Cardiovascular diseases caused 20.5 million deaths in 2021, accounting for nearly one-third of global mortality 1. This underscores the importance of identifying practical prognostic markers for effective patient stratification and treatment, particularly in ischemic heart disease (IHD). Transthoracic echocardiography (TTE) is a fundamental and accessible, non-invasive imaging tool widely used in clinical cardiology for diagnosis and management concerning patients with a broad spectrum of cardiovascular diseases. It is the first level non-invasive imaging method and the most widely used in clinical practice for the diagnosis and follow-up of patients with acute coronary syndrome (ACS). Alongside established echocardiographic prognostic parameters, new measurements have shown their predictive relevance for adverse events in IHD patients, including three-dimensional (3D) imaging, tissue Doppler (TDI) and speckle tracking technology. The aim of this review is to identify the current diagnostics echocardiographic tools in the literature that may provide new prognostic parameters applicable in the acute phase and at follow-up in patients following an acute myocardial infarction. We focused on the latest imaging methods such as TDI, Myocardial Work Index, Speckle-Tracking Strain and 3D technologies evaluated using TTE, given its ease of use, and widespread accessibility at all stages of coronary artery disease.