Myocardial deformation imaging is a very attractive clinical tool for the assessment of right ventricular (RV) systolic performance, providing incremental diagnostic and prognostic information over the traditional indices of RV function. Among various imaging modalities, echocardiography is currently the method of choice for clinical assessment of RV longitudinal strain (RVLS). The methodology of 2D speckle-tracking echocardiography to obtain RVLS has been recently standardized and demonstrated to be feasible, accurate, and robust for clinical use. Inter-technique and inter-vendor comparability and reliability of RVLS are improving. RVLS is advantageous because it is more sensitive to subtle changes in myocardial function than conventional parameters used to assess RV function (i.e. tricuspid annular plane systolic excursion, tissue Doppler systolic velocity, fractional area change, or RV ejection fraction) representing a sensitive tool for the long-term follow-up of patients. Proper interpretation of measurements requires a deep understanding of RV mechanics and pathologic tissue characteristics in different cardiovascular conditions, as well as the influence of loading conditions, image properties, and tracking algorithms on RVLS measurements.

Muraru, D., Haugaa, K., Donal, E., Stankovic, I., Voigt, J., Petersen, S., et al. (2022). Right ventricular longitudinal strain in the clinical routine: a state-of-the-art review. EUROPEAN HEART JOURNAL. CARDIOVASCULAR IMAGING, 23(7), 898-912 [10.1093/ehjci/jeac022].

Right ventricular longitudinal strain in the clinical routine: a state-of-the-art review

Muraru D.
Primo
;
2022

Abstract

Myocardial deformation imaging is a very attractive clinical tool for the assessment of right ventricular (RV) systolic performance, providing incremental diagnostic and prognostic information over the traditional indices of RV function. Among various imaging modalities, echocardiography is currently the method of choice for clinical assessment of RV longitudinal strain (RVLS). The methodology of 2D speckle-tracking echocardiography to obtain RVLS has been recently standardized and demonstrated to be feasible, accurate, and robust for clinical use. Inter-technique and inter-vendor comparability and reliability of RVLS are improving. RVLS is advantageous because it is more sensitive to subtle changes in myocardial function than conventional parameters used to assess RV function (i.e. tricuspid annular plane systolic excursion, tissue Doppler systolic velocity, fractional area change, or RV ejection fraction) representing a sensitive tool for the long-term follow-up of patients. Proper interpretation of measurements requires a deep understanding of RV mechanics and pathologic tissue characteristics in different cardiovascular conditions, as well as the influence of loading conditions, image properties, and tracking algorithms on RVLS measurements.
Articolo in rivista - Review Essay
cardiac magnetic resonance; cardiomyopathies; congenital heart diseases; echocardiography; free wall longitudinal strain; heart failure; heart valve diseases; pulmonary hypertension; reference values; right ventricle; right ventricular mechanics; speckle tracking echocardiography; systemic sclerosis;
English
11-feb-2022
2022
23
7
898
912
none
Muraru, D., Haugaa, K., Donal, E., Stankovic, I., Voigt, J., Petersen, S., et al. (2022). Right ventricular longitudinal strain in the clinical routine: a state-of-the-art review. EUROPEAN HEART JOURNAL. CARDIOVASCULAR IMAGING, 23(7), 898-912 [10.1093/ehjci/jeac022].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/423299
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