Quantitative Evaluation of Regional Left Ventricular Function Using Three-Dimensional Speckle Tracking Echocardiography in Patients With and Without Heart Disease

Maffessanti, Francesco; Nesser, Hans‐Joachim; Weinert, Lynn; Steringer‐Mascherbauer, Regina; Niel, Johannes; Gorissen, Willem; Sugeng, Lissa; Lang, Roberto M.; Mor‐Avi, Victor

doi:10.1016/j.amjcard.2009.07.060

Cited by 155 publications

(135 citation statements)

References 30 publications

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“…The development of 3D speckle tracking may assist with these limitations. The newly developed 3D-STE imaging used with real-time 3D echocardiography data sets has the potential to avoid the limitations of 2D-STE imaging in the assessment of LV wall motion, because it tracks the motion of speckles within the scan volume, regardless of the direction of motion (Maffessanti et al, 2009). 3D-STE shows more homogenous color distribution in normal ventricles, consistent with the expected normal patterns of LV wall motion, compared to 2D-STE in the same subject.…”

Section: Diastolic Strain Ratementioning

confidence: 99%

Evaluation of Left Ventricular Diastolic Function by Echocardiography

Lacalzada¹,

Duque²,

Rosa³

et al. 2011

Establishing Better Standards of Care in Doppler Echocardiography, Computed Tomography and Nuclear Cardiology

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Section: Diastolic Strain Ratementioning

confidence: 99%

Evaluation of Left Ventricular Diastolic Function by Echocardiography

Lacalzada¹,

Duque²,

Rosa³

et al. 2011

Establishing Better Standards of Care in Doppler Echocardiography, Computed Tomography and Nuclear Cardiology

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“…Newer techniques, such as 3D speckle tracking, may also improve quantification of the heart by combining both methods to obtain a regional strain and strain rate in a more homogeneous manner. 91, 92 Image acquisition theoretically can be performed from any view ( Figure 5).…”

Section: D Echocardiographymentioning

confidence: 99%

Echocardiographic Evaluation of the Single Right Ventricle in Congenital Heart Disease

Clifford

Feltes

2012

Circ J

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Circulation Journal Official Journal of the Japanese Circulation Society http://www. j-circ.or.jp dvances in congenital heart procedures, both surgical and interventional, have increased the life expectancy of patients with complex congenital heart disease (CHD). 1 This holds especially true for patients with single right ventricle (RV) physiology. A major medical issue that these patients are experiencing with increasing life expectancy after surgical palliation is progressive heart failure, with a reported incidence as high as 40%. 2,3 Adult guidelines for treatment of heart failure are mainly based on level A evidence; 4-6 however, most guidelines for pediatric/congenital heart failure treatment are based on, at best, level B evidence and more often level C evidence, the latter being the only evidence supporting heart failure treatment guidelines in patients with single-ventricle physiology. 7, 8 Multiple reasons exist for the lack of evidence for heart failure treatment in this complex population, but a definite reason is the inability to accurately and precisely assess RV function. The RV is difficult to image echocardiographically because of its anterior position in the chest, its course muscular trabeculations making chamber margins difficult to ascertain, and its relatively thin wall. 9 Because of these difficulties, cardiac magnetic resonance imaging (cMRI) is considered the gold standard for non-invasively evaluating RV function. However, because of practical considerations, echocardiography still remains the most often used modality for evaluating the RV. Current advances in echocardiographic techniques have been able to overcome some of the previous limitations in evaluating the RV and correlations with cMRI have been documented. 10-13 In addition, recent echocardiographic guidelines for evaluating the RV have been published to aid in standardizing practice in both pediatric and adult populations. 14, 15 In this review, we briefly discuss the characteristics of the RV and how this may differ in a single RV vs. a biventricular physiology. We also review the current available literature on the echocardiographic assessment of patients with single RV physiology using newer echocardiographic techniques. RV's CharacteristicsThe RV differs embryologically, structurally, and functionally from the left ventricle (LV). These differences are likely related to both genetic/gene expression and physiology, and the interactions between them. These interactions have been described in the "normal" RV in a biventricular physiology, but significantly less is known about how a "normal" RV should develop in a single-ventricle physiology.The heart forms from a single tube after fusion of the bilateral heart fields. This tube consists essentially of the inflow and outflow limbs. The RV, conus, and truncus comprise the outflow limb. 16 Embryologically, the RV develops from cells that originate in the secondary heart field, whereas the LV Right ventricular (RV) function is increasingly recognized as having prognostic signifi...

