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The prognostic role of speckle tracking echocardiography in clinical practice: evidence and reference values from the literature

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Abstract

Speckle tracking echocardiography (STE) is a second-level echocardiographic technique which has gradually gained relevance in the last years. It allows semi-automatic quantification of myocardial deformation and function, overcoming most of the limitations characterizing basic echocardiography and providing an early detection of cardiac impairment. Today, its feasibility and usefulness are highly supported by literature. In particular, several studies demonstrated that STE could provide additional prognostic information beyond conventional echocardiographic and traditional clinical parameters. Moreover, a recent standardization of speckle tracking analysis regarding all cardiac chambers paved the way for the integration of STE in diagnostic and prognostic protocols for particular clinical settings. The aim of this review is to describe the prognostic role of STE in different clinical scenarios basing on currently available evidence.

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All authors contributed to this review conception. Drs. Maria Concetta Pastore, Giuseppe De Carli, Giulia Elena Mandoli, and Francesco Contorni performed the literature search and data analysis; Dr. Maria Concetta Pastore, Giuseppe De Carli, Giulia Elena Mandoli, Flavio D’Ascenzi, Marta Focardi, Francesco Contorni, Sergio Mondillo, and Matteo Cameli drafted the manuscript. All authors critically revised the work and approved the final manuscript.

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Correspondence to Maria Concetta Pastore.

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Pastore, M.C., De Carli, G., Mandoli, G.E. et al. The prognostic role of speckle tracking echocardiography in clinical practice: evidence and reference values from the literature. Heart Fail Rev 26, 1371–1381 (2021). https://doi.org/10.1007/s10741-020-09945-9

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