Strain data are encouraged by several studies despite the fact that we miss strong evidence that might change the treatment. Twist, torsion, and strain have been reported as more reduced in heart failure patients compared with controls. Torsion and twist are significantly lower in patients with non-ischaemic compared with ischaemic cardiomyopathies, despite similar volumetric dimensions, circumferential and longitudinal strain parameters, and LVEF. These torsion and rotation patterns could be considered more carefully in future studies for best characterizing the LV dysfunction according to the aetiology. The additive value of strain data in diabetic patients has been reported and will probably be recommended in the future for the assessment of the myocardium of diabetic patients .
Estudo do Strain chegando às aplicações clínicas