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“…3D-STE allows efficient single-time acquisition of all LV segments in the same 3D data set. [13][14][15][16] Until now, no systematic studies have been able to elucidate the relationship between peak V O2 and LV torsion in patients with DCM. The clinical relevance of LV torsion in treatment guidance for DCM is still unclear.…”

mentioning

confidence: 99%

Three-Dimensional Left Ventricular Torsion in Patients With Dilated Cardiomyopathy　― A Marker of Disease Severity ―

Sveric

Ulbrich

Rady

et al. 2017

Circ J

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mental exercise. 9 Twist motion and apical rotation are sensitive markers for changes in the state of cardiac function and contractility. 10, 11 However, as with all 2D speckle-tracking techniques used for quantification of the LV, deformation and twist are affected by incorrect acquisition. 12 Cardiac motion is three-dimensional and myocardial speckles move in 3 dimensions. Hence, only a portion of the real myocardial motion can be detected with a 2D method. 3D speckletracking echocardiography (STE) is a novel tool to noninvasively quantify myocardial deformation and LV rotation. It has been validated against sonomicrometry, showing agreement with magnetic resonance imaging. 3D-STE allows efficient single-time acquisition of all LV segments in the same 3D data set. 13- 16 Until now, no systematic studies have been able to elucidate the relationship between peak V O2 and LV torsion in patients with DCM. The clinical relevance of LV torsion in treatment guidance for DCM is still unclear. Therefore, Idiopathic non-ischemic dilated cardiomyopathy (DCM) is characterized by progressive left ventricular (LV) dilatation that is accompanied by reduced myocardial contractility. Cardiopulmonary exercise testing (CPET), along with an abnormal peak oxygen uptake (peak V O2 <20 mL/kg/min), is a strong predictor of death and disease progression in these patients. 1-3 In daily practice, therapy is most commonly assessed echocardiographically by changes in LV ejection fraction (EF). The validity of LV EF in predicting clinical outcome and peak V O2 is questionable in chronic systolic heart failure. 4,5 LV twist, induced by systolic apical counterclockwise (positive angulation in echocardiography) and basal clockwise rotation, results in a LV wringing motion, which was first described in 1628 by Harvey. 6 The counterdirectional helical layer architecture of the LV provides the anatomical basis of the twist motion. 7,8 A normalized twist, called torsion, makes measurements of the LV wringing motion more comparable among differently sized hearts. LV twist/ torsion, together with longitudinal and circumferential deformation, indicates an effective LV performance, which is necessary for adequate stroke volume (SV) during incre- Editorial p 440Received Background: LV twist has a key role in maintaining left ventricular (LV) contractility during exercise. The purpose of this study was to investigate LV torsion instead of twist as a surrogate marker of peak oxygen uptake (peak V O2) assessed by cardiopulmonary exercise testing (CPET) in patients with non-ischemic dilated cardiomyopathy (DCM).

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Quantitative Evaluation of Regional Left Ventricular Function Using Three-Dimensional Speckle Tracking Echocardiography in Patients With and Without Heart Disease

Cited by 155 publications

References 30 publications

Evaluation of Left Ventricular Diastolic Function by Echocardiography

Evaluation of Left Ventricular Diastolic Function by Echocardiography

Echocardiographic Evaluation of the Single Right Ventricle in Congenital Heart Disease

Three-Dimensional Left Ventricular Torsion in Patients With Dilated Cardiomyopathy　― A Marker of Disease Severity ―

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Quantitative Evaluation of Regional Left Ventricular Function Using Three-Dimensional Speckle Tracking Echocardiography in Patients With and Without Heart Disease

Cited by 155 publications

References 30 publications

Evaluation of Left Ventricular Diastolic Function by Echocardiography

Evaluation of Left Ventricular Diastolic Function by Echocardiography

Echocardiographic Evaluation of the Single Right Ventricle in Congenital Heart Disease

Three-Dimensional Left Ventricular Torsion in Patients With Dilated Cardiomyopathy ― A Marker of Disease Severity ―

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Product

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Three-Dimensional Left Ventricular Torsion in Patients With Dilated Cardiomyopathy　― A Marker of Disease Severity ―