Right ventricular strain as a novel approach to analyze right ventricular performance in patients with heart failure

Speckle tracking echocardiography (STE) has recently applied as imaging technique to accurately evaluate right ventricular (RV) function. STE provides a non-Doppler, angle-independent and objective quantification of RV myocardial deformation. Data regarding feasibility, accuracy and clinical applications of RV strain are rapidly gathering, especially in the setting of heart failure patients. This review describes the fundamental concepts of RV–STE and discusses its emerging clinical applications, focusing on the useful of this technique in the clinical management of patients with advanced heart failure.