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

Table 3.

Ischemic heart disease and further applications of non-invasive myocardial work

Author Title Year Journal Number of patients Results
Boe et al. Non-invasive myocardial work index identifies acute coronary occlusion in patients with non-ST-segment elevation-acute coronary syndrome 2015 European Heart Journal Cardiovascular Imaging 150 Deteriorated MWI in patients with NSTEMI detects acute coronary occlusion superior to all other parameters
Edwards et al. Global myocardial work is superior to global longitudinal strain to predict significant coronary artery disease in patients with normal left ventricular function and wall motion 2019 Journal of the American Society of Echocardiography 115 Non-invasive global MW at rest is better than GLS at identifying significant CAD in patients with no regional wall motion abnormalities and preserved LVEF
El Mahdiui et al. Global left ventricular myocardial work efficiency in healthy individuals and patients with cardiovascular disease 2019 Journal of the American Society of Echocardiography 120 Global LV myocardial work efficiency is significantly reduced in patients after myocardial infarction or with HFrEF
Przewlocka-Kosmala et al. Usefulness of myocardial work measurement in the assessment of left ventricular systolic reserve response to spironolactone in heart failure with preserved ejection fraction 2019 European Heart Journal 114 GCW is a better determinant of exercise capacity in HFpEF than GLS
Galli et al. Myocardial constructive work is impaired in hypertrophic cardiomyopathy and predicts left ventricular fibrosis 2019 Ecocardiography 102 In contrast to LVEF, GCW is significantly reduced in HCM and is associated with LV fibrosis
Chan et al.

A new approach to assess myocardial work by non-invasive left ventricular pressure–strain

relations in hypertension and dilated cardiomyopathy

2019 European Heart Journal 74 Non-invasive MW assessment leads to better comprehension of the interaction between LV remodeling and increased wall stress under different loading conditions
Schrub et al. Myocardial work is a predictor of exercise tolerance in patients with dilated cardiomyopathy and left ventricular dyssynchrony 2020 The International Journal of Cardiovascular Imaging 51 Septal work efficiency is the only predictor of exercise capacity in patients with dilated cardiomyopathy and left ventricular dyssynchrony
Clemmensen et al. Left ventricular pressure-strain–derived myocardial work at rest and during exercise in patients with cardiac amyloidosis 2020 Journal of the American Society of Echocardiography 155 Patients with cardiac amyloidosis have a significant reduction in GWI and GWE compared to healthy controls
Clemmensen et al. Prognostic implications of left ventricular myocardial work indices in cardiac amyloidosis 2020 European Heart Journal Cardiovascular Imaging 100 In patients with cardiac amyloidosis, GWI and apical-to-basal segmental work ratio can better predict MACE and all-cause mortality than other echocardiographic parameters
Monsour et al. Value of myocardial work for assessment of myocardial adaptation to increased afterload in patients with high blood pressure at peak exercise 2020 The International Journal of Cardiovascular Imaging 81 In patients with high blood pressure at peak exercise, GWI, GCW, and GWW increased significantly while GWE remained constant
Papadopoulos et al. MitraClip and left ventricular reverse remodeling: a strain imaging study 2020 ESC Heart Failure 86 Preserved GLS and GCW values appear to be associated with LV reverse remodeling post intervention
Bouali et al. Prognostic usefulness of myocardial work in patients with heart failure and reduced ejection fraction treated with sacubitril/valsartan 2020 The American Journal of Cardiology 79 Sacubitril/valsartan therapy is associated with a significant improvement in CW and WE. Assessment of CW before treatment can predict MACEs
Gonçovales et al. Myocardial improvement after sacubitril/valsartan therapy: a new echocardiographic parameter for a new treatment 2020 Journal of Cardiovascular Medicine 42 Treatment with sacubitril/valsartan is related with an increase in global CW and WE as well as with reverse remodeling
Hedwig et al. Global Work Index correlates with established prognostic parameters of heart failure 2020 Echocardiography 51 GWI correlates with known prognostic markers of heart failure
Wang et al. Incremental prognostic value of global myocardial work over ejection fraction and global longitudinal strain in patients with heart failure and reduced ejection fraction 2020 European Heart Journal Cardiovascular Imaging 508 GMW is a better prognosticator than LVEF and GLS in HFrEF
Tomoaia et al. Global work index by non-invasive pressure-strain loops: a novel parameter to assess left ventricular performance in the early stages of heart failure with preserved or mid-range ejection fraction after acute myocardial infarction 2021 Medical Ultrasonography 49 Non-invasive myocardial work estimation delivers further information about LV function in contrast to LVEF and GLS in patients after acute myocardial infarction at early stages of HFpEF/HFmrEF

MWI myocardial work index, CAD coronary artery disease, HFrEF heart failure with reduced ejection fraction, WE myocardial work efficiency, MACEs major adverse cardiac events, GCW global constructive myocardial work, HFpEF heart failure with preserved ejection fraction, GLS global longitudinal strain, CW constructive work, GWI global myocardial work index, LVEF left ventricular ejection fraction, HCM hypertrophic cardiomyopathy, MW myocardial work, GWE global myocardial work efficiency, GWW global myocardial wasted work