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

  • Hoorak Poorzand
  • Anita Sadeghpour
  • Azin Alizadehasl
  • Samir Saha


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.


Tissue Doppler imaging Ventricular mechanics Atrial mechanics Strain Velocity Torsion 







Doppler tissue


Doppler tissue imaging


Ejection time


Global circumferential strain


Global longitudinal strain


Global radial strain


Isovolumic acceleration


Isovolumic contraction time


Isovolumic relaxation time


Myocardial performance index


Region of interest


Right ventricular


Strain rate


Speckle-tracking echocardiography


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Hoorak Poorzand
    • 1
  • Anita Sadeghpour
    • 2
  • Azin Alizadehasl
    • 3
  • Samir Saha
    • 4
  1. 1.Cardiovascular Department, Faculty of MedicineImam Reza Hospital, Mashhad University of Medical SciencesMashhadIran
  2. 2.Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical ScienceTehranIran
  3. 3.Echocardiography and Cardiogenetic Research CentersCardio-Oncology Department, Rajaie Cardiovascular Medical and Research CenterTehranIran
  4. 4.Cardiac Imaging LabSundsvallSweden

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