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01.01.2007 | Technical notes | Ausgabe 1/2007 Open Access

Cardiovascular Ultrasound 1/2007

Two-dimensional tracking and TDI are consistent methods for evaluating myocardial longitudinal peak strain in left and right ventricle basal segments in athletes

Cardiovascular Ultrasound > Ausgabe 1/2007
Laura Stefani, Loira Toncelli, Marco Gianassi, Paolo Manetti, Valentina Di Tante, Maria Robertina Concetta Vono, Andrea Moretti, Brunello Cappelli, Gianni Pedrizzetti, Giorgio Galanti
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1476-7120-5-7) contains supplementary material, which is available to authorized users.

Competing interests

The author(s) declare that they have no competing interests.

Authors' contributions

The initial idea for the study was of GG and LS and designed the study, and LS, GP, LT performed all the measurements and statistical analyses. LS wrote the manuscript and all the authors contributed to, read, and approved the final version.



Myocardial contractility can be investigated using longitudinal peak strain. It can be calculated using the Doppler-derived TDI method and the non-Doppler method based on tissue tracking on B-mode images. Both are validated and show good reproducibility, but no comparative analysis of their results has yet been conducted. This study analyzes the results obtained from the basal segments of the ventricular chambers in a group of athletes.


30 regularly-trained athletes were submitted to an echocardiography at rest and after handgrip. Starting from the four-chamber view, overall myocardial function and regional velocities were evaluated. The images obtained were processed to determine strain in left and right ventricle basal segments. Strain was calculated using the TDI method and a validated "speckle tracking" or, more correctly, "feature tracking" algorithm. The statistical analysis included a Student's t-test (p < 0.05).


The range of strain values obtained is in agreement with the data reported in the literature. In the left ventricle (LV) the average strain values of the basal segments calculated with TDI on IVS and LW at rest and after stress were: -21.05 ± 3.31; -20.41 ± 2.99 and -20.05 ± 2.61; -21.20 ± 2.37, respectively. In the right ventricle (RV) the same method gave IVS and LW strain values at rest of -22.22 ± 2.58 ; -24.42 ± 5.84, and after HG of -22.02 ± 5.20 ;-23.93 ± 6.34. The values obtained using feature tracking were: LV at rest -20.48 ± 2.65 for IVS, and -21.25 ± 2.85 for LW; LV after HG: -19.48 ± 3 for IVS and -21.69 ± 3.85 for LW. In RV at rest: -21.46 ± 3.25 for IVS and -24.13 ± 5.86 for LW; RV after HG: -24.79 ± 7.9 for IVS and -24.13 ± 7.0 for LW. Tissue Doppler and "feature tracking" methods showed the respective consistency of the results in the basal segments of myocardial ventricle walls.


Provided that echographic imaging is good, strain can be computed in athletes by both Doppler-derived and tracking methods. It is technically feasible to use both -interchangeably, at least in basal segments.
Authors’ original file for figure 1
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