Position Statement on the Use of Myocardial Strain in Cardiology Routines by the Brazilian Society of Cardiology's Department Of Cardiovascular Imaging - 2023
Almeida ALC., Melo MDTD., Bihan DCDSL., Vieira MLC., Pena JLB., Del Castillo JM., Abensur H., Hortegal RDA., Otto MEB., Piveta RB., Dantas MR., Assef JE., Beck ALDS., Santo THCE., Silva TDO., Salemi VMC., Rocon C., Lima MSM., Barberato SH., Rodrigues AC., Rabschkowisky A., Frota DDCR., Gripp EDA., Barretto RBDM., Silva SME., Cauduro SA., Pinheiro AC., Araujo SPD., Tressino CG., Silva CES., Monaco CG., Paiva MG., Fisher CH., Alves MSL., Grau CRPDC., Santos MVCD., Guimarães ICB., Morhy SS., Leal GN., Soares AM., Cruz CBBV., Guimarães Filho FV., Assunção BMBL., Fernandes RM., Saraiva RM., Tsutsui JM., Soares FLDJ., Falcão SNDRS., Hotta VT., Armstrong ADC., Hygidio DDA., Miglioranza MH., Camarozano AC., Lopes MMU., Cerci RJ., Siqueira MEMD., Torreão JA., Rochitte CE., Felix A.
Central Illustration : Position Statement on the Use of Myocardial Strain in Cardiology Routines by the Brazilian Society of Cardiology's Department Of Cardiovascular Imaging - 2023 Proposal for including strain in the integrated diastolic function assessment algorithm, adapted from Nagueh et al.67 Am: mitral A-wave duration; Ap: reverse pulmonary A-wave duration; DD: diastolic dysfunction; LA: left atrium; LASr: LA strain reserve; LVGLS: left ventricular global longitudinal strain; TI: tricuspid insufficiency. Confirm concentric remodeling with LVGLS. In LVEF, mitral E wave deceleration time < 160 ms and pulmonary S-wave < D-wave are also parameters of increased filling pressure. This algorithm does not apply to patients with atrial fibrillation (AF), mitral annulus calcification, > mild mitral valve disease, left bundle branch block, paced rhythm, prosthetic valves, or severe primary pulmonary hypertension.