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.

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