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Position Statement on the Use of Myocardial Strain in Cardiology Routines by the Brazilian Society of Cardiology's Department Of Cardiovascular Imaging - 2023.

André Luiz Cerqueira de AlmeidaMarcelo Dantas Tavares de MeloDavid Costa de Souza Le BihanMarcelo Luiz Campos VieiraJose Luiz Barros PenaJosé Maria Del CastilloHenry AbensurRenato de Aguiar HortegalMaria Estefania Bosco OttoRafael Bonafim PivetaMaria Rosa Nascimento DantasJorge Eduardo AssefAdenalva Lima de Souza BeckThais Harada Campos Espirito SantoTonnison de Oliveira SilvaVera Maria Cury SalemiCamila RoconMárcio Silva Miguel LimaSilvio Henrique BarberatoAna Clara Tude RodriguesArnaldo RabschkowiskyDaniela do Carmo Rassi FrotaEliza de Almeida GrippRodrigo Bellio de Mattos BarrettoSandra Marques E SilvaSanderson Antonio CauduroAurélio Carvalho PinheiroSalustiano Pereira de AraujoCintia Galhardo TressinoCarlos Eduardo Suaide SilvaClaudia Gianini MonacoMarcelo Goulart PaivaCláudio Henrique FisherMarco Stephan Lofrano AlvesClaudia R Pinheiro de Castro GrauMaria Veronica Camara Dos SantosIsabel Cristina Britto GuimarãesSamira Saady MorthyGabriela Nunes LealAndressa Mussi SoaresCecilia Beatriz Bittencourt Viana CruzFabio Villaça Guimarães FilhoBruna Morhy Borges Leal AssunçãoRafael Modesto FernandesRoberto Magalhães SaraivaJeane Mike TsutsuiFábio Luis de Jesus SoaresSandra Nívea Dos Reis Saraiva FalcãoViviane Tiemi HottaAnderson da Costa ArmstrongDaniel de Andrade HygídioMarcelo Haertel MiglioranzaAna Cristina CamarozanoMarly Maria Uellendahl LopesRodrigo Júlio CerciMaria Eduarda Menezes de SiqueiraJorge Andion TorreãoCarlos Eduardo RochitteAlex Dos Santos Felix
Published in: Arquivos brasileiros de cardiologia (2024)
Central Illustration : Position Statement on the Use of Myocardial Strain in Cardiology Routines by the Brazilian Society of Cardiology's Department Of Cardiovascular Imaging - 2023 Proposal for including strain in the integrated diastolic function assessment algorithm, adapted from Nagueh et al.67 Am: mitral A-wave duration; Ap: reverse pulmonary A-wave duration; DD: diastolic dysfunction; LA: left atrium; LASr: LA strain reserve; LVGLS: left ventricular global longitudinal strain; TI: tricuspid insufficiency. Confirm concentric remodeling with LVGLS. In LVEF, mitral E wave deceleration time < 160 ms and pulmonary S-wave < D-wave are also parameters of increased filling pressure. This algorithm does not apply to patients with atrial fibrillation (AF), mitral annulus calcification, > mild mitral valve disease, left bundle branch block, paced rhythm, prosthetic valves, or severe primary pulmonary hypertension.
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