Echocardiographic strain in pregnancy: distinguishing physiological and pathological changes

Khan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet. 2006;367:1066–74. https://doi.org/10.1016/S0140-6736(06)68397-9.

Article  PubMed  Google Scholar 

Afari HA, Davis EF, Sarma AA. Echocardiography for the pregnant heart. Curr Treat Options Cardiovasc Med. 2021;23(8):55. https://doi.org/10.1007/s11936-021-00930-5.

Article  PubMed  PubMed Central  Google Scholar 

Guimarães T. Pregnancy, the exception to the indexing of echocardiographic parameters? Rev Port Cardiol. 2024;43(3):129–30. https://doi.org/10.1016/j.repc.2023.09.001.

Article  PubMed  Google Scholar 

Chung E, Leinwand LA. Pregnancy as a cardiac stress model. Cardiovasc Res. 2014;101(4):561–70. https://doi.org/10.1093/cvr/cvu013.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Sengupta PP, Tajik AJ, Chandrasekaran K, Khandheria BK. Twist mechanics of the left ventricle: principles and application. JACC: Cardiovascular Imaging. 2008;1(3):366–76. https://doi.org/10.1016/j.jcmg.2008.02.006.

Article  PubMed  Google Scholar 

Tryfou ES, Kostakou PM, Kostopoulos VS, Olympios CD, Mihas C, Paraskevaidis I, et al. Pathophysiological alterations of left ventricular myocardial systolic function during normal pregnancy assessed by speckle tracking echocardiography: a prospective cohort echocardiography study. Int J Cardiovasc Imaging. 2022;38(12):2677–86. https://doi.org/10.1007/s10554-022-02682-0.

Article  PubMed  Google Scholar 

Marwick TH. Measurement of strain and strain rate by echocardiography: ready for prime time? J Am Coll Cardiol. 2006;47(7):1313–27. https://doi.org/10.1016/j.jacc.2005.11.063.

Article  PubMed  Google Scholar 

Trivedi SJ, Altman M, Stanton T, Thomas L. Echocardiographic strain in clinical practice. Heart Lung Circ. 2019;28(9):1320–30. https://doi.org/10.1016/j.hlc.2019.03.012.

Article  PubMed  Google Scholar 

Smiseth OA, Rider O, Cvijic M, Valkovič L, Remme EW, Voigt JU. Myocardial strain imaging: theory, current practice, and the future. J Am Coll Cardiol Img, S1936-878X(24)00301-2. Advance online publication. 2024; https://doi.org/10.1016/j.jcmg.2024.07.011.

Cho GY, Hwang IC. Left atrial strain measurement: a new normal for diastolic assessment? J Am Coll Cardiol Img. 2020;13(11):2327–9.

Article  Google Scholar 

Lee JH, Park JH. Strain analysis of the right ventricle using two-dimensional echocardiography. J Cardiovasc Imaging. 2018;26(3):111–24. https://doi.org/10.4250/jcvi.2018.26.e11.

Article  PubMed  PubMed Central  Google Scholar 

Baysan O, Akyildiz I. Right ventricular strain. Heart Vessels Transpl. 2020;4(1):16–25.

Article  Google Scholar 

Dahhan T, Siddiqui I, Tapson VF, Velazquez EJ, Sun S, Davenport CA, et al. Clinical and echocardiographic predictors of mortality in acute pulmonary embolism. Cardiovasc Ultrasound. 2016;14(1):44. https://doi.org/10.1186/s12947-016-0087-y.

Article  PubMed  PubMed Central  Google Scholar 

Muraru D, Niero A, Rodriguez-Zanella H, Cherata D, Badano L. Three-dimensional speckle-tracking echocardiography: benefits and limitations of integrating myocardial mechanics with three-dimensional imaging. Cardiovasc Diagn Ther. 2018;8(1):101–17. https://doi.org/10.21037/cdt.2017.06.01.

Article  PubMed  PubMed Central  Google Scholar 

Cong J, Wang Z, Jin H, Wang W, Gong K, Meng Y, et al. Quantitative evaluation of longitudinal strain in layer-specific myocardium during normal pregnancy in China. Cardiovasc Ultrasound. 2016;14(1):45. https://doi.org/10.1186/s12947-016-0089-9.

Article  PubMed  PubMed Central  Google Scholar 

Orabona R, Sciatti E, Vizzardi E, Bonadei I, Metra M, Sartori E, et al. Maternal left ventricular function in uncomplicated twin pregnancies: a speckle-tracking imaging longitudinal study. J Clin Med. 2022;11(18):5283. https://doi.org/10.3390/jcm11185283.

Article  PubMed  PubMed Central  Google Scholar 

Meah VL, Khurana R, Hornberger LK, Steinback CD, Davenport MH. Cardiovascular function during triplet pregnancy. J Appl Physiol. 2021;130(4):1286–92. https://doi.org/10.1152/japplphysiol.00998.2020.

