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Speckle Tracking Echocardiography: Early Predictor of Diagnosis and Prognosis in Coronary Artery Disease

Echocardiography represents a first level technique for the evaluation of coronary artery disease (CAD) which supports clinicians in the diagnostic and prognostic workup of these syndromes. However, visual estimation of wall motion abnormalities sometimes fails in detecting less clear or transient m...

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Autores principales: Pastore, Maria Concetta, Mandoli, Giulia Elena, Contorni, Francesco, Cavigli, Luna, Focardi, Marta, D'Ascenzi, Flavio, Patti, Giuseppe, Mondillo, Sergio, Cameli, Matteo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7875622/
https://www.ncbi.nlm.nih.gov/pubmed/33623788
http://dx.doi.org/10.1155/2021/6685378
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author Pastore, Maria Concetta
Mandoli, Giulia Elena
Contorni, Francesco
Cavigli, Luna
Focardi, Marta
D'Ascenzi, Flavio
Patti, Giuseppe
Mondillo, Sergio
Cameli, Matteo
author_facet Pastore, Maria Concetta
Mandoli, Giulia Elena
Contorni, Francesco
Cavigli, Luna
Focardi, Marta
D'Ascenzi, Flavio
Patti, Giuseppe
Mondillo, Sergio
Cameli, Matteo
author_sort Pastore, Maria Concetta
collection PubMed
description Echocardiography represents a first level technique for the evaluation of coronary artery disease (CAD) which supports clinicians in the diagnostic and prognostic workup of these syndromes. However, visual estimation of wall motion abnormalities sometimes fails in detecting less clear or transient myocardial ischemia and in providing accurate differential diagnosis. Speckle tracking echocardiography (STE) is a widely available noninvasive tool that could easily and quickly provide additive information over basic echocardiography, since it is able to identify subtle myocardial damage and to localize ischemic territories in accordance to the coronary lesions, obtaining a clear visualization with a “polar map” useful for differential diagnosis and management. Therefore, it has increasingly been applied in acute and chronic coronary syndromes using rest and stress echocardiography, showing good results in terms of prediction of CAD, clinical outcome, left ventricular remodeling, presence, and quantification of new/residual ischemia. The aim of this review is to illustrate the current available evidence on STE usefulness for the assessment and follow-up of CAD, discussing the main findings on bidimensional and tridimensional strain parameters and their potential application in clinical practice.
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spelling pubmed-78756222021-02-22 Speckle Tracking Echocardiography: Early Predictor of Diagnosis and Prognosis in Coronary Artery Disease Pastore, Maria Concetta Mandoli, Giulia Elena Contorni, Francesco Cavigli, Luna Focardi, Marta D'Ascenzi, Flavio Patti, Giuseppe Mondillo, Sergio Cameli, Matteo Biomed Res Int Review Article Echocardiography represents a first level technique for the evaluation of coronary artery disease (CAD) which supports clinicians in the diagnostic and prognostic workup of these syndromes. However, visual estimation of wall motion abnormalities sometimes fails in detecting less clear or transient myocardial ischemia and in providing accurate differential diagnosis. Speckle tracking echocardiography (STE) is a widely available noninvasive tool that could easily and quickly provide additive information over basic echocardiography, since it is able to identify subtle myocardial damage and to localize ischemic territories in accordance to the coronary lesions, obtaining a clear visualization with a “polar map” useful for differential diagnosis and management. Therefore, it has increasingly been applied in acute and chronic coronary syndromes using rest and stress echocardiography, showing good results in terms of prediction of CAD, clinical outcome, left ventricular remodeling, presence, and quantification of new/residual ischemia. The aim of this review is to illustrate the current available evidence on STE usefulness for the assessment and follow-up of CAD, discussing the main findings on bidimensional and tridimensional strain parameters and their potential application in clinical practice. Hindawi 2021-02-02 /pmc/articles/PMC7875622/ /pubmed/33623788 http://dx.doi.org/10.1155/2021/6685378 Text en Copyright © 2021 Maria Concetta Pastore et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Pastore, Maria Concetta
Mandoli, Giulia Elena
Contorni, Francesco
Cavigli, Luna
Focardi, Marta
D'Ascenzi, Flavio
Patti, Giuseppe
Mondillo, Sergio
Cameli, Matteo
Speckle Tracking Echocardiography: Early Predictor of Diagnosis and Prognosis in Coronary Artery Disease
title Speckle Tracking Echocardiography: Early Predictor of Diagnosis and Prognosis in Coronary Artery Disease
title_full Speckle Tracking Echocardiography: Early Predictor of Diagnosis and Prognosis in Coronary Artery Disease
title_fullStr Speckle Tracking Echocardiography: Early Predictor of Diagnosis and Prognosis in Coronary Artery Disease
title_full_unstemmed Speckle Tracking Echocardiography: Early Predictor of Diagnosis and Prognosis in Coronary Artery Disease
title_short Speckle Tracking Echocardiography: Early Predictor of Diagnosis and Prognosis in Coronary Artery Disease
title_sort speckle tracking echocardiography: early predictor of diagnosis and prognosis in coronary artery disease
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7875622/
https://www.ncbi.nlm.nih.gov/pubmed/33623788
http://dx.doi.org/10.1155/2021/6685378
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