Case of reduced strain under stress echo

In this case study of a 28 y/o male with aortic valve disease, Prof. Thomas Binder, MD discusses the steps in diagnosing the problem and deciding about an operation - and what he might have done differently if strain was available earlier.

One of the advantages of using a 3D echocardiography probe is that you can actually record several 2D-views simultaneously - which not only saves time but also facilitates examinations such as stress echocardiography. In this clip, Prof. Thomas Binder, MD introduces this way of imaging and of course gives some examples.

In this how-to video, we show you how to perform a strain analysis with speckle tracking echocardiography step by step. You will see how to trace the myocardium, how to assess if the regions are tracked correctly, and what size your region of interest (ROI) should be. This is done in the 2-chamber, the 4-chamber, and the 3-chamber view, step by step.

This is the case of an elderly gentleman with a shoulder prosthesis suffering from pain after a fall, in which a large hematoma could be found in the joint.