Speckle Tracking Imaging in Acute Inflammatory Pericardial Diseases

Background: Left ventricular (LV) function in acute perimyocarditis is variable. We evaluated LV function in patients with acute perimyocarditis with speckle tracking. Methods: Thirty‐eight patients with acute perimyocarditis and 20 normal subjects underwent echocardiographic examination. Three‐laye...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2011-05, Vol.28 (5), p.548-555
Main Authors: Leitman, Marina, Bachner-Hinenzon, Noa, Adam, Dan, Fuchs, Therese, Theodorovich, Nickolas, Peleg, Eli, Krakover, Ricardo, Moravsky, Gil, Uriel, Nir, Vered, Zvi
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Aged
Algorithms
Echocardiography - methods
Elastic Modulus
Elasticity Imaging Techniques - methods
Female
Humans
Image Enhancement - methods
Image Interpretation, Computer-Assisted - methods
Male
Middle Aged
Pericarditis - complications
Pericarditis - diagnostic imaging
Pericarditis - physiopathology
perimyocarditis
Reproducibility of Results
Sensitivity and Specificity
speckle tracking
strain
twist
Ventricular Dysfunction, Left - diagnostic imaging
Ventricular Dysfunction, Left - etiology
Ventricular Dysfunction, Left - physiopathology
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Summary:Background: Left ventricular (LV) function in acute perimyocarditis is variable. We evaluated LV function in patients with acute perimyocarditis with speckle tracking. Methods: Thirty‐eight patients with acute perimyocarditis and 20 normal subjects underwent echocardiographic examination. Three‐layers strain and twist angle were assessed with a speckle tracking. Follow‐up echo was available in 21 patients. Results: Strain was higher in normal subjects than in patients with perimyocarditis. Twist angle was reduced in perimyocarditis—10.9°± 5.4 versus 17.6°± 5.8, P < 0.001. Longitudinal strain and twist angle were higher in normal subjects than in patients with perimyocarditis and apparently normal LV function. Follow‐up echo in 21 patients revealed improvement in longitudinal strain. Conclusions: Patients with acute perimyocarditis have lower twist angle, longitudinal and circumferential strain. Patients with perimyocarditis and normal function have lower longitudinal strain and twist angle. Short‐term follow‐up demonstrated improvement in clinical parameters and longitudinal strain despite of residual regional LV dysfunction. (Echocardiography 2011;28:548‐555)
ISSN:0742-2822
1540-8175
DOI:10.1111/j.1540-8175.2010.01371.x