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Herein we review the conventional assessment of LV systolic function and examine the role of speckle-tracking echocardiography (STE), a new method to assess LV function. We also highlight the role of STE in the assessment and management of cardiac and noncardiac disease, including detection of subclinical LV dysfunction.
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Even though echocardiography is the first-line imaging modality in most patients, cardiac magnetic resonance imaging (MRI) has become the gold standard: it allows quantification of the RV volumes and ejection fraction (EF) without any geometric assumptions or suboptimal image quality.Diastolic Function Assessment in the Presence of a Normal LVEF (Figure 8A) The presence or absence of diastolic dysfunction in patients with a normal LVEF is based on the assessment of four variables. These variables and their cutoff values include: Septal e’< 7 cm/sec or Lateral e’ < 10 cm/sec.
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