Myocardial Work: Methodology and Clinical Applications

A precise and accurate assessment of left ventricular (LV) contractility is of utmost importance in terms of prognosis in most cardiac pathologies. Given the limitations of ejection fraction (EF) and global longitudinal strain (GLS) due to their load dependency, a novel imaging tool called myocardia...

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Main Authors: Konstantinos Papadopoulos, Özge Özden Tok, Konstantina Mitrousi, Ignatios Ikonomidis
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/3/573
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author Konstantinos Papadopoulos
Özge Özden Tok
Konstantina Mitrousi
Ignatios Ikonomidis
author_facet Konstantinos Papadopoulos
Özge Özden Tok
Konstantina Mitrousi
Ignatios Ikonomidis
author_sort Konstantinos Papadopoulos
collection DOAJ
description A precise and accurate assessment of left ventricular (LV) contractility is of utmost importance in terms of prognosis in most cardiac pathologies. Given the limitations of ejection fraction (EF) and global longitudinal strain (GLS) due to their load dependency, a novel imaging tool called myocardial work (MW) has emerged as a promising method for LV performance evaluation. MW is a novel, less load-dependent method based on computation of myocardial strain–arterial blood pressure curves. This method provides a more detailed assessment of segmental and global LV function incorporating the patient’s LV pressure and is derived by brachial artery pressure utilizing an empiric reference curve adjusted to the duration of the isovolumic and ejection phases as determined by echocardiography. The clinical implications of this unique method have been expanding in the last few years, which attest to the robust additive role of MW in routine practice.
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spelling doaj.art-d453d168a5dc444587679e8442a5bccb2023-11-21T11:33:45ZengMDPI AGDiagnostics2075-44182021-03-0111357310.3390/diagnostics11030573Myocardial Work: Methodology and Clinical ApplicationsKonstantinos Papadopoulos0Özge Özden Tok1Konstantina Mitrousi2Ignatios Ikonomidis3European Interbalkan Medical Center, Echocardiography Laboratory, 57001 Thessaloniki, GreeceCardiology Department, Memorial Bahcelievler Hospital, 34180 Istanbul, TurkeyEuropean Interbalkan Medical Center, Echocardiography Laboratory, 57001 Thessaloniki, GreeceEchocardiography Laboratory, 2nd Cardiology Department, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, 12462 Athens, GreeceA precise and accurate assessment of left ventricular (LV) contractility is of utmost importance in terms of prognosis in most cardiac pathologies. Given the limitations of ejection fraction (EF) and global longitudinal strain (GLS) due to their load dependency, a novel imaging tool called myocardial work (MW) has emerged as a promising method for LV performance evaluation. MW is a novel, less load-dependent method based on computation of myocardial strain–arterial blood pressure curves. This method provides a more detailed assessment of segmental and global LV function incorporating the patient’s LV pressure and is derived by brachial artery pressure utilizing an empiric reference curve adjusted to the duration of the isovolumic and ejection phases as determined by echocardiography. The clinical implications of this unique method have been expanding in the last few years, which attest to the robust additive role of MW in routine practice.https://www.mdpi.com/2075-4418/11/3/573LV performancemyocardial workspeckle trackingstrain imaging
spellingShingle Konstantinos Papadopoulos
Özge Özden Tok
Konstantina Mitrousi
Ignatios Ikonomidis
Myocardial Work: Methodology and Clinical Applications
Diagnostics
LV performance
myocardial work
speckle tracking
strain imaging
title Myocardial Work: Methodology and Clinical Applications
title_full Myocardial Work: Methodology and Clinical Applications
title_fullStr Myocardial Work: Methodology and Clinical Applications
title_full_unstemmed Myocardial Work: Methodology and Clinical Applications
title_short Myocardial Work: Methodology and Clinical Applications
title_sort myocardial work methodology and clinical applications
topic LV performance
myocardial work
speckle tracking
strain imaging
url https://www.mdpi.com/2075-4418/11/3/573
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AT konstantinamitrousi myocardialworkmethodologyandclinicalapplications
AT ignatiosikonomidis myocardialworkmethodologyandclinicalapplications