Abstract
The key factors, defining the prognosis for the patients with cardiac failure are heart remodeling and myocar
dial contractility. New methods of myocardial visualization gave the unprecedented impulse to the research
in the areas of heart physiology and pathophysiology. However in the clinical practice these methods are still
rarely used, although the numbers of the indices and areas of usage are growing with each year. Systolic and
diastolic functions evaluation based on Tissue Doppler and 2D and 3D Speckle tracking provides with the
left ventricular filling pressure and enables to carry out the differential diagnostics between the constrictive
pericardium and myocardium diseases with diastolic disfunction and dyspnea, caused by cardiac and extra
cardiac causes. It also helps to understand the physiology of the systolic and diastolic cardiac insufficiency,
disturbance of the left ventricle pumping function. It also lets us monitor the respond to the treatment among
the patients with cardiac insufficiency. Myocardial function analysis gives an opportunity to carry out diag
nostics at an early stage, detect asymptotic dysfunction of the left ventricle, to detect dyssynchrony and to
forecast the respond to the resynchronisation therapy. This article sums up the indicators of the systolic and
diastolic malfunction along with various types of pathology. In addition the evaluation of the mechanical dis-
synchrony with the aid of TD and 2D and 3D Speckle image tracking was carried out. The aim of this ar-
ticle is the summary of available data and knowledge on the determination of myocardium function, what
with no doubts is important for the used in clinical practice and understanding of the development of the
above method in the future.
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