
ASE’s Comprehensive Strain Imaging
- 1st Edition - May 1, 2021
- Imprint: Elsevier
- Editors: Thomas H. Marwick, Theodore P. Abraham
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 5 9 4 7 - 2
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 5 9 4 8 - 9
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 5 9 4 9 - 6
Strain imaging (also known as speckle-tracking echocardiography or STE) is a rapidly growing, affordable, and versatile cardiac imaging technology of great interest to clinician… Read more

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Request a sales quoteCovers step-by-step techniques on how to use strain imaging with expert tips on nuances, pitfalls, and clinical decision making.
Discusses the growing range of strain imaging applications for assessing diastolic function, atrial function, heart failure, arterial disease, valve disease, hypertrophy, and other common cardiovascular conditions.
Provides up-to-date information on screening and follow up of patients who receive cardio-toxic oncologic agents during cancer treatment and evaluation of patients with cardiomyopathy, heart failure, arterial disease, valve disease, implantable pacemakers, pericardial disease, hypertrophy, ischemic disease, and chest radiation.
Includes more than 150 images using the latest strain imaging technology, as well as videos that depict evaluation and monitoring of patients with cardiomyopathies.
Addresses future applications, including elastography.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
General cardiologists, cardiologists who specialize in echocardiography, interventional cardiologists, cardiac anesthesiologists
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- List of contributors
- Preface
- Video table of contents
- List of Tables
- List of Illustrations
- 1. Strain imaging applications and techniques
- Background
- The physics of strain
- The physiology of strain
- Echocardiographic strain methodologies
- Acquisition and processing
- Defining the normal range
- Strain measurements in cardiac chambers other than the left ventricle
- Clinical applications
- Conclusion
- References
- 2. Detection of subclinical heart failure
- Introduction
- Strain imaging in cardio-oncology
- Hypertension
- Diabetes
- Conclusions
- References
- 3. Evaluation of patients with heart failure
- The difficulties of the diagnosis of HF
- Strain and the diagnosis of patients at risk of HF
- Strain and the diagnosis and classification of patients with HFpEF
- Longitudinal and circumferential strain and risk of HF
- Prognostic value of deformation imaging in HFrEF
- Prognostic value of deformation imaging in HFpEF
- Conclusion
- References
- 4. Evaluation and monitoring of patients with cardiomyopathies (including myocardial infiltration)
- Hypertrophic cardiomyopathy
- LV strain imaging in hypertrophic cardiomyopathy
- Strain as a diagnostic tool in HCM
- Utility of strain in the evaluation of the gene-positive, phenotypically negative individual
- Clinical utility—prognosis
- Clinical utility—timing of myectomy
- Cardiac amyloidosis
- LV longitudinal strain in the diagnosis of cardiac amyloidosis
- Proposed mechanism of relative apical sparing
- Utility of GLS for prognostication in cardiac amyloidosis
- Use of strain for monitoring response to therapies
- Cardiac sarcoidosis
- Role of strain in systemic sarcoidosis—early disease detection and prognosis
- Mechanism of reduction in strain in cardiac sarcoidosis
- Arrhythmogenic right ventricular cardiomyopathy
- RV longitudinal strain in the diagnosis of ARVC
- Utility of RV strain for prognostication in ARVC
- Challenges and future directions
- References
- 5. Temporal dispersion of contraction, arrhythmias, and dyssynchrony and role in resynchronization therapy
- Pathophysiology of dispersed ventricular contraction
- Assessment of dispersed contraction pattern
- Prognostic information from dispersed contraction patterns
- Strain patterns associated with response to cardiac resynchronization therapy
- Systolic stretch and intermediate ECG criteria
- Conclusions
- References
- 6. Detection and characterization of diastolic dysfunction
- Basics of diastolic function
- Diastolic grading and estimation of LA pressure
- Use of speckle tracking as a supplementary method to assess DD and estimate LVFP
- Assessment of chamber stiffness
- Atrial fibrillation
- Constrictive pericarditis
- Summary
- References
- 7. Strain in valvular diseases
- Aortic stenosis
- Mitral regurgitation
- Aortic regurgitation
- Understanding cutoff points in aortic regurgitation, mitral regurgitation, and aortic stenosis
- RV longitudinal strain in valve diseases
- Diseases associated with right ventricular overload: Mitral stenosis, tricuspid regurgitation, pulmonary regurgitation, and stenosis
- Mitral stenosis
- Tricuspid regurgitation
- Conclusion
- References
- 8. Ischemic heart disease
- Ischemic heart disease (IHD)
- Summary
- References
- 9. Evaluation of right ventricular function and pulmonary hypertension
- Functional anatomy and myocardial fiber arrangement of the right ventricle
- Deformation metrics of right ventricular myocardial function
- Image acquisition and postprocessing of RV longitudinal strain
- Software packages used to measure RV myocardial deformation
- Reference values
- Clinical and prognostic value in different cardiac conditions
- Future perspectives
- Conclusions
- References
- 10. Future applications of strain imaging
- Strain imaging as a biomarker for clinical trials
- Three-dimensional strain imaging
- Principal strain, fiber orientation, and material properties
- Fusion of echocardiographic strain and other imaging modalities
- Artificial intelligence and machine learning
- Strain imaging in tissue engineering
- In silico trials
- Conclusions
- References
- Index
- Edition: 1
- Published: May 1, 2021
- Imprint: Elsevier
- No. of pages: 256
- Language: English
- Hardback ISBN: 9780323759472
- eBook ISBN: 9780323759489
- eBook ISBN: 9780323759496
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Thomas H. Marwick
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