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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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ECHOCARDIOGRAPHIC ASSESSMENT OF LV FILLING PRESSURES AND DIASTOLIC DYSFUNCTION GRADE. The key variables recommended for assessment of LV diastolic function grade include mitral flow velocities, mitral annular e0 ve-locity, E/e0 ratio, peak velocity of TR jet, and LA maximum volume index (Figure 8B).
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