Prediction of Outcomes in Patients with Chronic Ischemic Cardiomyopathy by Layer-Specific Strain Echocardiography: A Proof of Concept.

•Identification of patients with chronic ICM at risk for adverse clinical events is essential.•The investigators compared standard and new echocardiographic and CMR parameters.•The results demonstrate the incremental prognostic value of layer-specific strain parameters.•Endocardial global circumferential strain is the most powerful predictor of events.•This imaging technique as a bedside tool allows rapid prediction of cardiac events.