Article  PubMed  Google Scholar 

Araujo JM, Ferreira AF, Azevedo MJ, Saraiva F, Machado AP, Sousa C, et al. Reverse remodelling of right ventricle induced by pregnancy. Eur Heart J. 2023;44(Supplement_2):ehad655.2735. https://doi.org/10.1093/eurheartj/ehad655.2735.

Article  Google Scholar 

Del Prado Díaz S, de la Calle M, Valbuena-López SC, Montoro López N, Merás Colunga P, Bartha JL, et al. Does the right ventricle experiment morphologic and functional changes similarly to the left ventricle during pregnancy? Echocardiography. 2020;37(6):850–7. https://doi.org/10.1111/echo.14678.

Article  PubMed  Google Scholar 

Ferreira AF, Araújo J, Azevedo MJ, Saraiva F, Diaz SO, Sousa C, et al. Cardiovascular remodelling and reverse remodelling during pregnancy and postpartum: looking at the right side. Pregnancy Hypertens. 2024;38:101171. https://doi.org/10.1016/j.preghy.2024.101171.

Article  PubMed  Google Scholar 

Song G, Liu J, Ren W, Qiao W, Zhang J, Zhan Y, et al. Reversible changes of left atrial function during pregnancy assessed by two-dimensional speckle tracking echocardiography. PLoS One. 2015;10(5):e0125347. https://doi.org/10.1371/journal.pone.0125347.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Sonaglioni A, Nicolosi GL, Migliori C, Bianchi S, Lombardo M. Usefulness of second trimester left ventricular global longitudinal strain for predicting adverse maternal outcome in pregnant women aged 35 years or older. Int J Cardiovasc Imaging. 2022;38(5):1061–75. https://doi.org/10.1007/s10554-021-02485-9.

Article  PubMed  Google Scholar 

Mostafavi A, Tase Zar Y, Nikdoust F, Tabatabaei SA. Comparison of left ventricular systolic function by 2D speckle-tracking echocardiography between normal pregnant women and pregnant women with preeclampsia. J Cardiovasc Thorac Res. 2019;11(4):309–13. https://doi.org/10.15171/jcvtr.2019.50.

Article  PubMed  PubMed Central  Google Scholar 

Moors S, van Oostrum NHM, Rabotti C, Long X, Westerhuis MEMH, Kemps HMC, et al. Speckle tracking echocardiography in hypertensive pregnancy disorders: a systematic review. Obstet Gynecol Surv. 2020;75(8):497–509. https://doi.org/10.1097/OGX.0000000000000811.

Article  PubMed  Google Scholar 

Bogdan C, Apostol A, Ivan VM, Sandu OE, Petre I, Petre I, et al. Autonomic dysfunction and cardiac performance in pregnant women with hypertensive disorders: a comparative study using heart rate variability and global longitudinal strain. Life. 2024;14(8):1039. https://doi.org/10.3390/life14081039.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Cong J, Lee Y, Fu X, Wang Z, Wang W, Lee J. Quantitative evaluation of longitudinal strain in layer-specific myocardium in patients with preeclampsia. Int J Cardiovasc Imaging. 2018;34(2):193–200. https://doi.org/10.1007/s10554-017-1220-1.

Article  PubMed  Google Scholar 

Paudel A, Tigen K, Yoldemir T, Guclu M, Yildiz I, Cincin A, et al. The evaluation of ventricular functions by speckle tracking echocardiography in preeclamptic patients. Int J Cardiovasc Imaging. 2020;36(9):1689–94. https://doi.org/10.1007/s10554-020-01872-y.

Article  PubMed  Google Scholar 

Orabona R, Vizzardi E, Sciatti E, Bonadei I, Valcamonico A, Metra M, et al. Insights into cardiac alterations after pre-eclampsia: an echocardiographic study. Ultrasound Obstet Gynecol. 2017;49(1):124–33. https://doi.org/10.1002/uog.15983.

Article  CAS  PubMed  Google Scholar 

Sonaglioni A, Nicolosi GL, Bianchi S, Lombardo M. Obesity in pregnancy is a predictor of persistent subclinical myocardial dysfunction over postpartum period. Int J Cardiovasc Imaging. 2022;38(9):1895–907. https://doi.org/10.1007/s10554-022-02579-y.

Article  PubMed  Google Scholar 

Alimi H, Fazlinejad A, Emadzadeh M, Abouzari M. Investigating the relationship between right ventricular size and function with pre-eclampsia: a two-group cross-sectional study. Health Sci Rep. 2023;6(3):e1135. https://doi.org/10.1002/hsr2.1135.

Article  PubMed  PubMed Central 

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