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Massimiliano Meineri, MD
A ME long axis view and a ME four chamber view are selected and analyzed using the Velocity Vector Imaging (VVI) software package. First the aortic valve and mitral valve closures are identified using anatomical M Mode on a static 2D image. The ME four chamber is then selected, the RV strain model is applied and the endocardium traced excluding trabeculations and the moderator band. Tracking is qualitatively assessed. Parametric display provides measurements for each of the six RV, global strain and quantification of RV apical rocking. The latter is a measurement of apical myocardial transverse motion and it is increased with dyssynchrony. Peak global strain is normal and measures -29.5%. Regional peak variability can be appreciated with the mid septal segment being the only one below normal limits. The septum de-selected to obtain global RV free wall strain that is negative 36.