Behjati Mohaddeseh, Mansouri Pejman, Mirshafiee Shayan, Samiei Niloufar
Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Int J Cardiovasc Imaging. 2025 May 27. doi: 10.1007/s10554-025-03431-9.
Normal pericardium plays a fundamental role in the maintenance of left ventricular (LV) twists. Pericardial diseases are among the important causes of morbidity and mortality in cases with cardiovascular diseases. The thorough management of suspected pericardial diseases requires early diagnosis using optimal imaging modalities for each patient. Strain and strain rate could be calculated using two-dimensional speckle-tracking echocardiography (STE) through tracking frame-to-frame movements of myocardial tissue. This modality could also determine the LV torsion and rotation. Ultrasonic strain imaging can evaluate LV function without being influenced by the whole heart motion or even tethering forces. This imaging modality could also identify the disease at earlier stages. This report reviews the role of strain imaging by echocardiography in the assessment of pericardial diseases including acute pericarditis, perimyocarditis, chronic constrictive pericarditis, effusive constrictive pericarditis, and transient constriction, pericardial tamponade, post pericardiectomy, pericardial cysts, masses, diverticula and congenital absence of the pericardium. Being familiar with obtaining data from strain imaging using STE could help pericardial specialists working in established pericardial centers of excellence.
正常心包在维持左心室（LV）扭转方面起着重要作用。心包疾病是心血管疾病发病和死亡的重要原因之一。对于疑似心包疾病的全面管理需要使用适合每个患者的最佳成像方式进行早期诊断。应变和应变率可以通过二维斑点追踪超声心动图（STE）追踪心肌组织逐帧运动来计算。这种方式还可以确定左心室扭转和旋转。超声应变成像可以评估左心室功能，而不受全心运动甚至束缚力的影响。这种成像方式还可以在疾病早期阶段识别疾病。本报告回顾了超声心动图应变成像在评估心包疾病中的作用，包括急性心包炎、心肌心包炎、慢性缩窄性心包炎、渗出性缩窄性心包炎和暂时性缩窄、心包填塞、心包切除术后、心包囊肿、肿块、憩室和先天性心包缺如。熟悉使用STE从应变成像中获取数据有助于在成熟的心包卓越中心工作的心包专家。
