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The British Society of Echocardiography recently updated their normal reference intervals for assessment of cardiac dimensions and function. 1 They describe four categories of left ventricular function and a ‘normal’ LVEF is defined as ≥55%.
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The stage of diastolic dysfunction correlates with the impairment of exercise capacity in patients without myocardial ischemia better than resting left ventricular ejection fraction (LVEF). 5 In patients with heart failure, the stage of diastolic dysfunction is a stronger predictor of mortality than ejection fraction. 1
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