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Cited by 972

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

Relative apical sparing of longitudinal strain using two-dimensional speckle-tracking echocardiography is both sensitive and specific for the diagnosis of cardiac amyloidosis

Open access
Phelan, Dermot, Collier, Patrick, Thavendiranathan, Paaladinesh, Popović, Zoran B, Hanna, Mazen, Plana, Juan Carlos, Marwick, Thomas H, Thomas, James D·2012·Heart

Abstract

BACKGROUND: The diagnosis of cardiac amyloidosis (CA) is challenging owing to vague symptomatology and non-specific echocardiographic findings. OBJECTIVE: To describe regional patterns in longitudinal strain (LS) using two-dimensional speckle-tracking echocardiography in CA and to test the hypothesis that regional differences would help differentiate CA from other causes of increased left ventricular (LV) wall thickness. METHODS AND RESULTS: 55 consecutive patients with CA were compared with 30 control patients with LV hypertrophy (n=15 with hypertrophic cardiomyopathy, n=15 with aortic stenosis). A relative apical LS of 1.0, defined using the equation (average apical LS/(average basal LS + mid-LS)), was sensitive (93%) and specific (82%) in differentiating CA from controls (area under the curve 0.94). In a logistic regression multivariate analysis, relative apical LS was the only parameter predictive of CA (p=0.004). CONCLUSIONS: CA is characterised by regional variations in LS from base to apex. A relative 'apical sparing' pattern of LS is an easily recognisable, accurate and reproducible method of differentiating CA from other causes of LV hypertrophy.

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Crossref · 10.1136/heartjnl-2012-302353

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Metadata

Authors
Phelan, D., Collier, P., Thavendiranathan, P., Popović, Z. B., Hanna, M., Plana, J. C., Marwick, T. H., & Thomas, J. D.
Venue
Heart
Publisher
BMJ
Published
2012-08-03
Volume
98
Issue
19
Pages
1442-1448
ISSN
  • 1355-6037 (ISSN-L)
  • 1468-201X
OpenAlex
W2132750428
Cited by
972
References
3
FWCI
8.13
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Relative apical sparing of longitudinal strain using two-dimensional speckle-tracking echocardiography is both sensitive and specific for the diagnosis of cardiac amyloidosis. https://app.cochat.ai/papers/10.1136/heartjnl-2012-302353
The paper
Phelan, D., Collier, P., Thavendiranathan, P., Popović, Z. B., Hanna, M., Plana, J. C., Marwick, T. H., & Thomas, J. D. (2012). Relative apical sparing of longitudinal strain using two-dimensional speckle-tracking echocardiography is both sensitive and specific for the diagnosis of cardiac amyloidosis. Heart. https://doi.org/10.1136/heartjnl-2012-302353

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.