scholarly journals A global longitudinal strain cut‐off value to predict adverse outcomes in individuals with a normal ejection fraction

2021 ◽  
Author(s):  
Job A.J. Verdonschot ◽  
Michiel T.H.M. Henkens ◽  
Ping Wang ◽  
Georg Schummers ◽  
Anne G. Raafs ◽  
...  
Keyword(s):  
Ejection Fraction ◽  
Longitudinal Strain ◽  
Global Longitudinal Strain ◽  
Adverse Outcomes ◽  
Normal Ejection Fraction

scholarly journals P828 Echocardiographic two-dimensional speckle tracking identifies acute myocardial edema and sub-acute fibrosis in pediatric focal myocarditis with normal ejection fraction: comparison with MRI

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Chinali ◽  
A Franceschini ◽  
P Ciancarella ◽  
V Lisignoli ◽  
D Curione ◽  
...  
Keyword(s):  
Ejection Fraction ◽  
Children And Adolescents ◽  
Speckle Tracking ◽  
Longitudinal Strain ◽  
Cardiac Fibrosis ◽  
Systolic Function ◽  
Global Longitudinal Strain ◽  
Specific Reference ◽  
Normal Ejection Fraction

Abstract Aim To evaluate the ability of Speckle Tracking Echocardiography (STE), as compared to Cardiac Magnetic Resonance (CMR), in identifying acute and sub-acute abnormalities in systolic function occurring with focal myocarditis in children and adolescents without evident wall motion abnormalities. Methods: We analyzed data from 33 consecutive patients (age 4-17year) with CMR-confirmed focal myocarditis and without regional motion abnormalities and/or reduced ejection fraction. Patients underwent echocardiography with analysis of regional and global longitudinal strain and CMR for the identification of focal edema and myocardial fibrosis. Impaired longitudinal strain was defined according to previously reported age-specific reference values. Results: Despite normal ejection fraction at admission, prevalence of impaired systolic function by STE was present in 58% of patients (n = 19). Reduction in longitudinal strain was regionally related to CMR-identified edema areas, with lowest values found at the level of the infero-lateral segments as compared to the mean of the other segments (p < 0.05). Amount of CMR-edema was strongly correlated with impairment of STE (r=-712; p = 0.01). At follow-up, significant improvement in global longitudinal strain could be observed in all patients (p < 0.001) with STE normalization recorded in 13 of 19 patients. Persistent regional impairement in STE could however still be found 6 patients, consistent with residual focal cardiac fibrosis at follow-up CMR. Conclusion: In children and adolescents with focal myocarditis, STE identifies subclinical abnormalities in systolic function, consistent with regional edema at CMR. In addition, analysis of STE provides insights in the identification of regional recovery or persistent systolic impairment, possibly due to residual focal fibrosis. Abstract P828 Figure.

scholarly journals ASSOCIATION OF LEFT VENTRICULAR GLOBAL LONGITUDINAL STRAIN WITH SILENT BRAIN INFARCTS IN A COMMUNITY-BASED COHORT WITH NORMAL EJECTION FRACTION

2013 ◽  
Vol 61 (10) ◽  
pp. E972
Author(s):  
Cesare Russo ◽  
Zhezhen Jin ◽  
Shunichi Homma ◽  
Clinton B. Wright ◽  
Tatjana Rundek ◽  
...  
Keyword(s):  
Ejection Fraction ◽  
Longitudinal Strain ◽  
Global Longitudinal Strain ◽  
Left Ventricular ◽  
Normal Ejection Fraction ◽  
Community Based ◽  
Brain Infarcts

Global longitudinal strain in patients with suspected heart failure and a normal ejection fraction: does it improve diagnosis and risk stratification?

2013 ◽  
Vol 30 (1) ◽  
pp. 69-79 ◽  
Author(s):  
Pierpaolo Pellicori ◽  
Anna Kallvikbacka-Bennett ◽  
Olga Khaleva ◽  
Valentina Carubelli ◽  
Pierluigi Costanzo ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Risk Stratification ◽  
Longitudinal Strain ◽  
Global Longitudinal Strain ◽  
Normal Ejection Fraction
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