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Imaging Cardiac Sarcoidosis: The Incremental Benefit of Speckle Tracking Echocardiography
Author(s) -
Shah Benoy N.,
Villa Manuel,
Khattar Rajdeep S.,
Senior Roxy
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12208
Subject(s) - speckle tracking echocardiography , medicine , cardiology , cardiac sarcoidosis , ejection fraction , palpitations , preload , cardiac function curve , sarcoidosis , radiology , hemodynamics , heart failure
Mini‐Abstract Echocardiography is the front‐line investigation for assessment of cardiac morphology and function. Assessment of ventricular systolic function has traditionally been defined by the ejection fraction ( EF ). However, EF is influenced by preload and after load and is inadequate as a sole indicator of systolic performance. Studies have also shown its inability to detect early myocardial dysfunction. We present images from a patient with pulmonary sarcoidosis referred for echocardiography after developing palpitations. Two‐dimensional‐echocardiography was unremarkable but speckle tracking echocardiography ( STE ) revealed significantly abnormal regional myocardial strains. The images highlight the potential of STE to reveal early myocardial involvement in sarcoidosis.