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Cited by 356Cardiovascular Function and Risk FactorsUltrasound Imaging and ElastographyCardiac Imaging and Diagnostics

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Segmental and global longitudinal strain and strain rate based on echocardiography of 1266 healthy individuals: the HUNT study in Norway

Dalen, Havard, Thorstensen, Anders, Aase, Svein A., Ingul, Charlotte B., Torp, Hans, Vatten, Lars J., Stoylen, Asbjorn·2010·European Heart Journal - Cardiovascular Imaging
DOI 10.1093/ejechocard/jep194
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Abstract

Aims To study the distribution of longitudinal systolic strain and strain rate (SR) as indicators of myocardial deformation according to age and sex in a healthy population. Methods and results Longitudinal strain and SR were determined in 1266 healthy individuals from three standard apical views, using a combination of speckle tracking (ST) and tissue Doppler imaging (TDI) to track regions of interest (ROIs). To test applicability of the reference values, we used a subset of the population to compare four methods of assessing myocardial deformation: (1) a combination of TDI and ST; (2) TDI with fixed ROIs; (3) TDI with tracking of ROIs; and (4) ST. Mean (SD) overall global longitudinal strain and SR were -17.4% (2.3) and -1.05 s(-1) (0.13) in women, and -15.9% (2.3) and -1.01 s(-1) (0.13) in men. Deformation indices decreased with increasing age. The combined and ST methods showed identical SR, but values were significantly lower than those obtained by TDI. Strain was overestimated by the ST method (18.4%) compared with the combined method (17.4%). Conclusion The reference values for global and segmental longitudinal strain and SR obtained from this population study are applicable for use in a wide clinical setting.

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Metadata

Authors
Dalen, H., Thorstensen, A., Aase, S. A., Ingul, C. B., Torp, H., Vatten, L. J., & Stoylen, A.
Affiliations
Norwegian University of Science and Technology (NO)
ORCID
Venue
European Heart Journal - Cardiovascular Imaging
Publisher
Oxford University Press (OUP)
Published
2009-11-28
Volume
11
Issue
2
Pages
176-183
ISSN
  • 2047-2404 (ISSN-L)
  • 2047-2412
DOI
10.1093/ejechocard/jep194
OpenAlex
W2132884164
Cited by
356
References
0
Citations by year
2026: 2 · 2025: 11 · 2024: 8 · 2023: 20 · 2022: 20 · 2021: 16 · 2020: 28 · 2019: 25 · 2018: 24 · 2017: 22 · 2016: 27 · 2015: 34 · 2014: 35 · 2013: 28 · 2012: 28
FWCI
11.86
Type
journal article
Language
en
Open access
closed
Locations
  • European Heart Journal - Cardiovascular Imaging (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Norges Teknisk-Naturvitenskapelige Universitet
  • Norwegian Institute of Public Health
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Ultrasound Imaging and Elastography
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
Keywords
longitudinal strain, strain rate, myocardial deformation, segmental strain, global longitudinal strain, reference values, healthy population, age and sex differences, speckle tracking, tissue Doppler imaging, HUNT study
MeSH terms
Adult, Age Factors, Analysis of Variance, Female, Hemodynamics, Humans, Male, Myocardial Contraction, Myocardium, Norway, Reference Values, Sex Factors, Statistics as Topic, Stroke Volume, Systole, Ultrasonography, Doppler, Color, Elasticity Imaging Techniques, Young Adult

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