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Updated: Jul 31, 2025

Magnetic Resonance Derived Myocardial Strain Assessment Using Feature Tracking
Published on: February 12, 2011
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.
Abstract:
There is an increasing prevalence of cardiovascular disease and heart failure. Indices of left ventricular (LV) systolic function such as LV ejection fraction used to identify those at risk of adverse cardiac events such as heart failure may not be truly representative of LV systolic function in certain cardiac diseases. Given that LV ejection fraction reduction may represent more advanced irreversible stages of disease, measures of myocardial strain have emerged as a feasible and robust instrument for the early identification of heart disease and subtle LV systolic dysfunction. The purpose of this review was to provide an overview of myocardial strain concepts and emerging clinical applications of global longitudinal strain in cardio-oncology.
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