Two-Dimensional Longitudinal Strain in Patients with Aortic Stenosis Can Be Reliably Acquired at the Bedside without Additional Benefit of Offline Analysis

Beaver, Timothy A.; Steiner, Julia; Sullivan, Clyde D.; Costa, Salvatore P.; Palac, Robert T.

doi:10.1111/j.1540-8175.2010.01275.x

Cited by 6 publications

(6 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The maximum time delay became shorter in a well-synchronized contraction but was longer in a dyssynchronized contraction. The high reproducibility of speckle tracking echocardiography has previously been reported by us and others (Beaver et al 2011;Harada et al 2011).…”

Section: Conventional Pulse Doppler and Speckle Tracking Echocardiosupporting

confidence: 65%

Laronidase Replacement Therapy and Left Ventricular Function in Mucopolysaccharidosis I

et al. 2014

View full text Add to dashboard Cite

We assessed the effects of long-term laronidase replacement therapy (LRT) on the left ventricular (LV) function of a 52-year-old adult woman with mucopolysaccharidosis I (MPS I). The urinary uronic acid concentration significantly decreased by 78.7% (from 75 to 16 mg/g creatinine) after LRT; thereafter, estimated LV weight as assessed by two-dimensional (2D) echocardiography significantly decreased by 33.3% (from 189 to 126 g). Although systolic LV function of the ejection fraction as assessed by 2D echocardiogram did not change after LRT, the diastolic LV function parameters of the deceleration time (DcT) and the ratio of early (E) to late (A) ventricular filling velocities (E/A ratio) significantly improved. The DcT significantly decreased from 355 to 300 ms and the E/A ratio significantly decreased from 1.8 to 0.98. These diastolic parameters were normalized. In the contraction synchrony assessed by 2D speckle tracking imaging, the maximum time delay of contraction decreased from 148 to 14 ms. In addition, the LV weight significantly correlated with the E/A ratio (p < 0.001, r = 0.63), DcT (p < 0.05, r = 0.48), and contraction synchrony (p < 0.001, r = 0.61), respectively. This is the first study to report that LRT significantly improves diastolic LV function and contraction synchrony in a patient with MPS I.

show abstract

Section: Conventional Pulse Doppler and Speckle Tracking Echocardiosupporting

confidence: 65%

Laronidase Replacement Therapy and Left Ventricular Function in Mucopolysaccharidosis I

et al. 2014

View full text Add to dashboard Cite

show abstract

“…The widespread inclusion of STE in routine functional assessment is in part hindered due to the time‐intensive need for post processing and by a perceived lack of incremental value in the setting of reduced traditional parameters. Both of these issues are now being addressed with evidence from the adult population that not only does STE offer incremental value for prognostication but can also be accurately and reproducibly performed at the bedside . At this time, 3D STE is hampered by the reduction in frame rate associated with full volume acquisition and poor reproducibility, and so will remain an exciting prospect until these issues can be overcome.…”

Section: Resultsmentioning

confidence: 99%

“…Both of these issues are now being addressed with evidence from the adult population that not only does STE offer incremental value for prognostication but can also be accurately and repro-ducibly performed at the bedside. 99 At this time, 3D STE is hampered by the reduction in frame rate associated with full volume acquisition and poor reproducibility, and so will remain an exciting prospect until these issues can be overcome. Two-dimensional STE requires further validation and normative values in a pediatric population, ideally along with the standardization across different vendor systems, before we can fully integrate what is an excellent research tool into everyday clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Speckle Tracking Echocardiography in Pediatric and Congenital Heart Disease

2013

View full text Add to dashboard Cite

Assessment of myocardial strain using speckle tracking echocardiography is an emerging echocardiographic technique that is increasingly used in the diagnosis and management of acquired heart disease in adults. In pediatric heart disease, this is still mainly considered as a research tool as the application of this technology has been slowed by the lack of vendor-independent technology and of normative data across the different age ranges. We believe that the technology has potential applications for the early detection of myocardial dysfunction, the quantification of ventricular function in congenital heart disease, and the detection of dyssynchrony.

show abstract

“…Strain analysis at the bedside can report longitudinal strain with high inter-and intra-observer reproducibility. 19 Complete analysis requires a separate designated workstation. Following the manual tracing of the endocardial border at endsystole, the software performs analysis automatically.…”

Section: How To Obtain Strainmentioning

confidence: 99%

Strain Imaging: The Emergence of Speckle Tracking Echocardiography into Clinical Pediatric Cardiology

Colquitt

Pignatelli

2016

Congenital Heart Disease

View full text Add to dashboard Cite

Speckle tracking echocardiography measures myocardial strain and allows for the quantification of regional and global left and right ventricular function. A growing body of literature is supporting its transition from research into clinical practice. This article aims to provide a practical review of strain imaging as it applies to congenital and pediatric heart disease, with the goals of increasing literacy and advocating for greater clinical integration.

show abstract

Two-Dimensional Longitudinal Strain in Patients with Aortic Stenosis Can Be Reliably Acquired at the Bedside without Additional Benefit of Offline Analysis

Abstract: The GLS in aortic stenosis patients can be reliably measured at the bedside by a sonographer without additional benefit of offline analysis.

Cited by 6 publications

References 17 publications

Laronidase Replacement Therapy and Left Ventricular Function in Mucopolysaccharidosis I

Laronidase Replacement Therapy and Left Ventricular Function in Mucopolysaccharidosis I

Speckle Tracking Echocardiography in Pediatric and Congenital Heart Disease

Strain Imaging: The Emergence of Speckle Tracking Echocardiography into Clinical Pediatric Cardiology

Contact Info

Product

Resources

About