title: Two-dimensional speckle tracking echocardiography for the assessment of atrial function.
abstract: Echocardiography is the most common diagnostic method for assessing atrial function but the technique has some limitations. Traditionally, assessment of left atrial function has been performed by measuring volumes with 2D echocardiography. Additionally, it can be assessed with transmitral Doppler and pulmonary vein Doppler. Recently, an alternative method has been incorporated, namely, measurement of myocardial deformation with color tissue Doppler-derived strain. However, this method has several limitations, such as suboptimal reproducibility, angle-dependence, signal artifacts and the fact that it only measures regional strain and does not obtain information about the curved portion of the atrial roof. To overcome these limitations in the quantification of atrial function, the use of speckle tracking echocardiography (STE) strain has been proposed. This technique is not derived from Doppler but rather from 2D echocardiography; it is angle-independent and allows one to measure global as well as regional atrial strain. In this editorial, we describe the physical and pathophysiological concepts of STE and underline the clinical usefulness of this new technique.
authors.affiliation: Tomás Francisco Cianciulli, María Cristina Saccheri, Jorge Alberto Lax, Alejandra Marina Bermann, Daniel Ernesto Ferreiro, Division of Cardiology, Echocardiography Laboratory, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich", Pi y Margall 750 (C1155ADP), Buenos Aires, Argentina.
authors.forename: Tomás Francisco
authors.initials: TF
authors.lastname: Cianciulli
authors.forename: María Cristina
authors.initials: MC
authors.lastname: Saccheri
authors.forename: Jorge Alberto
authors.initials: JA
authors.lastname: Lax
authors.forename: Alejandra Marina
authors.initials: AM
authors.lastname: Bermann
authors.forename: Daniel Ernesto
authors.initials: DE
authors.lastname: Ferreiro