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Table 1 Summary of indicators measured by 2D-STI

From: Transthoracic echocardiographic assessment of ventricular function in functional single ventricle: a comprehensive review

 

Indicators measured by 2D-STI

 

SLV

SRV

Consistency

♦ GCS in good agreement with CMR-measured GCS[26].

♦ GLS in good agreement with CMR-measured GLS[26, 31].

 

Correlation

• Longitudinal Early Diastolic Strain Rate was correlated with the isovolumic relaxation time constant measured by PVL[24].

• SR strongly correlates with VEDP measured by cardiac catheterization[32].

• GSR correlates with parameters measured by PVL[12].

• CS and CSR are related to Ea/Ees measured by PVL[24].

• GLS shows a significant correlation with CMR-derived EF[23].

Reproducibility

♦ Good repeatability of GLS[11, 23].

Control

• Parameters measured by 2D-STI provide a more sensitive indication of differences in cardiac function between normal subjects and patients with SV[33].

• CS in SRV correlates better with indicators of PVL, whereas LS in SLV correlates better with indicators of PVL[24].

Prognosis

 

♦ LS has value in predicting the prognosis of SRV[30].

♦ CS correlates with prognosis in patients with SV after Fontan procedure[34].

  1. Abbreviations:2D-STI, two-dimensional speckle tracking imaging; SLV, single left ventricle; SRV, single right ventricle; GCS, global circumferential strain; GLS, global longitudinal strain; PVL, pressure-volume loop; SR, strain rate; VEDP, ventricular end-diastolic pressure; GSR, global strain rate; EF, ejection fraction; SV, single ventricle; CS, circumferential strain; LS, longitudinal strain; CSR, circumferential strain rate; Ea/Ees, the ratio of arterial elasticity to end-systolic elasticity