a strong trendp=0.05
Mean apical circumferential strain at baseline was -17.2 (95% CI-22.2, -12.1) and increased to -20.6 (95% CI -26.7,-14.5) at 6 months (p=0.03).Mid anterior circumferential strain showed a strong trend to improvement between baseline -17(95%CI -23.6,-10.4) and 3 months -20.49(95% CI -25,-15.7) p=0.05.