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Advanced Technical IVT

WMSI

Also written as: WMSI — Wall Motion Score Index

Semiquantitative index scoring regional wall motion abnormalities using the 17-segment model.

Full Definition

WMSI (Wall Motion Score Index) is a semiquantitative echocardiographic scoring system that assesses global left ventricular function by averaging wall motion scores across all 17 myocardial segments. Each segment is scored from 1 (normal) to 4 (dyskinetic), with the WMSI calculated as the sum of scores divided by the number of visualized segments. A WMSI of 1.0 indicates normal function, while values >1.7 suggest significant dysfunction. The index is particularly useful in stress echocardiography to quantify the extent of inducible ischemia and in clinical trials to standardize wall motion assessment. WMSI correlates with ejection fraction and provides prognostic information.

Usage

Usage note: Expressed as decimal number; normal value is 1.0, abnormal is >1.0.

In Context

  • "The resting WMSI was 1.2, increasing to 1.8 at peak stress, indicating inducible ischemia." — Stress echocardiography report
  • "Calculate WMSI by dividing the sum of all segment scores by the number of visualized segments." — Technical protocol

Also known as

wall motion index segmental score index

Don't confuse with

wall motion score ejection fraction strain index

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