Overview of cardiomyopathies

Heterogenous disease

Hypertrabeculation with heart failure (formally known as NCCMP)

  • Hypertrabeculation in athletes/African-american vs CKD/HTN vs heart failure patients with hypertrabeculation, formerly described as LVNC/NCCMP (systole NC/C 2:1 apical, >4 prominent trabecula apically and many more)

  • GLS -15,4% as cut-off for pathological hypertrabeculation in normal EF (vs. -18,9% control group)

  • Additionally: Rigid body rotation 57% in hypertrabeculation vs 14% healthy individuals

Base to Apex Gradient in hypertrabeculation with HF, moderately reduced GLS, reduced LA Strain

Base to Apex Gradient in hypertrabeculation with HF, moderately reduced GLS, reduced LA Strain

In the follow-up improvement of the GLS, a borderline normal FWS, normalisation of LA Strain

In the follow-up improvement of the GLS, a borderline normal FWS, normalisation of LA Strain

Hypertrabeculation with heart failure & GDMT effect

The Evolution of strain

Baseline

2 months

Baseline

2 months

3 months

6 months

3 months

6 months

12 months

24 months

12 months

24 months

Hypertrabeculation without heart failure

Low-normal GLS, normal Dispersion, no relevant PSI, GLS as baseline

Low-normal GLS, normal Dispersion, no relevant PSI, GLS as baseline

Normal atrial strain in hypertrabeculation without heart failure

Normal atrial strain in hypertrabeculation without heart failure

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.