MS. Speckletracking echocardiography correctly identifies segmental left ventricular dysfunction induced by scarring in a rat model of myocardial infarction. Am J Physiol Heart Circ Physiol 292: H2809 -H2816, 2007. First published February 2, 2007; doi:10.1152/ajpheart.01176.2006.-Speckle-tracking echocardiography (STE) uses a two-dimensional echocardiographic image to estimate two orthogonal strain components. The aim of this study was to assess sensitivity of circumferential (Scirc) and radial (Srad) strains to infarct-induced left ventricular (LV) remodeling and scarring of the LV in a rat. To assess the relationship among Scirc, Srad, and scar size, two-dimensional echocardiographic LV short-axis images (12 MHz transducer, Vivid 7 echo machine) were collected in 34 Lewis rats 4 to 10 wk after ligation of the left anterior descending artery. Percent segmental fibrosis was assessed from histological LV cross sections stained by Masson trichrome. Ten normal rats served as echocardiographic controls. Scirc and Srad were assessed by STE. Histological data showed consistent scarring of anterior and lateral segments with variable extension to posterior and inferior segments. Both Scirc and Srad significantly decreased after myocardial infarction (P Ͻ 0.0001 for both). As anticipated, Scirc and Srad were lowest in the infarcted segments. Multiple linear regression showed that segmental S circ were similarly dependent on segmental fibrosis and end-systolic diameter (P Ͻ 0.0001 for both), whereas segmental S rad measurements were more dependent on end-systolic diameter (P Ͻ 0.0001) than on percent fibrosis (P Ͻ 0.002). STE correctly identifies segmental LV dysfunction induced by scarring that follows myocardial infarction in rats.infarction; collagen; contractility RECENT ADVANCES in noninvasive imaging of the left ventricle (LV) have enabled the quantification of regional function with an accuracy and simplicity that were not available previously. One of these newer methods is speckle-tracking echocardiography (STE). STE uses a standard two-dimensional echocardiographic image to estimate two orthogonal strain components (25). This method has a potential to revolutionize noninvasive assessment of regional ventricular (and possibly atrial) function (25). Although similar data can be extracted by Doppler tissue echocardiography (2), the value of this method is the freedom of the insonation angle and an ability to adopt a local coordinate system for strain measurement.Although STE was recently validated in a variety of settings (1,5,10,17, 22), the relationship of strain to underlying muscle histology is uncertain. It is unknown as to what measure a decreased strain represents muscle loss, presence of ischemia, or a simple contractility decrease. Finally, the applicability of this method to small-animal echocardiography is unknown.The aim of this study was to assess sensitivity of circumferential (S circ ) and radial (S rad ) midwall strain components to LV remodeling and scarring induced by the myocardial infarction (MI...