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Strain ST-T changes on surface electrocardiogram (ECG) may reflect subendocardial dysfunction. We hypothesized that strain ST-T changes are associated with (i) decrease in longitudinal strain, (ii) decrease in early systolic clockwise twist and early diastolic untwisting, and (iii) augmentation of peak twist due to subendocardial dysfunction.

european journal of echocardiography

Possible link between strain ST-T change on the electrocardiogram and subendocardial dysfunction assessed by two-dimensional speckle-tracking echocardiography