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Left ventricular hypertrophy (LVH) detected by 12‐lead ECG 1, 2, 3 and by echocardiography 4, 5, 6, 7, 8 are common manifestations of preclinical cardiovascular disease that strongly predict cardiovascular morbidity and mortality.There are clear potential advantages of using ECG strain as a marker of left ventricular decompensation in aortic stenosis. A 12-lead ECG is readily available, cheap, and rapidly interpretable. However, although ECG strain is an extremely specific marker for myocardial fibrosis, it is less sensitive.
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