What patterns are there in the bullseye display?

This 12-year-old dreams of becoming a soccer star and wants you to look at his aortic regurgitation. Can he continue with sports? Would you recommend surgery?

In this video, Prof. Thomas Binder presents the case of a patient with dilated cardiomyopathy. Watch the clip to learn what different views of the heart might look like, and what to expect in the speckle tracking analysis here.

In this case, we see the typical strain pattern of apical sparing, which usually points to a storage disease. But in this patient, the underlying pathology is something totally different - showing us that strain patterns are very important, but still just a part of the puzzle.