Key result
Echo and CMR strain imaging enhances heart failure diagnosis and risk stratification beyond traditional EF.
Strain imaging via echocardiography and CMR provides enhanced detection of subclinical myocardial dysfunction and improves risk stratification beyond traditional ejection fraction in heart failure.
May support subclinical HF detection beyond LVEF; leaves open prospective validation before routine adoption.
Strain imaging, performed with echocardiography and cardiovascular magnetic resonance (CMR), is a noninvasive technique for detecting subclinical myocardial dysfunction across the heart failure spectrum, in various cardiomyopathies, and within the field of cardio-oncology. By quantifying myocardial deformation, strain enhances diagnosis, risk stratification, and treatment monitoring beyond traditional measures such as ejection fraction. While echocardiography remains the most accessible modality, ongoing advances in CMR techniques-including incorporation of artificial intelligence-promise to improve standardization, reproducibility, and clinical integration of strain imaging in the management of heart failure and cardiovascular care.
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Hayes et al. (2026) conducted a review in Heart failure. Strain imaging (echocardiography and CMR) vs. Traditional measures such as ejection fraction was evaluated. Strain imaging using echocardiography and cardiovascular magnetic resonance enhances diagnosis, risk stratification, and treatment monitoring in heart failure beyond traditional ejection fraction.
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