Figure 14From: Echocardiographic quantification of myocardial function using tissue deformation imaging, a guide to image acquisition and analysis using tissue Doppler and speckle tracking Longitudinal strain of one cardiac cycle in the 4-chamber view using 2DSE after CRT device implantation. Note the synchronous contraction pattern of all wall segments and the increase in septal strain to the total ejection. The septal to lateral delay has decreased (distance between yellow and red arrow) after resynchronization therapy. Note the pre-exitation in the mid-lateral wall in combination with mildly reduced strain values, indicating the position of the LV lead.Back to article page