©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Aug 26, 2018; 10(8): 62-73
Published online Aug 26, 2018. doi: 10.4330/wjc.v10.i8.62
Published online Aug 26, 2018. doi: 10.4330/wjc.v10.i8.62
Newer echocardiographic techniques for aortic-valve imaging: Clinical aids today, clinical practice tomorrow
Nidhish Tiwari, Kavisha Patel, Department of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, NY 10461, United States
Author contributions: Tiwari N contributed designed and drafted the paper outline; Patel K performed the literature search; both contributed equally to writing the manuscript; Tiwari N edited the final version.
Conflict-of-interest statement: Authors declare no conflict of interests for this article.
Correspondence to: Nidhish Tiwari, MD, FACC, FASE, FACP, Assistant Professor, Department of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, 1400 Pelham Parkway South, Bronx, NY 10461, United States. nidhish.tiwari@nychhc.org
Telephone: +1-646-4087740 Fax: +1-888-5882920
Received: April 10, 2018
Peer-review started: April 10, 2018
First decision: May 16, 2018
Revised: May 22, 2018
Accepted: June 30, 2018
Article in press: June 30, 2018
Published online: August 26, 2018
Processing time: 139 Days and 14.1 Hours
Peer-review started: April 10, 2018
First decision: May 16, 2018
Revised: May 22, 2018
Accepted: June 30, 2018
Article in press: June 30, 2018
Published online: August 26, 2018
Processing time: 139 Days and 14.1 Hours
Core Tip
Core tip: Reduced strain is now established for early diagnosis, prognosis, and risk stratification, predicting post-op recovery and showing associations with mortality. Decreased global longitudinal strain (GLS) is a robust parameter to diagnose subclinical left ventricular dysfunction before the left ventricular ejection fraction deteriorates and the patient develops symptoms. GLS also correlates with disease severity and helps to identify patients with excess risk of cardiovascular events and death who are likely to benefit from earlier surgical intervention. The high accuracy and reproducibly of 3D echocardiography has made the precise assessment of volume and AR possible and, therefore, the early recognition of its severity.