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Irish Journal of Medical Science (1971 -)

Erschienen in:

16.11.2022 | Review Article

Myocardial strain: a clinical review

verfasst von: Bernadette Brady, Gerard King, Ross T. Murphy, Declan Walsh

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 4/2023

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Abstract

Background

Myocardial strain—change in myocardial fibre length over the cardiac cycle—is a measure of cardiac muscle function. It is obtained using conventional techniques such as echocardiography and magnetic resonance imaging, adding additional clinical information to augment the current techniques.

Methods

A narrative review of the current relevant literature with respect to myocardial strain, with a focus on strain measured by echocardiography.

Results

Myocardial strain identifies global and regional abnormalities in myocardial function and differentiates types of cardiomyopathy. It is an earlier marker of myocardial disease than ejection fraction and is predictive of cardiovascular adverse events. Accurate measurement requires high-quality images and experienced practitioners.

Conclusion

This review explains advantages and disadvantages of myocardial strain imaging and explains why, through adding increased precision without additional burden, it should be a standard part of cardiac assessment.

Colombo A, Cardinale D (2013) Using cardiac biomarkers and treating cardiotoxicity in cancer. Future Cardiol 9(1):105–118CrossRefPubMed

Burrage MK, Ferreira VM (2020) The use of cardiovascular magnetic resonance as an early non-invasive biomarker for cardiotoxicity in cardio-oncology. Cardiovasc Diagn Ther 10(3):610–624. https://doi.org/10.21037/cdt-20-165 (published Online First: 2020/07/23)CrossRefPubMedPubMedCentral

Plana JC, Galderisi M, Barac A et al (2014) Expert consensus for multimodality imaging evaluation of adult patients during and after cancer therapy: a report from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 27(9):911–939. https://doi.org/10.1016/j.echo.2014.07.012 (published Online First: 2014/08/31)CrossRefPubMed

Jordan JH, Todd RM, Vasu S et al (2018) Cardiovascular magnetic resonance in the oncology patient. JACC Cardiovasc Imaging 11(8):1150–1172. https://doi.org/10.1016/j.jcmg.2018.06.004 (published Online First: 2018/08/11)CrossRefPubMedPubMedCentral

Garg V, Vorobiof G (2016) Echocardiography and alternative cardiac imaging strategies for long-term cardiotoxicity surveillance of cancer survivors treated with chemotherapy and/or radiation exposure. Curr Oncol Rep 18(8):52. https://doi.org/10.1007/s11912-016-0532-y (published Online First: 2016/07/28)CrossRefPubMed

Kolla BC, Roy SS, Duval S et al (2017) Cardiac imaging methods for chemotherapy-related cardiotoxicity screening and related radiation exposure: current practice and trends. Anticancer Res 37(5):2445–2449. https://doi.org/10.21873/anticanres.11584 (published Online First: 2017/05/10)CrossRefPubMed

Bulten BF, Mavinkurve-Groothuis AM, de Geus-Oei LF et al (2014) Early myocardial deformation abnormalities in breast cancer survivors. Breast Cancer Res Treat 146(1):127–135. https://doi.org/10.1007/s10549-014-2997-4 (published Online First: 2014/05/24)CrossRefPubMed

Plana JC, Thavendiranathan P, Bucciarelli-Ducci C et al (2018) Multi-modality imaging in the assessment of cardiovascular toxicity in the cancer patient. JACC Cardiovasc Imaging 11(8):1173–1186. https://doi.org/10.1016/j.jcmg.2018.06.003 (published Online First: 2018/08/11)CrossRefPubMed

Rhea IB, Uppuluri S, Sawada S et al (2015) Incremental prognostic value of echocardiographic strain and its association with mortality in cancer patients. J Am Soc Echocardiogr 28(6):667–673. https://doi.org/10.1016/j.echo.2015.02.006 (published Online First: 2015/03/17)CrossRefPubMed

10.

Baur LH (2008) Strain and strain rate imaging: a promising tool for evaluation of ventricular function. Int J Cardiovasc Imaging 24(5):493–494. https://doi.org/10.1007/s10554-008-9301-9 (published Online First: 2008/02/23)CrossRefPubMedPubMedCentral

11.

Omar AMS, Sengupta PP (2018) Myocardial deformation imaging. Echocardiography 129–57

12.

