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Speckle Tracking MasterClass

Compendium

Chapter 1
Presenters: Prof. Thomas Binder, MD, FESC; Fabian Knebel, MD, PhD; Natesa G. Pandian, MD; Sunil V. Mankad, M.D.; Dr. Satish Govind; Elena Surkova, MD, MSC, PhD; Ole-Alexander Breithardt, MD; Steven J. Lester, MD; Dr. Alberto Milan; Assami Rösner, MD, PhD
2:45:33
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What you will learn

Speckle Tracking Compendium is a systematic video tutorial covering the essentials of Speckle Tracking Echocardiography (Deformation Imaging) and how it can be used to study left heart function. The course provides an:

  • Introduction explaining the relevance of Speckle Tracking Echocardiography.
  • Critical view of ejection fraction that demonstrates the need for other techniques to quantify left ventricular function.
  • Explanation of what “deformation” is and how Speckle Tracking is able to measure “strain”.
  • Demonstration of how to record images and perform a basic Speckle Tracking analysis (bullseye display).
  • Overview of the most important clinical applications of Speckle Tracking, what we know from the literature, and how it can be used in clinical decision making.

Video lectures

  • Introduction 04:53

    Here you will learn why you should use Speckle Tracking Imaging and where you can apply it in your practice. Find out what key experts in the field think about deformation imaging and what it will bring in the future.  

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  • Limitations of Ejection Fraction 13:05

    It is often taught that ejection fraction is the holy grail of echocardiography. In this chapter, you will learn that ejection fraction is not such a good parameter after all. Can strain imaging overcome some of the limitations? Watch this chapter and find out.  

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  • Myocardial Mechanics 06:13

    The work of the famous anatomist Torrent Guasp had great impact on our understanding of myocardial function. A thorough understanding of the different directions of contraction is key to our understanding of deformation imaging, which is the topic we will focus on in this chapter.  

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  • Deformation Imaging 13:16

    How can strain be measured from a simple 2D image? What are the fundamental principles behind this method? What are we actually measuring? Watch this lecture to understand what Speckle Tracking Echocardiography is all about.  

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  • Image Acquisition and Analysis 22:06

    Do you want to improve your clinical results with Speckle Tracking? If so, you will first need to know how to correctly acquire images. Here we highlight the most frequent mistakes before we take you through a basic analysis of longitudinal strain. This chapter is essential to your success with Speckle Tracking.  

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  • Normal versus Abnormal 11:10

    So now you have a perfect bullseye display and wonderful curves. But what do you do with them? What do all the values mean? Are there cut-off values? This chapter will teach you the typical features of a normal Speckle Tracking study and help you to distinguish it from both the hearts of athletes and left ventricular dysfunction.  

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  • Left Ventricular Hypertrophy 23:49

    Left ventricular hypertrophy is among the most promising targets for deformation imaging. The strain pattern can look quite different depending on whether the patient has hypertensive heart disease, hypertrophic cardiomyopathy or infiltrative heart disease. Learn more in this chapter about the specific patterns observable with Speckle Tracking and how the bullseye display mirrors the severity of left ventricular dysfunction.  

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  • Dilated Cardiomyopathy 08:22

    Imagine you could detect left ventricular dysfunction at an early stage, even before ejection fraction drops. In this chapter, we show you how this can be done with Speckle Tracking. You will also learn how longitudinal strain can be used to follow up on patients with dilated cardiomyopathy and if it can be used to differentiate between ischemic and dilated cardiomyopathy.  

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  • Cardio-Oncology 08:48

    Did you know that Speckle Tracking Echocardiography is a highly recommended tool to detect chemotherapy-induced cardiotoxicity? Here we will explain what can happen after chemotherapy and how deformation imaging can help you to detect early-stage left ventricular dysfunction. Key experts will also discuss how this could affect treatment.  

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  • Dyssynchrony 14:02

    With Speckle Tracking, Echocardiography has once again proven itself vital when it comes to assessing dyssynchrony. In fact, Speckle Tracking has lead to a renaissance of echo for the detection and analysis of patients with dyssynchrony. However, should we use STE for the selection of patients for CRT? Find out in this chapter.  

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  • Coronary Artery Disease 16:00

    Do you sometimes struggle to detect wall motion abnormalities? Speckle Tracking Echo can greatly assist you with this pathology. Yet moreover, Strain imaging provides additional, incremental value in many scenarios. In this chapter, we will discuss its role in chronic stable CAD patients and acute coronary syndromes.  

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  • Valvular Heart Disease 23:49

    Left ventricular function dictates our management of valvular heart disease. But is ejection fraction always a good parameter to monitor left heart function? In this chapter, we will discuss the role that strain plays in aortic stenosis, aortic regurgitation, mitral stenosis and mitral regurgitation.  

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Quiz

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