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[Myocardial Strain Properties in Patients with Chronic Heart Failure]

A G Obrezan1, D Z Baranov2

  • 1St.-Petersburg State University; International Medical Center "SOGAZ".

Kardiologiia
|August 10, 2019
PubMed

Insights

Myocardial strain imaging detects early heart dysfunction in chronic heart failure patients, even before symptoms appear. This technique is crucial for diagnosing diastolic heart failure when conventional methods fail.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Echocardiography

Background:

  • Chronic heart failure (CHF) accounts for a significant portion of cardiological hospitalizations.
  • There is a growing prevalence of heart failure with preserved or intermediate left ventricle ejection fraction (HFpEF/HFmrEF), often termed diastolic heart failure.
  • Conventional echocardiography may not be sensitive enough to detect early myocardial dysfunction in these patients.

Purpose of the Study:

  • To review myocardial strain parameters.
  • To assess the clinical applicability of myocardial strain techniques in patients with chronic heart failure.
  • To highlight the role of strain imaging in early detection of cardiac dysfunction.

Main Methods:

  • Review of gray scale myocardial strain techniques.
  • Analysis of strain parameters in chronic heart failure.
  • Evaluation of clinical utility in diagnosing diastolic heart failure.

Main Results:

  • Myocardial strain imaging can detect subclinical myocardial dysfunction.
  • Strain parameters offer valuable insights into myocardial mechanics.
  • Early detection of dysfunction is possible even without significant clinical symptoms.

Conclusions:

  • Gray scale myocardial strain techniques are valuable for early detection of myocardial dysfunction in chronic heart failure.
  • Strain imaging is particularly useful in cases of diastolic heart failure where conventional echocardiography is limited.
  • This technique enhances the diagnostic capabilities for heart failure management.

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