“…Strain (deformation) or strain rate (rate of deformation) can be assessed in patients by echocardiography using tissue Doppler or speckle tracking echocardiography (Dandel & Hetzer, 2009) or with tagged MRI , and in experimental studies by sonomicrometry (Urheim et al, 2000). The indices have proven superior to established indices of myocardial function to assess myocardial infarct size (Becker et al, 2006;Chan et al, 2006;Gjesdal et al, 2008;Vartdal et al, 2007), hypertrophic cardiomyopathy (Serri et al, 2006), and in metabolic syndrome (Gong et al, 2009), ads incremental value in predicting outcome in cardiovascular disease , and predicts arrhythmic events after myocardial infarct (Haugaa et al, 2009). Strain and strain rate (SR) were developed as clinical indices of regional myocardial deformation (Edvardsen et al, 2001;Gotte et al, 2001;Mirsky & Parmley, 1973;Rademakers et al, 1994;Zhang et al, 2005) and have been introduced and validated using tagged MRI and sonomicrometry (Derumeaux et al, 2001;Urheim et al, 2000).…”