Related Experiment Video

Updated: Aug 10, 2025

Magnetic Resonance Derived Myocardial Strain Assessment Using Feature Tracking
07:21

Magnetic Resonance Derived Myocardial Strain Assessment Using Feature Tracking

Published on: February 12, 2011

14.4K

What Strain Analysis Adds to Diagnosis and Prognosis in Heart Failure Patients

Guido Pastorini1, Fabio Anastasio1, Mauro Feola1

  • 1Division of Cardiology, Ospedale Regina Montis Regalis Mondovì, ASL CN1, 12084 Cuneo, Italy.

Journal of Clinical Medicine
|February 11, 2023
PubMed

Insights

New echocardiography tools like global longitudinal strain improve heart failure (HF) diagnosis and risk prediction. These advanced methods offer better outcomes assessment than traditional ejection fraction measurements.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Clinical Diagnostics

Background:

  • Heart failure (HF) necessitates accurate cardiovascular outcome prediction tools.
  • Echocardiography is standard for left ventricular ejection fraction (LVEF) but has inter-observer variability, limiting outcome prediction.
  • Current methods inadequately stratify risk across diverse HF phenotypes.

Purpose of the Study:

  • To review emerging clinical tools for improved HF diagnosis and risk stratification.
  • To evaluate the role of global longitudinal strain (GLS) in assessing cardiac function.
  • To discuss speckle-tracking echocardiography's contributions, limitations, and advantages in clinical practice.

Main Methods:

  • Review of current literature on advanced echocardiographic techniques.
  • Focus on global longitudinal strain (GLS) of the left ventricle, right ventricle, and left atrium.
  • Analysis of speckle-tracking echocardiography's application in HF.

Main Results:

  • Emerging tools, including GLS, demonstrate improved diagnostic capabilities in HF.
  • GLS provides enhanced risk stratification across various HF phenotypes compared to LVEF.
  • Speckle-tracking echocardiography offers valuable insights but has practical limitations.

Conclusions:

  • Advanced echocardiographic measures like GLS offer superior diagnostic and prognostic value in HF.
  • These novel techniques ameliorate limitations of traditional LVEF assessment.
  • Further integration of GLS and speckle-tracking is recommended for optimized HF patient management.

Keywords:
echocardiographyglobal longitudinal strainheart failure

More Related Videos

Echocardiographic Approaches and Protocols for Comprehensive Phenotypic Characterization of Valvular Heart Disease in Mice12:12

Echocardiographic Approaches and Protocols for Comprehensive Phenotypic Characterization of Valvular Heart Disease in Mice

Published on: February 14, 2017

16.1K
Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation08:10

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation

Published on: July 20, 2022

1.7K

Related Concept Videos

Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
24
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.7K
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
20
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
43
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
130
Three-Dimensional Analysis of Strain01:29

Three-Dimensional Analysis of Strain

Three-dimensional strain analysis is crucial for understanding how materials deform under stress, particularly in elastic, homogeneous materials. This method employs principal stress axes to simplify complex stress states into more understandable forms. Subjected to stress, a small cubic element within a material either expands or contracts along these axes, transforming into a rectangular parallelepiped. This transformation effectively illustrates the material's deformation. The principal...
273