Strain & heart failure follow-up

  • Improvement of Strain with SGLT2i therapy in HFrEF & HFmrEF

  • LASr improvement around 5% (approximately 15% to approximately 20%)

  • GLS around -2,5% (-9,8% to -12,3%)

  • FWS around -2% (-15,8% to -17,8%)

  • To a lesser degree under OMT without SGLT2i

RA strain & HFrEF

  • Severely reduced RASr — elevated RA & RV filling pressures

LA strain & HFrEF

  • Severely reduced LASr (3% & 5,9%) in HFrEF

Heart failure

  • GLS severely reduced (-3,9%), moderately reduced -12,2% (HFimpEF), mildly reduced -14,6% (HFpEF)

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.