Geyer H, Caracciolo G, Abe H et al (2010) Assessment of myocardial mechanics using speckle tracking echocardiography: fundamentals and clinical applications. J Am Soc Echocardiogr 23(4):351–69; quiz 453–5. https://doi.org/10.1016/j.echo.2010.02.015 (published Online First: 2010/04/07)

13.

Kalam K, Otahal P, Marwick TH (2014) Prognostic implications of global LV dysfunction: a systematic review and meta-analysis of global longitudinal strain and ejection fraction. Heart 100(21):1673–1680. https://doi.org/10.1136/heartjnl-2014-305538 (published Online First: 2014/05/27)CrossRefPubMed

14.

Kisslo J, Forsha D, Romano MMD et al (2018) Strain basics and global longitudinal strain. Echocardiography 845–66

15.

Thavendiranathan P, Poulin F, Lim KD et al (2014) Use of myocardial strain imaging by echocardiography for the early detection of cardiotoxicity in patients during and after cancer chemotherapy: a systematic review. J Am Coll Cardiol 63(25 Pt A):2751–68. https://doi.org/10.1016/j.jacc.2014.01.073 (published Online First: 2014/04/08)

16.

Luis SA, Chan J, Pellikka PA (2019) Echocardiographic assessment of left ventricular systolic function: an overview of contemporary techniques, including speckle-tracking echocardiography. Mayo Clin Proc 94(1):125–138. https://doi.org/10.1016/j.mayocp.2018.07.017 (published Online First: 2019/01/07)CrossRefPubMed

17.

Venneri L, Khattar RS (2016) Cancer and myocardial dysfunction: is there a link? Expert Rev Cardiovasc Ther 14(11):1207–1209. https://doi.org/10.1080/14779072.2016.1226129 (published Online First: 2016/08/20)CrossRefPubMed

18.

Szymanski C, Lévy F, Tribouilloy C (2014) Should LVEF be replaced by global longitudinal strain? Heart 100(21):1655–1656. https://doi.org/10.1136/heartjnl-2014-305538 (published Online First: 2014/07/21)CrossRefPubMed

19.

Fava AM, Meredith D, Desai MY (2019) Clinical applications of echo strain imaging: a current appraisal. Curr Treat Options Cardiovasc Med 21(10):50. https://doi.org/10.1007/s11936-019-0761-0 (published Online First: 2019/09/02)CrossRefPubMed

20.

Yingchoncharoen T, Agarwal S, Popović ZB et al (2013) Normal ranges of left ventricular strain: a meta-analysis. J Am Soc Echocardiogr 26(2):185–191CrossRefPubMed

21.

Abdel-Qadir H, Amir E, Thavendiranathan P (2015) The use of myocardial strain and newer echocardiography imaging techniques in cancer patients. Future Oncol 11(14):2035–2041CrossRefPubMed

22.

Collier P, Phelan D, Klein A (2017) A test in context: myocardial strain measured by speckle-tracking echocardiography. J Am Coll Cardiol 69(8):1043–1056CrossRefPubMed

23.

Dalen H, Thorstensen A, Aase SA et al (2010) Segmental and global longitudinal strain and strain rate based on echocardiography of 1266 healthy individuals: the HUNT study in Norway. Eur J Echocardiogr 11(2):176–183. https://doi.org/10.1093/ejechocard/jep194 (published Online First: 2009/12/01)CrossRefPubMed

24.

Takigiku K, Takeuchi M, Izumi C et al (2012) Normal range of left ventricular 2-dimensional strain: Japanese ultrasound speckle tracking of the left ventricle (JUSTICE) study. Circ J 76(11):2623–2632CrossRefPubMed

25.

Negishi K, Negishi T, Hare JL et al (2013) Independent and incremental value of deformation indices for prediction of trastuzumab-induced cardiotoxicity. J Am Soc Echocardiogr 26(5):493–498CrossRefPubMed

26.

McGregor PC, Moura FA, Banchs J et al (2020) Role of myocardial strain imaging in surveillance and management of cancer therapeutics-related cardiac dysfunction: a systematic review. Echocardiography. https://doi.org/10.1111/echo.14944 (published Online First: 2020/12/06)CrossRefPubMed

27.

