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Abstract We concluded that in patient with STEMI all systolic deformation parameters Strain (S) , post systolic shortening (PSS) , post systolic index (PSI) , systolic strain rate (SRS ) ] were impaired . Mechanical improvement after primary PCI could be predicted by deformation parameters , mainly systolic strain rate (SRS ) and post systolic index (PSI) and a cut off value of SRS better than - 0.74 and PSI more than 29 % can be used as a marker of mechanical improvement in short term follow up . This study is limited by small number of patients , bad Echogenic window in some cases was another limitation and short term follow up was also an important limitation . Even considering these limitations our results are in accordance with the previous published studies, Larger studies and longer follow up duration will be necessary to confirm these data, also using radial and circumferential strain may provide additional information about functional recovery , finally using different imaging modality - cardiac MRI- to define reversible regional myocardial mechanics will confirm these data. |