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A Test in Context: Myocardial Strain Measured by Speckle-Tracking Echocardiography
被引:352
|作者:
Collier, Patrick
Phelan, Dermot
Klein, Allan
机构:
[1] Case Western Reserve Univ, Robert & Suzanne Tomsich Dept Cardiovasc Med, Sydell & Arnold Miller Family Heart & Vasc Inst, Cleveland Clin,Lerner Coll Med,Dept Cardiovasc Im, Cleveland, OH 44106 USA
[2] Cleveland Clin Fdn, 9500 Euclid Ave, Cleveland, OH 44195 USA
关键词:
aortic valve stenosis;
cardio-oncology;
echocardiography;
hypertrophic cardiomyopathy;
left ventricular hypertrophy;
strain imaging;
GLOBAL LONGITUDINAL STRAIN;
LV DYSFUNCTION;
HYPERTROPHIC CARDIOMYOPATHY;
2-DIMENSIONAL STRAIN;
EUROPEAN ASSOCIATION;
VENTRICULAR-FUNCTION;
CONSENSUS DOCUMENT;
DIASTOLIC FUNCTION;
AMERICAN SOCIETY;
EXPERT CONSENSUS;
D O I:
10.1016/j.jacc.2016.12.012
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Strain-based imaging techniques (and specifically speckle-tracking echocardiography) have been shown to have clinical utility in a variety of settings. This technique is being embraced and increasingly adopted in many echocardiography laboratories worldwide. This review appraised speckle-tracking echocardiography in a clinical context by providing a critical evaluation of the prognostic and diagnostic insights that this technology can provide. In particular, we discuss the use of speckle-tracking strain in selected areas, such as undifferentiated left ventricular hypertrophy, cardio-oncology, aortic stenosis, and ischemic heart disease. The potential utility of regional and chamber strains (namely segmental left ventricular strain, left atrial strain, and right ventricular strain) are also discussed. Future directions for this technology are explored. Before its clinical application, it is particularly important that physicians be cognizant of the technical challenges and inherent limitations of strain data, which are also addressed here. (C) 2017 by the American College of Cardiology Foundation.
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页码:1043 / 1056
页数:14
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