Advances in Echocardiography: Strain Without Stress

Despite recent advances in clinical imaging, echocardiography remains the most accessible and reliable noninvasive imaging tool in the assessment of left ventricular systolic function. This lecture will address basic technique, current applications and diagnostic criteria of strain echocardiography of the left ventricle.  

Original release date:  December 2020
Review date: January 2022; February 2023; March 2024

Target Audience

Cardiologists, vascular surgeons, interventional radiologists, nurses, nurse practitioners, physician assistants, echocardiography, respiratory therapists (direct delivery) and noninvasive vascular testing specialists and sonographers.

Learning Objectives

  • Recognize basic concepts of strain echocardiography imaging. 
  • Identify the different applications of strain echocardiography imaging. 
  • Describe systematic protocol for left ventricular strain echocardiography imaging.
  • Demonstrate normal and abnormal strain echocardiography imaging findings and explain the criteria used in the diagnosis of disease.
Additional information
  • Marwick, T. H., Shah, S. J., & Thomas, J. D. (2019). Myocardial strain in the assessment of patients with heart failure: a review. JAMA cardiology, 4(3), 287-294.
  • Omar, A. M. S., Bansal, M., & Sengupta, P. P. (2016). Advances in echocardiographic imaging in heart failure with reduced and preserved ejection fraction. Circulation research, 119(2), 357-374.
  • Singh, A., Voss, W. B., Lentz, R. W., Thomas, J. D., & Akhter, N. (2019). The diagnostic and prognostic value of echocardiographic strain. JAMA cardiology, 4(6), 580-588.
Course Summary
Available credit: 
  • 1.25 ABS MOC II
  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Respiratory Therapy
Course opens: 
Course expires: 

Socrates V. Kakoulides, M.D.
Miami Cardiac & Vascular Institute
Baptist Health Medial Group
Miami, Florida 

Socrates V. Kakoulides, M.D., faculty for this educational activity, has no relevant financial relationship with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Planning Group
Elliott J. Elias, M.D., disclosed that he is a member of the speakers' bureau for Abbott Laboratories. 

Brian J. Schiro, M.D., disclosed that he receives grant/research support from Medtronic and that he is a member of the speakers' bureau for Penumbra and Sirtex. 

Muhammad Hasan, MBBCh, RPVI, has no relevant financial relationship with ineligible companies* to disclose.

All of the relevant financial relationships listed for these individuals have been mitigated.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.  

*Ineligible companies – Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
Baptist Health South Florida designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


American Board of Surgery - Maintenance of Certification (MOC) - Accredited CME -  Vascular Surgery

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Available Credit

  • 1.25 ABS MOC II
  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Respiratory Therapy
Please login or register for a Baptist Health CME account to take this course.

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