“…Parameters obtained with tissue Doppler imaging (TDI) have been shown to be more independent of pre-and after-load than classic haemodynamic Doppler measurements and can be used to quantify regional myocardial function accurately and more objectively (Sohn et al, 1997;Firstenberg et al, 2001;Nagueh et al, 2001). Pulsed TDI of the mitral annulus and myocardial wall has been suggested as a means to assess systolic and diastolic left ventricular (LV) function in human and veterinary medicine (Oki et al, 1999;Chetboul et al, 2005;Teshima et al, 2005;Chetboul et al, 2006;O'Sullivan et al, 2007). The Tei index, a new parameter to assess myocardial performance, has been proposed for the assessment of global cardiac performance (systolic and diastolic function) in a wide variety of congenital and acquired cardiac abnormalities (Dujardin et al, 1998;Bruch et al, 2002;Haque et al, 2002;Harjai et al, 2002;Gaibazzi et al, 2005;Dyer et al, 2006).…”