Possibilities and Prospects of Echocardiographic Diagnostics of Regional Contractility Disorders of the Left Ventricular Myocardium in Patients with Chronic Ischemic Heart Disease. Literature Review

T. O. Nikolaeva; В. В. Мазур; Е. С. Мазур

doi:10.35693/sim688475

August 12, 2025Science and Innovations in MedicineOpen Access

Possibilities and Prospects of Echocardiographic Diagnostics of Regional Contractility Disorders of the Left Ventricular Myocardium in Patients with Chronic Ischemic Heart Disease. Literature Review

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Key Points

Echocardiographic techniques provide objective measures for assessing local contractility in the left ventricle, enhancing diagnostic accuracy.
Speckle-tracking echocardiography allows quantitative evaluation of myocardial deformation, potentially replacing subjective visual assessments.
The review highlights improvements in automated processing of echocardiographic data, aiming for practical clinical applications.
Enhanced understanding of myocardial deformation indices could transform diagnostics for patients with coronary atherosclerosis.],
simple_explanation
Echocardiography is a key tool in checking heart function, particularly for understanding how well the heart's left side pumps blood. New methods, like speckle-tracking echocardiography, provide more accurate measurements of heart muscle movement. This means that doctors can diagnose heart problems more reliably, especially for patients with blocked arteries. Better techniques will lead to smarter treatments in everyday practice. ❤️
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Implication

Literature review reveals echocardiographic techniques improve diagnosis of contractility disorders, suggesting enhanced diagnostic accuracy for coronary patients.

Abstract

Сurrently, the main method for identifying transient disorders of local contractility of the left ventricular myocardium in patients with coronary atherosclerosis is a visual assessment of myocardial contractility under physical or pharmacological stress. Visual assessment of myocardial contractility, especially in stress tests, requires extensive experience in conducting such studies. However, visual assessment by even the most experienced operator is still subjective. So, one of the main areas of diagnostics of disorders of local contractility of the left ventricle has been and remains the development of methods for objective quantitative assessment of the functional state of various areas of the left ventricular myocardium. A significant success in this area was the creation of a speckle-tracking echocardiography technique, which allows for a quantitative assessment of myocardial deformation during its contraction and relaxation. The review presents the results of studies indicating that the determination of left ventricular myocardial deformation indices may become an alternative to the traditional method, devoid of such disadvantages as the subjectivity of visual information perception and very high requirements for the operator's qualification level. Deepening knowledge about the mechanisms, clinical significance of various myocardial deformation indices, the improvement of both the speckle-tracking echocardiography technique itself and the algorithms for automated processing of the data creates a real prospect for its introduction into clinical practice as the main method for identifying transient disorders of local left ventricular contractility in patients with hemodynamically significant coronary atherosclerosis.

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Cite This Study

Nikolaeva et al. (2025) studied this question.

synapsesocial.com/papers/68af4ce5ad7bf08b1ead6bd4 https://doi.org/10.35693/sim688475

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Possibilities and Prospects of Echocardiographic Diagnostics of Regional Contractility Disorders of the Left Ventricular Myocardium in Patients with Chronic Ischemic Heart Disease. Literature Review

Key Points

Implication

Abstract

Discussion

Cite This Study

Possibilities and Prospects of Echocardiographic Diagnostics of Regional Contractility Disorders of the Left Ventricular Myocardium in Patients with Chronic Ischemic Heart Disease. Literature Review

Key Points

Implication

Abstract

Discussion

Cite This Study

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