The prevalence of heart failure with preserved ejection fraction is gradually increasing along with the aging population. It is a huge challenge for Clinicians to manage such patients timely and effectively,because of the complicated diagnosis procedure and lacking of effective interventions. However, the updating of new ultrasound technology, especially the research of speckle-tracking echocardiography in HFPEF, may provide effective clinical reference value for early diagnosis and evaluation of HFPEF in the future. This paper will review the research status of speckle tracking technology in HFPEF.