Dynamic assessment of global longitudinal strain after isometric exercise to predict functionally significant coronary lesion

European Heart Journal - Imaging Methods and Practice 2026 Open access

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Authors: Niya Mileva, Dobrin Vassilev, Panayot Panayotov, Svetlin Nedkov Tsonev, Sławomir Gołębiewski, Gianluca Rigatelli, Robert J. Gil
DOI: 10.1093/ehjimp/qyag007
Cited by: 2
References: 36

Abstract

Abstract Aims There is still a wide debate regarding the management of patients with chronic coronary syndrome, the choice of optimal non-invasive stress test, and the decision for coronary revascularization. Evidence has accumulated demonstrating the utility of global longitudinal strain (GLS) as a predictor of significant coronary disease. To evaluate the application of speckle tracking during resting echocardiography and after isometric loading with the hand-grip test, and to compare GLS parameters with fractional flow reserve (FFR). Methods and results Patients with known CCS who underwent angiography with evidence of coronary stenosis >40%

Fields of Study & Subjects

Cardiovascular Function and Risk Factors Cardiac Imaging and Diagnostics Coronary Interventions and Diagnostics

Publication details

Journal / source
European Heart Journal - Imaging Methods and Practice
Publisher
Oxford University Press (OUP)
Volume
4
Issue
1
Pages
qyag007–qyag007
Publication date
1 January 2026
Language
EN