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A Myocardial Ischemia Detection Algorithm (MIDA) is presented that analyses echocardiography sequences automatically in order to detect the presence of heart muscle damage. MIDA involves an image enhancement, fuzzy multi resolution edge detection to obtain the heart wall boundaries, composite motion image creation using the heart wall boundaries, followed by statistical pattern recognition and classification to identify the heart wall abnormality. The performance of MIDA is assessed using 62 real patient data with both normal and abnormal conditions. The results indicate that MIDA can be used as an effective tool for automatically diagnosing Myocardial Ischemia.