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. 2021 May 26;27(4):1261–1279. doi: 10.1007/s10741-021-10119-4

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© The Author(s) 2021

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 2 — Practical assessment of myocardial work. a Global longitudinal strain is calculated through two-dimensional grayscale images acquired in the standard apical two-, three- and four-chamber views. b Visualization of the calculated strain measurements. c Determination of valvular event timings using pulsed-wave Doppler or ECG-triggering and insertion of systolic and diastolic blood pressure levels for myocardial work calculation. d Visualization of myocardial work via the pressure-strain loop