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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Dec 26, 2015; 7(12): 948-960
Published online Dec 26, 2015. doi: 10.4330/wjc.v7.i12.948
Global myocardial strain assessment by different imaging modalities to predict outcomes after ST-elevation myocardial infarction: A systematic review
Abhishek Shetye, Sheraz A Nazir, Iain B Squire, Gerald P McCann
Abhishek Shetye, Sheraz A Nazir, Iain B Squire, Gerald P McCann, Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, United Kingdom
Author contributions: McCann GP designed the concept of the review; Shetye A performed the literature review and drafted the manuscript; Nazir SA, Squire IB and McCann GP reviewed the manuscript and provided critical revisions; all authors were involved in the interpretation of the results and approved the final manuscript.
Conflict-of-interest statement: The authors have no conflicts of interest relevant to the manuscript.
Data sharing statement: Not applicable.
Correspondence to: Dr. Gerald P McCann, National Institute of Health Research Career Development Fellow/Honorary Consultant Cardiologist, Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Groby Road, Leicester LE3 9QP, United Kingdom. gerry.mccann@uhl-tr.nhs.uk
Telephone: +44-116-2583977
Received: May 27, 2015
Peer-review started: May 30, 2015
First decision: August 25, 2015
Revised: September 22, 2015
Accepted: October 12, 2015
Article in press: October 13, 2015
Published online: December 26, 2015
Processing time: 210 Days and 23.5 Hours
Core Tip

Core tip: Global myocardial strain is an objective measure of cardiac function. It can be assessed using post-processing analysis on different imaging modalities such as speckle-tracking echocardiography (STE) and cardiac magnetic resonance imaging (CMR) - tagging and feature tracking. We performed a systematic review that showed global longitudinal strain (GLS) measured acutely by STE following ST-elevation myocardial infarction (STEMI) predicted clinical outcomes and adverse left ventricular remodelling, a surrogate marker of poor prognosis. No relevant studies were found for CMR techniques. GLS may refine risk stratification in the STEMI population but further work is needed to support this.

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