(2).
The traditional TTE parameters assessed in myocarditis include left ventricular (LV) regional or global dysfunction, presence of LV dilatation, LV hypertrophy, right ventricular (RV) dysfunction, bi-ventricular thrombi, pericardial effusions and diastolic dysfunction(2). These findings however typically represent more clinically significant disease with more substantial myocardial injury(1). Early and subclinical myocardial dysfunction is usually not often recognised by standard two-dimensional TTE, particularly in the setting of normal LV systolic function as assessed through traditional measures such as LV ejection fraction (LVEF). The emergence of advanced echocardiographic imaging techniques such as two-dimensional and three-dimensional myocardial strain, have allowed for identification of subclinical myocardial dysfunction, and have been shown to increase sensitivity of echocardiography in the diagnosis and prognosis of the disease