Normal values Strain imaging — RV-Strain

A specified software should be used for the evaluation!

  • Normal strain of the free lateral RV wall (FWS), 3 segments: -23% and more negative values

  • Normal strain of the free lateral RV wall & the IVS (GS), 6 segments: -20% and more negative values

  • Differences in vendors exist — regional analysis is more prone to error as the RV is a thinner structure compared to the LV

Athlete (cycling) with normal RV Strain

Athlete (cycling) with normal RV Strain

Severely reduced FWS & GS

Severely reduced FWS & GS

RV Strain

  • Focus on the RV (lateral position of the transducer, tilt medially)

  • FWS & GS are measured

  • FWS is preferred

  • TAPSE is included automatically (depending on vendor)

Frame rate 54/sec


ROI with color maps



Maximal value per  segment



Frame rate 54/sec


ROI with color codes



Maximum measurement
per segment


Segmental strain curves



Strain M-Mode

Segmental strain curves




Strain M-mode

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.