Segment scoring
It is recommended that each segment be analyzed individually and scored on the basis of its motion and systolic thickening. Ideally, the function of each segment should be confirmed in multiple views. Segment scores are as follows:
1 Normal or Hyperkinesis
2 Hypokinesis
3 Akinesis (negligible thickening)
4 Dyskinesis (paradoxical systolic motion)
5 Aneurysmal (diastolic deformation)
Wall-motion score index can be derived as a sum of all scores divided by the number of segments visualized.