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This study with a large group of patients with RH provides evidence that the presence of the classic ECG strain pattern is independently associated with higher LV wall thicknesses and mass and also with other unfavorable cardiovascular risk factors, such as increased 24-hour BP, prolonged QTc interval duration, increased serum creatinine and .
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In the left ventricular outflow tract (LVOT), the following two measurements are performed: Diameter of the aortic annulus: This measurement is made in the parasternal long-axis view during systole, when the diameter is greatest (usually halfway through systole). Zoom in LVOT to improve the accuracy of the measurement.
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