The utility of myocardial work in clinical practice

Authors

Sarah Roemer, Advocate Aurora HealthFollow
Akshar Jaglan, Advocate Aurora HealthFollow
David Santos
Matt M. Umland, Advocate Aurora HealthFollow
Renuka Jain, Advocate Aurora HealthFollow
A. Jamil Tajik, Advocate Aurora HealthFollow
Bijoy K. Khandheria, Advocate Aurora HealthFollow

Recommended Citation

Roemer S, Jaglan A, Santos D, et al. The utility of myocardial work in clinical practice. J Am Soc Echocardiogr. 2021;34(8):807-818. doi: 10.1016/j.echo.2021.04.013

Affiliations

Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers

Abstract

Myocardial work (MW) is a novel technique used in the advanced assessment of left ventricular function. In the past few years, this invasive measure has evolved to become a more attainable noninvasive technique. MW has benefits over left ventricular ejection fraction and global longitudinal strain by speckle-tracking echocardiography, as it includes the afterload-dependent limitation and dynamic myocardial contraction in relationship to various loading conditions. In this article, the authors provide a summary overview and discuss the additive value noninvasive MW provides to left ventricular systolic function assessment. The authors explore the evolution of invasive to noninvasive MW, examine how to acquire and measure, discuss normal reference values, examine its role in a multitude of cardiac conditions that have been investigated in current research, review a variety of clinical applications, and discuss potential limitations. The goal is to allow the reader to see the benefits of this rapidly emerging application and be able to incorporate it into everyday practice.

Document Type

Article

PubMed ID

33895250