The association of right ventricular (RV) myocardium adapted to pressure overload of repaired tetralogy of Fallot (rTOF) patient is still unclear. We evaluated three-directional myocardial kinetic energy (KE) and correlated it with RV-related pressure. The recruited rTOF patients presented decreased peak KERV both in systole and diastole. However, patient group exhibited increased percentage of radial KERV, accompanying with highly positive correlation with RV systolic pressure. In conclusion, the investigation of the correlation between myocardial kinetic energy and RV pressure overload may helpful to comprehend compensatory mechanism and myocardial remodeling in patients with rTOF.