医学
斑点追踪超声心动图
心脏成像
内科学
心脏病学
医学物理学
心力衰竭
射血分数
作者
Leyla Elif Sade,Shruti Joshi,Matteo Cameli,Bernard Cosyns,Victoria Delgado,Erwan Donal,Thor Edvardsen,Ricardo Fontes Carvalho,Robert Manka,Tomaž Podlesnikar,Bogdan A. Popescu,Jadranka Šeparović Hanževački,Marta Sitges,Marc R Dweck
出处
期刊:European Journal of Echocardiography
[Oxford University Press]
日期:2023-07-18
卷期号:24 (12): 1583-1592
被引量:5
标识
DOI:10.1093/ehjci/jead170
摘要
Speckle-tracking echocardiography (STE) strain imaging has been a major advancement in myocardial function quantification. We aimed to explore current worldwide clinical application of STE.Access, feasibility, access, and clinical implementation of STE were investigated with a worldwide open-access online survey of the European Association of Cardiovascular Imaging. Participants (429 respondents and 77 countries) from tertiary centres (46%), private clinics, or public hospitals (54%) using different vendors for data acquisition and analysis were represented. Despite almost universal access (98%) to STE, only 39% of the participants performed and reported STE results frequently (>50%). Incomplete training and time constraints were the main reasons for not using STE more regularly. STE was mainly used to assess the LV (99%) and less frequently the right ventricular (57%) and the left atrial (46%) function. Cardiotoxicity (88%) and cardiac amyloidosis (87%) were the most frequent reasons for the clinical use of LV STE. Left atrial STE was used most frequently for the diagnosis of diastolic dysfunction and right ventricular STE for the assessment of right ventricle (RV) function in pulmonary hypertension (51%). Frequency of STE use, adherence to optimal techniques, and clinical appropriateness of STE differed according to training experience and across vendors. Key suggestions outlined by respondents to increase the clinical use of STE included improved reproducibility (48%) and standardization of strain values across vendors (42%).Although STE is now readily available, it is underutilized in the majority of centres. Structured training, improved reproducibility, and inter-vendor standardization may increase its uptake.
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