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Open Access Echocardiographic Measures of Strain and Prognosis

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Echocardiography is the most frequently used imaging modality to determine cardiac function. Left ventricular ejection fraction the most widely used parameter for evaluation of systolic function, provides important prognostic value in clinical practice, and forms part of the evidence base for many decisions about cardiovascular care. However, ejection fraction has several substantial limitations and is insensitive to subtle changes in systolic function. The assessment of myocardial deformation with echocardiography has been studied for two decades, and is increasingly used in the clinical setting. This technique can precisely characterize the mechanics of myocardial contraction and relaxation. The most commonly used parameter is global longitudinal strain, which is more sensitive than ejection fraction for the measurement of systolic function. This review focuses on the prognostic value of global longitudinal strain in predicting adverse outcomes in cardiovascular disease.
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Keywords: cardiovascular; deformation; ejection fraction; imaging; left ventricle; longitudinal strain

Document Type: Research Article

Publication date: 01 December 2016

This article was made available online on 21 February 2017 as a Fast Track article with title: "Echocardiographic Measures of Strain and Prognosis".

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  • Cardiovascular Innovations and Applications (CVIA) publishes focused articles and original clinical research that explore novel developments in cardiovascular disease, effective control and rehabilitation in cardiovascular disease, and promote cardiovascular innovations and applications for the betterment of public health globally. The journal publishes basic research that has clinical applicability in order to promote timely communication of the latest insights relating to coronary artery disease, heart failure, hypertension, cardiac arrhythmia, prevention of cardiovascular disease with a heavy emphasis on risk factor modification. Cardiovascular Innovations and Applications is the official journal of the Great Wall International Congress of Cardiology (GW-ICC). It aims to continue the work of the GW-ICC by providing a global scientific communication platform for cardiologists that bridges East and West.

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