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Feasibility and agreement of a novel combined echocardiographic method to measure global longitudinal strain and strain rate compared to speckle tracking and tissue Doppler imaging

(2020) ACTA CARDIOLOGICA. 75(3). p.191-199
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Abstract
Background: Currently, two echocardiographic techniques are used to measure deformation: tissue Doppler imaging (TDI) and speckle tracking echocardiography (STE). Recently, a technique combining STE and TDI (on TDI overlay images) has become available, allowing derivation of STE/TDI results from a single acquisition/reading (combined-STE/combined-TDI). We tested the feasibility and agreement of this novel technique to measure left ventricular deformation in the general population compared to STE and TDI. Methods: We examined a subsample of 106 consecutive subjects of the Asklepios Study, a population-based random sample of male/female volunteers without overt clinical disease (mean age: 55.9 years). Left ventricular deformation measurements were assessed with transthoracic echocardiography using the combined method, STE and TDI. Results: Almost all deformation parameters significantly differed between all methods. Global systolic longitudinal strain (GS) and strain rate (GSRs) values measured by combined-TDI were significantly higher (GS -17.2% +/- 3.0, GSRs -0.9 s(-1) +/- 0.2) compared to TDI (GS -21.1% +/- 2.2, GSRs -1.3 s(-1) +/- 0.2). Measurements by combined-STE were significantly lower (GS -19.1% +/- 2.9, GSRs -1.0 s(-1) +/- 0.2) compared to STE (GS -18.2% +/- 3.0, GSRs -0.9 s(-1) +/- 0.1). Overall, the smallest differences and highest agreement were observed between STE and combined-STE (GS r = 0.84, p < .001; GSRs r = 0.70, p < .001). Conclusions: The comparison of methods showed different values and poor agreement between the echocardiographic modalities. Regrettably, the combined method does not make it possible to obtain in a single image/measurement results that are comparable to STE and TDI data in the general population.
Keywords
Myocardial deformation, speckle tracking, tissue Doppler, echocardiography, comparison, strain imaging, RECOMMENDATIONS, DEFORMATION, VELOCITY, SOCIETY

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MLA
Van daele, Caroline, et al. “Feasibility and Agreement of a Novel Combined Echocardiographic Method to Measure Global Longitudinal Strain and Strain Rate Compared to Speckle Tracking and Tissue Doppler Imaging.” ACTA CARDIOLOGICA, edited by Caroline Van daele, vol. 75, no. 3, 2020, pp. 191–99, doi:10.1080/00015385.2019.1565661.
APA
Van daele, C., Chirinos Medina, J., De Buyzere, M., Gillebert, T., & Rietzschel, E. (2020). Feasibility and agreement of a novel combined echocardiographic method to measure global longitudinal strain and strain rate compared to speckle tracking and tissue Doppler imaging. ACTA CARDIOLOGICA, 75(3), 191–199. https://doi.org/10.1080/00015385.2019.1565661
Chicago author-date
Van daele, Caroline, Julio Chirinos Medina, Marc De Buyzere, Thierry Gillebert, and Ernst Rietzschel. 2020. “Feasibility and Agreement of a Novel Combined Echocardiographic Method to Measure Global Longitudinal Strain and Strain Rate Compared to Speckle Tracking and Tissue Doppler Imaging.” Edited by Caroline Van daele. ACTA CARDIOLOGICA 75 (3): 191–99. https://doi.org/10.1080/00015385.2019.1565661.
Chicago author-date (all authors)
Van daele, Caroline, Julio Chirinos Medina, Marc De Buyzere, Thierry Gillebert, and Ernst Rietzschel. 2020. “Feasibility and Agreement of a Novel Combined Echocardiographic Method to Measure Global Longitudinal Strain and Strain Rate Compared to Speckle Tracking and Tissue Doppler Imaging.” Ed by. Caroline Van daele. ACTA CARDIOLOGICA 75 (3): 191–199. doi:10.1080/00015385.2019.1565661.
Vancouver
1.
Van daele C, Chirinos Medina J, De Buyzere M, Gillebert T, Rietzschel E. Feasibility and agreement of a novel combined echocardiographic method to measure global longitudinal strain and strain rate compared to speckle tracking and tissue Doppler imaging. Van daele C, editor. ACTA CARDIOLOGICA. 2020;75(3):191–9.
IEEE
[1]
C. Van daele, J. Chirinos Medina, M. De Buyzere, T. Gillebert, and E. Rietzschel, “Feasibility and agreement of a novel combined echocardiographic method to measure global longitudinal strain and strain rate compared to speckle tracking and tissue Doppler imaging,” ACTA CARDIOLOGICA, vol. 75, no. 3, pp. 191–199, 2020.
@article{8622944,
  abstract     = {Background: Currently, two echocardiographic techniques are used to measure deformation: tissue Doppler imaging (TDI) and speckle tracking echocardiography (STE). Recently, a technique combining STE and TDI (on TDI overlay images) has become available, allowing derivation of STE/TDI results from a single acquisition/reading (combined-STE/combined-TDI). We tested the feasibility and agreement of this novel technique to measure left ventricular deformation in the general population compared to STE and TDI. Methods: We examined a subsample of 106 consecutive subjects of the Asklepios Study, a population-based random sample of male/female volunteers without overt clinical disease (mean age: 55.9 years). Left ventricular deformation measurements were assessed with transthoracic echocardiography using the combined method, STE and TDI. Results: Almost all deformation parameters significantly differed between all methods. Global systolic longitudinal strain (GS) and strain rate (GSRs) values measured by combined-TDI were significantly higher (GS -17.2% +/- 3.0, GSRs -0.9 s(-1) +/- 0.2) compared to TDI (GS -21.1% +/- 2.2, GSRs -1.3 s(-1) +/- 0.2). Measurements by combined-STE were significantly lower (GS -19.1% +/- 2.9, GSRs -1.0 s(-1) +/- 0.2) compared to STE (GS -18.2% +/- 3.0, GSRs -0.9 s(-1) +/- 0.1). Overall, the smallest differences and highest agreement were observed between STE and combined-STE (GS r = 0.84, p < .001; GSRs r = 0.70, p < .001). Conclusions: The comparison of methods showed different values and poor agreement between the echocardiographic modalities. Regrettably, the combined method does not make it possible to obtain in a single image/measurement results that are comparable to STE and TDI data in the general population.},
  author       = {Van daele, Caroline and Chirinos Medina, Julio and De Buyzere, Marc and Gillebert, Thierry and Rietzschel, Ernst},
  editor       = {Van daele, Caroline},
  issn         = {0001-5385},
  journal      = {ACTA CARDIOLOGICA},
  keywords     = {Myocardial deformation,speckle tracking,tissue Doppler,echocardiography,comparison,strain imaging,RECOMMENDATIONS,DEFORMATION,VELOCITY,SOCIETY},
  language     = {eng},
  number       = {3},
  pages        = {191--199},
  title        = {Feasibility and agreement of a novel combined echocardiographic method to measure global longitudinal strain and strain rate compared to speckle tracking and tissue Doppler imaging},
  url          = {http://dx.doi.org/10.1080/00015385.2019.1565661},
  volume       = {75},
  year         = {2020},
}

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