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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.

Original publication

DOI

10.36660/abc.20230646

Type

Journal article

Journal

Arquivos brasileiros de cardiologia

Publication Date

12/2023

Volume

120

Addresses

Santa Casa de Misericórdia de Feira de Santana, Feira de Santana, BA - Brasil.

Keywords

Heart Atria, Humans, Atrial Fibrillation, Ventricular Dysfunction, Left, Echocardiography, Doppler, Cardiology, Ventricular Function, Left, Brazil