Advanced Echocardiographic Strain Imaging for Early Detection

Strain imaging, based on speckle-tracking echocardiography, has transformed cardiac assessment by quantifying subtle myocardial deformation beyond traditional ejection fraction measurements. Global longitudinal strain (GLS) provides sensitive detection of early systolic dysfunction in patients with heart failure, cardiotoxic chemotherapy exposure, and valvular disease. Unlike EF, which often remains preserved until late in disease, strain abnormalities can identify subclinical dysfunction, offering a window for earlier intervention.

Clinical integration of strain imaging is expanding rapidly, with applications in heart failure phenotyping, risk stratification, and monitoring treatment response. Advances in 3D strain and layer-specific analysis enhance precision, while artificial intelligence is improving reproducibility. This track will explore the latest developments in echocardiographic strain, including its role in HFpEF diagnosis and perioperative risk evaluation. Attendees will gain insights into practical implementation, limitations, and future directions where strain-based metrics may guide personalized management strategies for cardiovascular patients

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