Review Article
Speckle-Tracking Echocardiography
A New Technique for Assessing Myocardial Function
Sergio Mondillo MD,
Maurizio Galderisi MD,
Donato Mele MD, Matteo Cameli MD,
Vincenzo Schiano Lomoriello MD,
Valerio Zacà MD,
Piercarlo Ballo MD,
Antonello D'Andrea MD,
Denisa Muraru MD,
Mariangela Losi MD,
Eustachio Agricola MD,
Arcangelo D'Errico MD,
Simona Buralli MD,
Susanna Sciomer MD,
Stefano Nistri MD,
Luigi Badano MD,
Corresponding Author
Sergio Mondillo MD
Department of Cardiovascular Diseases, University of Sienna, Siena, Italy
Address correspondence to Sergio Mondillo, MD, Cardiologia Universitaria, Policlinico Le Scotte, Via Bracci, 53100 Siena, Italy.Search for more papers by this authorMaurizio Galderisi MD
Cardioangiology and Cardiac Care Unit, Department of Clinical and Experimental Medicine, Federico II University Hospital, Naples, Italy
Search for more papers by this authorMatteo Cameli MD
Department of Cardiovascular Diseases, University of Sienna, Siena, Italy
Search for more papers by this authorVincenzo Schiano Lomoriello MD
Cardioangiology and Cardiac Care Unit, Department of Clinical and Experimental Medicine, Federico II University Hospital, Naples, Italy
Search for more papers by this authorValerio Zacà MD
Department of Cardiovascular Diseases, University of Sienna, Siena, Italy
Search for more papers by this authorPiercarlo Ballo MD
Cardiologic Surgical Unit, Santa Maria Annunziata Hospital, Florence, Italy
Search for more papers by this authorAntonello D'Andrea MD
Department of Cardiology, Second University of Naples, Naples, Italy
Search for more papers by this authorDenisa Muraru MD
Institute of Cardiovascular Diseases, Bucharest, Romania
Search for more papers by this authorMariangela Losi MD
Department of Clinical Medicine, Cardiovascular and Immunological Sciences, Federico II University School of Medicine, Naples, Italy
Search for more papers by this authorEustachio Agricola MD
Noninvasive Cardiology Unit, San Raffaele Hospital, Istituto di Ricovero e Cura a Carattere Scientifico, Milan, Italy
Search for more papers by this authorArcangelo D'Errico MD
Cardioangiology and Cardiac Care Unit, Department of Clinical and Experimental Medicine, Federico II University Hospital, Naples, Italy
Search for more papers by this authorSimona Buralli MD
Department of Clinical Medicine, University of Pisa, Pisa, Italy
Search for more papers by this authorSusanna Sciomer MD
Department of Cardiovascular, Respiratory, and Morphologic Sciences, University of Rome La Sapienza, Rome, Italy
Search for more papers by this authorStefano Nistri MD
Centro Mondialitá Sviluppo Reciproco Veneto Medica, Altavilla Vicentina, Italy
Search for more papers by this authorLuigi Badano MD
Department of Cardiology, University of Padua, Padua, Italy
Search for more papers by this authorSergio Mondillo MD,
Maurizio Galderisi MD,
Donato Mele MD, Matteo Cameli MD,
Vincenzo Schiano Lomoriello MD,
Valerio Zacà MD,
Piercarlo Ballo MD,
Antonello D'Andrea MD,
Denisa Muraru MD,
Mariangela Losi MD,
Eustachio Agricola MD,
Arcangelo D'Errico MD,
Simona Buralli MD,
Susanna Sciomer MD,
Stefano Nistri MD,
Luigi Badano MD,
Corresponding Author
Sergio Mondillo MD
Department of Cardiovascular Diseases, University of Sienna, Siena, Italy
Address correspondence to Sergio Mondillo, MD, Cardiologia Universitaria, Policlinico Le Scotte, Via Bracci, 53100 Siena, Italy.Search for more papers by this authorMaurizio Galderisi MD
Cardioangiology and Cardiac Care Unit, Department of Clinical and Experimental Medicine, Federico II University Hospital, Naples, Italy
Search for more papers by this authorMatteo Cameli MD
Department of Cardiovascular Diseases, University of Sienna, Siena, Italy
Search for more papers by this authorVincenzo Schiano Lomoriello MD
Cardioangiology and Cardiac Care Unit, Department of Clinical and Experimental Medicine, Federico II University Hospital, Naples, Italy
Search for more papers by this authorValerio Zacà MD
Department of Cardiovascular Diseases, University of Sienna, Siena, Italy
Search for more papers by this authorPiercarlo Ballo MD
Cardiologic Surgical Unit, Santa Maria Annunziata Hospital, Florence, Italy
Search for more papers by this authorAntonello D'Andrea MD
Department of Cardiology, Second University of Naples, Naples, Italy
Search for more papers by this authorDenisa Muraru MD
Institute of Cardiovascular Diseases, Bucharest, Romania
Search for more papers by this authorMariangela Losi MD
Department of Clinical Medicine, Cardiovascular and Immunological Sciences, Federico II University School of Medicine, Naples, Italy
Search for more papers by this authorEustachio Agricola MD
Noninvasive Cardiology Unit, San Raffaele Hospital, Istituto di Ricovero e Cura a Carattere Scientifico, Milan, Italy
Search for more papers by this authorArcangelo D'Errico MD
Cardioangiology and Cardiac Care Unit, Department of Clinical and Experimental Medicine, Federico II University Hospital, Naples, Italy
Search for more papers by this authorSimona Buralli MD
Department of Clinical Medicine, University of Pisa, Pisa, Italy
Search for more papers by this authorSusanna Sciomer MD
Department of Cardiovascular, Respiratory, and Morphologic Sciences, University of Rome La Sapienza, Rome, Italy
Search for more papers by this authorStefano Nistri MD
Centro Mondialitá Sviluppo Reciproco Veneto Medica, Altavilla Vicentina, Italy
Search for more papers by this authorLuigi Badano MD
Department of Cardiology, University of Padua, Padua, Italy
Search for more papers by this authorAbstract
Speckle-tracking echocardiography has recently emerged as a quantitative ultrasound technique for accurately evaluating myocardial function by analyzing the motion of speckles identified on routine 2-dimensional sonograms. It provides non-Doppler, angle-independent, and objective quantification of myocardial deformation and left ventricular systolic and diastolic dynamics. By tracking the displacement of the speckles during the cardiac cycle, strain and the strain rate can be rapidly measured offline after adequate image acquisition. Data regarding the feasibility, accuracy, and clinical applications of speckle-tracking echocardiography are rapidly accumulating. This review describes the fundamental concepts of speckle-tracking echocardiography, illustrates how to obtain strain measurements using this technique, and discusses their recognized and developing clinical applications.
References
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