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Copyright © 2018 Concetta Zito et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0/

Abstract

In recent years, the role of left ventricular ejection fraction (EF) as the gold standard parameter for the evaluation of systolic function has been questioned, and many efforts have been concentrated in the clinical validation of new noninvasive tools for the study of myocardial contractility. Improvement in the accuracy of speckle-tracking echocardiography has resulted in a large amount of research showing the ability of two-dimensional strain to overcome EF limitations in the majority of primary and secondary heart diseases. Currently, global longitudinal strain (GLS) is considered the most accurate and sensitive parameter for the assessment of early left ventricular dysfunction. This review summarizes the advantages that this measurement can provide in several clinical settings. Moreover, the important cautions that should be considered in making the choice to use GLS also are addressed. Finally, a special focus on bull’s-eye polar maps for the assessment of regional changes of longitudinal function and the usefulness of these maps in the differential diagnosis of several diseases is provided.

Details

Title
Ten Years of 2D Longitudinal Strain for Early Myocardial Dysfunction Detection: A Clinical Overview
Author
Zito, Concetta 1 ; Longobardo, Luca 1 ; Citro, Rodolfo 2 ; Galderisi, Maurizio 3 ; Oreto, Lilia 1 ; Carerj, Maria Ludovica 1 ; Manganaro, Roberta 1 ; Cusmà-Piccione, Maurizio 1 ; Todaro, Maria Chiara 1 ; Gianluca Di Bella 1 ; Imbalzano, Egidio 4 ; Khandheria, Bijoy K 5   VIAFID ORCID Logo  ; Scipione Carerj 1 

 Department of Clinical and Experimental Medicine, Section of Cardiology, University of Messina, Messina, Italy 
 Department of Cardiology and Cardiac Surgery, University Hospital, San Giovanni di Dio, Salerno, Italy 
 Department of Advanced Biomedical Sciences, Federico II University Hospital, Naples, Italy 
 Department of Clinical and Experimental Medicine, Section of Internal Medicine, University of Messina, Messina, Italy 
 Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, University of Wisconsin School of Medicine and Public Health, Marcus Family Fund for Echocardiography (ECHO) Research and Education, Milwaukee, WI, USA 
Editor
Pablo Avanzas
Publication year
2018
Publication date
2018
Publisher
John Wiley & Sons, Inc.
ISSN
23146133
e-ISSN
23146141
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2158186571
Copyright
Copyright © 2018 Concetta Zito et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0/