Inclusion and exclusion criteria
Patients with recent onset (within three months) heart failure with
reduced ejection fraction (less than 45%).
Patients with peripartum heart failure, cardiogenic shock, chronic heart
failure, Anthracyclin-induced heart failure, patient with Acute STEMI
,patients who refuse to participate in this study, and Patients with
poor acoustic window will be excluded from the study.
Full history and examination, Q minneosta questionnaire, troponinI was
withdrawn and they all underwent echocardiography with speckle tracking
on the left side ,right side volumes and fractional area change and
follow –up after 3-6 months., where all values with indexed to body
surface