Speckle tracking imaging in acute inflammatory pericardial diseases

Marina Leitman*, Noa Bachner-Hinenzon, Dan Adam, Therese Fuchs, Nickolas Theodorovich, Eli Peleg, Ricardo Krakover, Gil Moravsky, Nir Uriel, Zvi Vered

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)548-555
Number of pages8
JournalEchocardiography
Volume28
Issue number5
DOIs
StatePublished - May 2011

Keywords

  • perimyocarditis
  • speckle tracking
  • strain
  • twist

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