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Healthcare (Basel). 2019 Jan 3;7(1). pii: E5. doi: 10.3390/healthcare7010005.

Is Left Ventricular Global Longitudinal Strain by Two-Dimensional Speckle Tracking Echocardiography in Sepsis Cardiomyopathy Ready for Prime Time Use in the ICU?

Author information

1
Division of Pulmonary and Critical Care Medicine, Yale University School of Medicine, New Haven, CT 06510, USA. velagapv@gmail.com.
2
Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA. rahulpidikiti@gmail.com.
3
Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA. dennis.tighe@umassmemorial.org.

Abstract

Myocardial deformation imaging (strain imaging) is a technique to directly quantify the extent of myocardial contractility and overcomes several of the limitations of ejection fraction. The application of the most commonly used strain imaging method; speckle-tracking echocardiography to patients with sepsis cardiomyopathy heralds an exciting development to the field. However; the body of evidence and knowledge on the utility, feasibility and prognostic value of left ventricular global longitudinal strain in sepsis cardiomyopathy is still evolving. We conducted a review of literature on utility of left ventricular global longitudinal strain in sepsis cardiomyopathy. We discuss the role of left ventricular global longitudinal strain in mortality prediction, utility and limitations of the technique in the context of sepsis cardiomyopathy.

KEYWORDS:

global longitudinal strain; left ventricular function; sepsis cardiomyopathy

PMID:
30609787
DOI:
10.3390/healthcare7010005
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