Speckle Tracking Imaging in Acute Inflammatory Pericardial Diseases
Marina Leitman M.D.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorNoa Bachner-Hinenzon Ph.D.
Faculty of Biomedical Engineering, Technion-Israel Institute of Technology, Haifa, Israel
Search for more papers by this authorDan Adam D.Sc.
Faculty of Biomedical Engineering, Technion-Israel Institute of Technology, Haifa, Israel
Search for more papers by this authorTherese Fuchs M.D., F.A.C.C.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorNickolas Theodorovich M.D.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorEli Peleg M.D.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorRicardo Krakover M.D.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorGil Moravsky M.D.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorNir Uriel M.D.
Division of Cardiology, Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, New York
Search for more papers by this authorZvi Vered M.D., F.A.C.C., F.E.S.C.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorMarina Leitman M.D.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorNoa Bachner-Hinenzon Ph.D.
Faculty of Biomedical Engineering, Technion-Israel Institute of Technology, Haifa, Israel
Search for more papers by this authorDan Adam D.Sc.
Faculty of Biomedical Engineering, Technion-Israel Institute of Technology, Haifa, Israel
Search for more papers by this authorTherese Fuchs M.D., F.A.C.C.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorNickolas Theodorovich M.D.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorEli Peleg M.D.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorRicardo Krakover M.D.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorGil Moravsky M.D.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorNir Uriel M.D.
Division of Cardiology, Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, New York
Search for more papers by this authorZvi Vered M.D., F.A.C.C., F.E.S.C.
Department of Cardiology, Assaf Harofeh Medical Center and Tel Aviv University, Tel Aviv, Israel
Search for more papers by this authorAbstract
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)
Supporting Information
Movie clip 1. Basal short-axis image of the same patient with perimyocarditis (left) and post-erolateral hypokonesis, and a normal subject (right). The patient with perimyocarditis exhibits lesser clockwise rotation of the base than the normal subject.
Movie clip 2. Apical short-axis images of the same subjects. The patient with perimyocarditis (left) has significantly less counter-clockwise rotation in spite of normal apical contraction than the normal subject (right).
| Filename | Description |
|---|---|
| ECHO_1371_sm_MovieClip_1.avi1.3 MB | Supporting info item |
| ECHO_1371_sm_MovieClip_2.avi1.4 MB | Supporting info item |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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