Echocardiographic Assessment of Left Ventricular Systolic Function: An Overview of Contemporary Techniques, Including

Sushil A Luis1, Jonathan Chan2, Patricia A Pellikka1

  • 1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.

Mayo Clinic Proceedings
|January 7, 2019
PubMed

Insights

Accurate assessment of left ventricular systolic function is crucial for cardiac disease management. Speckle-tracking echocardiography shows promise in detecting early dysfunction and predicting patient outcomes.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Echocardiography

Background:

  • Left ventricular systolic function assessment is vital for diagnosing and managing cardiac diseases.
  • Accurate evaluation guides treatment strategies and patient prognosis.
  • Various echocardiographic methods exist, each with limitations.

Purpose of the Study:

  • To provide an overview of current echocardiographic techniques for assessing left ventricular systolic function.
  • To highlight the role and utility of speckle-tracking echocardiography.
  • To discuss its application in detecting subclinical left ventricular dysfunction and its prognostic value.

Main Methods:

  • Literature review of PubMed, MEDLINE, EMBASE, and Scopus databases.
  • Search terms included 'strain echocardiography,' 'tissue Doppler strain,' and 'speckle-tracking echocardiography.'
  • Data collected from inception through December 30, 2017.

Main Results:

  • Echocardiography offers multiple techniques for assessing left ventricular systolic function.
  • Speckle-tracking echocardiography is a key focus, demonstrating utility beyond traditional methods.
  • This technique aids in identifying early-stage left ventricular dysfunction.

Conclusions:

  • Speckle-tracking echocardiography is a valuable tool for internists evaluating cardiac disease.
  • It enhances the detection of subclinical left ventricular dysfunction.
  • Its application has significant prognostic implications for patient care.

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