Current and Evolving Echocardiographic Techniques for the Quantitative Evaluation of Cardiac Mechanics: ASE/EAE Consensus Statement on Methodology and Indications Endorsed by the Japanese Society of Echocardiography

被引:1094
作者
Mor-Avi, Victor [1 ]
Lang, Roberto M. [1 ]
Badano, Luigi P. [2 ]
Belohlavek, Marek [3 ]
Cardim, Nuno Miguel [4 ]
Derumeaux, Genevieve [5 ]
Galderisi, Maurizio [6 ]
Marwick, Thomas [7 ]
Nagueh, Sherif F. [8 ]
Sengupta, Partho P. [9 ]
Sicari, Rosa [10 ]
Smiseth, Otto A. [11 ]
Smulevitz, Beverly [12 ]
Takeuchi, Masaaki [13 ]
Thomas, James D. [7 ]
Vannan, Mani [14 ]
Voigt, Jens-Uwe [15 ]
Zamorano, Jose Luis [16 ]
机构
[1] Univ Chicago, Chicago, IL 60637 USA
[2] Univ Padua, Padua, Italy
[3] Mayo Clin, Scottsdale, AZ USA
[4] Hosp Luz, Lisbon, Portugal
[5] Univ Lyon 1, F-69365 Lyon, France
[6] Federico II Univ Hosp Naples, Naples, Italy
[7] Cleveland Clin, Cleveland, OH 44106 USA
[8] Methodist Hosp, Methodist DeBakey Heart & Vasc Ctr, Houston, TX 77030 USA
[9] Univ Calif Irvine, Irvine, CA USA
[10] CNR, Inst Clin Physiol, I-56100 Pisa, Italy
[11] Univ Oslo, Oslo, Norway
[12] Univ Texas Houston, Houston, TX USA
[13] Univ Occupat & Environm Hlth, Kitakyushu, Fukuoka 807, Japan
[14] Ohio State Univ, Columbus, OH 43210 USA
[15] Univ Hosp, Louvain, Belgium
[16] Univ Clin San Carlos, Madrid, Spain
关键词
Ventricular function; Myocardial strain; Tissue Doppler; Myocardial Doppler; Tissue tracking; Speckle tracking; Integrated backscatter; SPECKLE-TRACKING ECHOCARDIOGRAPHY; RIGHT-VENTRICULAR FUNCTION; REGIONAL MYOCARDIAL-FUNCTION; LEFT ATRIAL FUNCTION; INTRAVENTRICULAR PRESSURE-GRADIENTS; DOBUTAMINE STRESS ECHOCARDIOGRAPHY; GLOBAL LONGITUDINAL STRAIN; CORONARY-ARTERY-DISEASE; INFERIOR VENA-CAVA; TISSUE DOPPLER-ECHOCARDIOGRAPHY;
D O I
10.1016/j.echo.2011.01.015
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Echocardiographic imaging is ideally suited for the evaluation of cardiac mechanics because of its intrinsically dynamic nature. Because for decades, echocardiography has been the only imaging modality that allows dynamic imaging of the heart, it is only natural that new, increasingly automated techniques for sophisticated analysis of cardiac mechanics have been driven by researchers and manufacturers of ultrasound imaging equipment. Several such techniques have emerged over the past decades to address the issue of reader's experience and inter-measurement variability in interpretation. Some were widely embraced by echocardiographers around the world and became part of the clinical routine, whereas others remained limited to research and exploration of new clinical applications. Two such techniques have dominated the research arena of echocardiography: (1) Doppler-based tissue velocity measurements, frequently referred to as tissue Doppler or myocardial Doppler, and (2) speckle tracking on the basis of displacement measurements. Both types of measurements lend themselves to the derivation of multiple parameters of myocardial function. The goal of this document is to focus on the currently available techniques that allow quantitative assessment of myocardial function via image-based analysis of local myocardial dynamics, including Doppler tissue imaging and speckle-tracking echocardiography, as well as integrated backscatter analysis. This document describes the current and potential clinical applications of these techniques and their strengths and weaknesses, briefly surveys a selection of the relevant published literature while highlighting normal and abnormal findings in the context of different cardiovascular pathologies, and summarizes the unresolved issues, future research priorities, and recommended indications for clinical use.
引用
收藏
页码:277 / 313
页数:37
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