Contemporary data about clinical application of the speckle tracking echocardiography are presented. The physical basis, terminology, reference values and limitations of the method are described. The analysis of the reproducibility of speckle tracking parameters was performed. The diagnostic accuracy of the method in some cardiac diseases, like arterial hypertension, coronary heart disease, cardiomyopathies and heart failure was shown. The clinical cases of cardiac diseases in which speckle tracking echocardiography was used are presented.