluating patients with left ventricular hypertrophy.
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