Objective: Myocardial deformation is assessed by 2Dimensional Speckle Tracking Echocardiography which is the way of analysing resting Left Ventricular myocardial function in patients with chronic stable angina, as well as in predicting underlined ischemia. Methods: 50 consecutive patients with positive stress test & preserved Left ventricular Ejection Fraction were included in the study. Included patients were subjected to exercise test, Echo and coronary angiogram. Strain analysis was performed offline using Echo-Pac by averaging peak systolic longitudinal, circumferential and radial strain of 18 segments. Torsion parameter was assessed by net difference between basal and apical LV rotation obtained from short axis view. Dukes score and metabolic equivalents were used as outcome of exercise test. Coronary stenosis of ≥70% reduction of the arterial lumen area was considered to be significant Coronary Artery Disease (CAD).