Normal LV Strain — Bull's-eye

The 17-Segment model of heart

  • Dark red = normal

  • Lighter red = longitudinal hypo- to akinesia

  • Blue = akinesia, darker blue also dyskinesia (longitudinal)

  • Negative values around -20% are normal GLS values

  • Bullseye with corresponding myocardial segments

  • If 2 or more segments are not measured nicht gemessen werden (e.g. image quality) the GLS should not be measured

Normal Strain with normal curves (LV)

Bullseye with GLS & EF, strain curves

Bullseye with GLS & EF, strain curves

Strain M-Mode (the “opened” ventricle over time)

Strain M-Mode (the “opened” ventricle over time)

Focused apical views for 2D Strain

4-ChV

4-ChV

2-ChV

2-ChV

APLAX

APLAX

The contents of the website, including the videos, were created without influence from third parties.

The contents of the website, including the videos, were created without influence from third parties.

The Strain Book

Represented by Dr. Martin Altersberger

Contact: heart.lungs.ultrasound@gmail.com

The Strain Book

Represented by Dr. Martin Altersberger

Contact: heart.lungs.ultrasound@gmail.com

© 2026 The Strain Book by Dr. Martin Altersberger. All rights reserved.

© 2026 The Strain Book by Dr. Martin Altersberger. All rights reserved.

© 2026 The Strain Book by Dr. Martin Altersberger. All rights reserved.