Patients that are currently treated for conditions such as HTN, CAD, diabetes or undergoing chemotherapy are at risk to develop heart failure. The ability to closely monitor subclinical markers is essential to detect even subtle changes in cardiac function. This allows clinicians to properly manage patients in order to minimize the risk of developing heart failure. Accurate measurements that are not impacted by user variability are needed. Automated strain imaging solutions provide highly reproducible data which can be used as subclinical markers to monitor cardiac function before visual changes are observed. TOMTEC has a portfolio of automated 2D and 3D strain imaging solutions to support clinicians in managing these patients.