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September 23, 2026Journal of the American College of CardiologyOpen Access

Echocardiographic Assessment of Myocardial Strain

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Key result

Echocardiographic strain imaging shows strong potential to advance routine cardiovascular clinical practice.

Why the study?

Echocardiographic strain imaging has been developed to objectively quantify regional myocardial function and its clinical applications continue to evolve.

Design

Review of echocardiographic strain imaging techniques and clinical applications

Authors

John Gorcsan
John GorcsanCardiac Imaging
Hidekazu Tanaka
Hidekazu TanakaHeart Failure / Cardiomyopathy

Discussion

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Implication

Clinical review demonstrates utility of echocardiographic strain imaging in cardiovascular disease, indicating enhanced detection of subclinical myocardial dysfunction.

Key Points

  • To review the echocardiographic modalities available for assessing myocardial strain and their role in evaluating subclinical cardiac dysfunction.
  • Reviewed technical principles of speckle-tracking echocardiography and tissue Doppler imaging for evaluating myocardial deformation.
  • Analyzed clinical applications across components of cardiac strain, focusing on longitudinal, circumferential, and radial deformation indices.
  • Global longitudinal strain demonstrates superior sensitivity for detecting early subclinical ventricular impairment compared with conventional left ventricular ejection fraction.
  • Speckle-tracking echocardiography provides reproducible and angle-independent measurements of regional and global myocardial mechanics.

PICO

I
Intervention / Comparator
Echocardiographic strain imaging

Cite This Study

Gorcsan et al. (2011) reported a review. Echocardiographic strain imaging was evaluated. Echocardiographic strain imaging has become established as a robust research tool with great potential for routine clinical practice to advance cardiovascular patient care.

synapsesocial.com/papers/6ab3ed3594fca434ea95d4cchttps://doi.org/10.1016/j.jacc.2011.06.038
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Novel Speckle-Tracking Radial Strain From Routine Black-and-White Echocardiographic Images to Quantify Dyssynchrony and Predict Response to Cardiac Resynchronization Therapy2006 · 813 citations
  2. 2Left ventricular twist: comparison between two- and three-dimensional speckle-tracking echocardiography in healthy volunteers2010 · 61 citations
  3. 3Longitudinal Myocardial Function Assessed by Tissue Velocity, Strain, and Strain Rate Tissue Doppler Echocardiography in Patients With AL (Primary) Cardiac Amyloidosis2003 · 442 citations