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Echocardiographic Assessment of Myocardial Mechanics: Velocity, Strain, Strain Rate and Torsion

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Abstract

Echocardiography has been routinely used for assessment of cardiac mechanics. M-Mode and two dimensional echocardiography provide semi-quantitative data in the context of ventricular function and have limited ability in defining subtle changes in the function. Doppler tissue imaging (DTI) and Speckle tracking echocardiography (STE), two newer techniques, have emerged greater concerns for their role in quantification of ventricular systolic and diastolic function. These methods are more objective and provide more reproducible results. This chapter focuses on the technical properties of DTI, STE and tortional parameters and their clinical implication.

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Abbreviations

2D:

Two-dimensional

3D:

Three-dimensional

DT:

Doppler tissue

DTI:

Doppler tissue imaging

ET:

Ejection time

GCS:

Global circumferential strain

GLS:

Global longitudinal strain

GRS:

Global radial strain

IVA:

Isovolumic acceleration

IVCT:

Isovolumic contraction time

IVRT:

Isovolumic relaxation time

MPI:

Myocardial performance index

ROI:

Region of interest

RV:

Right ventricular

SR:

Strain rate

STE:

Speckle-tracking echocardiography

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Author information

Authors and Affiliations

  1. Cardiovascular Department, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

    Hoorak Poorzand MD, FASE

  2. Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, Iran

    Anita Sadeghpour MD, FACC, FASE (Professor of Cardiology)

  3. Echocardiography and Cardiogenetic Research Centers, Cardio-Oncology Department, Rajaie Cardiovascular Medical and Research Center, Tehran, Iran

    Azin Alizadehasl MD, FACC, FASE (Associate Professor of Cardiology, Echocardiologist)

  4. Cardiac Imaging Lab, Sundsvall, Sweden

    Samir Saha

Authors
  1. Hoorak Poorzand MD, FASE
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  2. Anita Sadeghpour MD, FACC, FASE
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  3. Azin Alizadehasl MD, FACC, FASE
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  4. Samir Saha
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Editor information

Editors and Affiliations

  1. Rajaie Cardiovascular, Medical and Research Center, Echocardiography Research Center, Iran University of Medical Sciences, Tehran, Iran

    Anita Sadeghpour

  2. Rajaie Cardiovascular, Medical and Research Center, Echocardiography Research Center, Iran University of Medical Sciences, Tehran, Iran

    Azin Alizadehasl

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Poorzand, H., Sadeghpour, A., Alizadehasl, A., Saha, S. (2018). Echocardiographic Assessment of Myocardial Mechanics: Velocity, Strain, Strain Rate and Torsion. In: Sadeghpour, A., Alizadehasl, A. (eds) Case-Based Textbook of Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-319-67691-3_12

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  • DOI: https://doi.org/10.1007/978-3-319-67691-3_12

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