Part 1: The Clinical Applications of Left Ventricular Myocardial Strain

Malcolm Anastasius1, Paaladinesh Thavendiranathan2, Annapoorna Kini1

  • 1From the Mount Sinai Heart, Icahn School of Medicine at Mount Sinai, New York, NY.

Insights

Myocardial strain measures offer early detection of subtle left ventricular systolic dysfunction, outperforming traditional ejection fraction in identifying cardiac disease risks. This review explores strain

Area of Science:

  • Cardiology
  • Cardio-oncology
  • Medical imaging

Background:

  • Cardiovascular disease and heart failure prevalence is rising.
  • Left ventricular ejection fraction may not accurately reflect systolic function in all cardiac conditions.
  • Reduced ejection fraction can indicate advanced, irreversible disease stages.

Purpose of the Study:

  • To review myocardial strain concepts.
  • To discuss emerging clinical applications of global longitudinal strain.
  • To highlight strain's role in cardio-oncology.

Main Methods:

  • Literature review of myocardial strain.
  • Analysis of global longitudinal strain applications.
  • Focus on early detection of cardiac dysfunction.

Main Results:

  • Myocardial strain is a robust tool for early heart disease identification.
  • Strain detects subtle left ventricular systolic dysfunction.
  • Global longitudinal strain shows promise in cardio-oncology.

Conclusions:

  • Myocardial strain is a valuable metric for assessing left ventricular systolic function.
  • Strain imaging aids in early diagnosis and risk stratification.
  • Further research into strain's clinical utility in cardio-oncology is warranted.