Posicionamento do Departamento de Imagem Cardiovascular da Sociedade Brasileira de Cardiologia sobre o Uso do Strain Miocárdico na Rotina do Cardiologista – 2023
André Luiz Cerqueira de Almeida, Marcelo Dantas Tavares de Melo, David Costa de Souza Le Bihan, Marcelo Luiz Campos Vieira, José Luiz Barros Pena, José María Castillo, Henry Abensur, Renato A. Hortegal, Maria Estefânia Bosco Otto, Rafael Bonafim Piveta, Maria Rosa Nascimento Dantas, Jorge Eduardo Assef, Adenalva Lima de Souza Beck, Thais Harada Campos Espirito Santo, Tonnison de Oliveira Silva, Vera Maria Cury Salemi, Camila Rocon, Márcio Silva Miguel Lima, Sílvio Henrique Barberato, Ana Clara Tude Rodrigues, Arnaldo Rabschkowisky, Daniela do Carmo Rassi, Eliza de Almeida Gripp, Rodrigo Bellio de Mattos Barretto, Sandra Marques e Silva, Sanderson Cauduro, Aurélio Pinheiro, Stanley de Almeida Araújo ., Cintia Galhardo Tressino, Carlos Eduardo Suaide Silva, Claudia Monaco, Marcelo Goulart Paiva, Cláudio Henrique Fisher, Marco Stephan Lofrano‐Alves, Claudia R. P. Castro, M Santos, Isabel Cristina Britto Guimarães, Samira Saady Morhy, Gabriela Nunes Leal, Andressa Mussi Soares, Cecília Beatriz Bittencourt Viana Cruz, Fábio Villaça Guimarães, Bruna Morhy Borges Leal Assunção, Rafael Modesto Fernandes, Roberto Magalhães Saraiva, Jeane Mike Tsutsui, Fábio Luis de Jesus Soares, Sandra Nívea dos Reis Saraiva Falcão, Viviane Tiemi Hotta, Anderson da Costa Armstrong, Daniel de Andrade Hygídio, Marcelo Haertel Miglioranza, Ana Cristina Camarozano, Marly Uellendahl, Rodrigo Cerci, Maria Eduarda Menezes de Siqueira, Jorge Andion Torreão, Carlos Eduardo Rochitte, Alex dos Santos Félix
Abstract
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.