Key result
Advanced echocardiographic techniques including tissue Doppler and strain imaging provide new prognostic markers in IHD.
Why the study?
Practical prognostic markers are needed to better classify patients and guide treatment in ischemic heart disease.
Do advanced echocardiographic tools provide prognostic value for predicting adverse events in patients with ischemic heart disease?
Do advanced echocardiographic tools provide prognostic value for predicting adverse events in patients with ischemic heart disease?
Advanced echocardiographic techniques such as TDI, myocardial work index, speckle-tracking strain, and 3D imaging offer promising prognostic value for patients with ischemic heart disease.
May enhance prognostication in ischemic heart disease; leaves open need for prospective validation before clinical use.
Cardiovascular (CV) diseases caused 20.5 million deaths in 2021, making up nearly one-third of global mortality. This highlights the need for practical prognostic markers to better classify patients and guide treatment, especially in ischemic heart disease (IHD), which represents one of the leading causes of CV mortality. Transthoracic echocardiography (TTE) is a key, non-invasive imaging tool widely used in cardiology for diagnosing and managing a range of CV conditions. It is the first choice for diagnosing and monitoring patients with acute coronary syndrome (ACS). Alongside well-established echocardiographic measures, new techniques have proven useful for predicting adverse events in IHD patients, such as three-dimensional (3D) and tissue Doppler imaging (TDI), and speckle tracking technology. This review aims to explore the latest echocardiographic tools that could provide new prognostic markers for patients in the acute phase and during follow-up after an acute myocardial infarction (AMI). We focus on new imaging methods like TDI, myocardial work index (MWI), speckle-tracking strain, and 3D technologies using TTE, which are easy to use and widely available at all stages of coronary artery disease (CAD).
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Zadeh et al. (2024) conducted a review in Ischemic heart disease. Advanced echocardiography (TDI, MWI, speckle-tracking strain, 3D TTE) was evaluated. Advanced echocardiographic techniques, including tissue Doppler imaging, myocardial work index, and speckle-tracking strain, provide new prognostic markers for patients with ischemic heart disease.
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