Systematic Reviews
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Dec 26, 2015; 7(12): 948-960
Published online Dec 26, 2015. doi: 10.4330/wjc.v7.i12.948
Global myocardial strain assessment by different imaging modalities to predict outcomes after ST-elevation myocardial infarction: A systematic review
Abhishek Shetye, Sheraz A Nazir, Iain B Squire, Gerald P McCann
Abhishek Shetye, Sheraz A Nazir, Iain B Squire, Gerald P McCann, Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, United Kingdom
Author contributions: McCann GP designed the concept of the review; Shetye A performed the literature review and drafted the manuscript; Nazir SA, Squire IB and McCann GP reviewed the manuscript and provided critical revisions; all authors were involved in the interpretation of the results and approved the final manuscript.
Conflict-of-interest statement: The authors have no conflicts of interest relevant to the manuscript.
Data sharing statement: Not applicable.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Gerald P McCann, National Institute of Health Research Career Development Fellow/Honorary Consultant Cardiologist, Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Groby Road, Leicester LE3 9QP, United Kingdom. gerry.mccann@uhl-tr.nhs.uk
Telephone: +44-116-2583977
Received: May 27, 2015
Peer-review started: May 30, 2015
First decision: August 25, 2015
Revised: September 22, 2015
Accepted: October 12, 2015
Article in press: October 13, 2015
Published online: December 26, 2015
Core Tip

Core tip: Global myocardial strain is an objective measure of cardiac function. It can be assessed using post-processing analysis on different imaging modalities such as speckle-tracking echocardiography (STE) and cardiac magnetic resonance imaging (CMR) - tagging and feature tracking. We performed a systematic review that showed global longitudinal strain (GLS) measured acutely by STE following ST-elevation myocardial infarction (STEMI) predicted clinical outcomes and adverse left ventricular remodelling, a surrogate marker of poor prognosis. No relevant studies were found for CMR techniques. GLS may refine risk stratification in the STEMI population but further work is needed to support this.