Background; Left ventricular (LV) dysfunction in the days to months following an acute myocardial infarction (MI) identifies patients at higher risk of sudden cardiac arrest (SCA) and death, Aim and objectives: The aim of the study was to assess Tissue Mitral Annular Displacement (TMAD) as a predictor of MI outcomes in comparison to Global longitudinal strain (GLS). Subjects and methods: This single center study conducted in Banha University Hospital. Included 323 patients with STEMI and were followed up to 6 months. Result; mitral displacement and LV strain is useful in assessment and follow up STEMI patient. Conclusion: Left ventricular strain and mitral displacement were suitable for the assessment of global LV systolic function and follow up patients with myocardial infarction.