Kirkham AA, Pituskin E, Paterson DI (2018) Does cancer affect cardiac function prior to cancer therapy exposure? Can J Cardiol 34(3):234–235. https://doi.org/10.1016/j.cjca.2017.12.019 (published Online First: 2018/02/06)CrossRefPubMed

28.

Tadic M, Genger M, Baudisch A et al (2018) Left ventricular strain in chemotherapy-naive and radiotherapy-naive patients with cancer. Can J Cardiol 34(3):281–287. https://doi.org/10.1016/j.cjca.2017.11.018CrossRefPubMed

29.

Negishi T, Thavendiranathan P, Negishi K et al (2018) Rationale and design of the strain surveillance of chemotherapy for improving cardiovascular outcomes: The SUCCOUR trial. JACC Cardiovasc Imaging 11(8):1098–1105CrossRefPubMed

30.

Cocco LD, Chiaparini AF, Saffi MAL et al (2022) Global longitudinal strain for the early detection of chemotherapy-induced cardiotoxicity: a systematic review and meta-analysis. Clin Oncol (R Coll Radiol) 34(8):514–525. https://doi.org/10.1016/j.clon.2022.05.001 (published Online First: 20220527)CrossRefPubMed

31.

Thavendiranathan P, Negishi T, Somerset E et al (2020) Strain-guided management of potentially cardiotoxic cancer therapy. J Am Coll Cardiol. https://doi.org/10.1016/j.jacc.2020.11.020 (published Online First: 2020/11/22)CrossRefPubMedPubMedCentral

32.

King G, Almuntaser I, Murphy RT et al (2013) Reduced right ventricular myocardial strain in the elite athlete may not be a consequence of myocardial damage. “Cream Masquerades as Skimmed Milk”. Echocardiography 30(8):929–35. https://doi.org/10.1111/echo.12153

33.

La Gerche A, Burns AT, D’Hooge J et al (2012) Exercise strain rate imaging demonstrates normal right ventricular contractile reserve and clarifies ambiguous resting measures in endurance athletes. J Am Soc Echocardiogr 25(3):253–62.e1. https://doi.org/10.1016/j.echo.2011.11.023CrossRefPubMed

34.

Wibowo A, Pranata R, Astuti A et al (2021) Left and right ventricular longitudinal strains are associated with poor outcome in COVID-19: a systematic review and meta-analysis. J Intensive Care 9(1):9. https://doi.org/10.1186/s40560-020-00519-3 (published Online First: 2021/01/14)CrossRefPubMedPubMedCentral

35.

Collier P, Koneru S, Tamarappoo B et al (2015) Strain imaging to detect cancer therapeutics-related cardiac dysfunction: are we there yet? Future Cardiol 11(4):401–405CrossRefPubMedPubMedCentral

36.

Voigt JU, Pedrizzetti G, Lysyansky P et al (2015) Definitions for a common standard for 2D speckle tracking echocardiography: consensus document of the EACVI/ASE/Industry Task Force to standardize deformation imaging. Eur Heart J Cardiovasc Imaging 16(1):1–11. https://doi.org/10.1093/ehjci/jeu184 (published Online First: 2014/12/20)CrossRefPubMed

37.

Zange L, Muehlberg F, Blaszczyk E et al (2019) Quantification in cardiovascular magnetic resonance: agreement of software from three different vendors on assessment of left ventricular function, 2D flow and parametric mapping. J Cardiovasc Magn Reson 21(1):12. https://doi.org/10.1186/s12968-019-0522-y (published Online First: 20190221)CrossRefPubMedPubMedCentral

38.

Zamorano JL, Lancellotti P, Rodriguez Munoz D et al (2016) 2016 ESC position paper on cancer treatments and cardiovascular toxicity developed under the auspices of the ESC Committee for Practice Guidelines: the task force for cancer treatments and cardiovascular toxicity of the European Society of Cardiology (ESC). Eur Heart J 37(36):2768–2801. https://doi.org/10.1093/eurheartj/ehw211 (published Online First: 2016/08/28)CrossRefPubMed

Titel: Myocardial strain: a clinical review
verfasst von: Bernadette Brady
Gerard King
Ross T. Murphy
Declan Walsh
Publikationsdatum: 16.11.2022
Verlag: Springer International Publishing
Erschienen in: Irish Journal of Medical Science (1971 -) / Ausgabe 4/2023
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI: https://doi.org/10.1007/s11845-022-03210-8

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Results

Conclusion

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