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A normal LV ejection fraction in the presence of the heart failure syndrome leads to a search for diastolic dysfunction. Typical echo findings in diastolic dysfunction are normal LV cavity size, thickened ventricle, and reversed E/A ratio.
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Both ECG strain pattern and QRS measured left ventricular (LV) hypertrophy criteria are associated with LV hypertrophy and have been used for risk stratification. However, the independent predictive value of ECG strain in apparently healthy individuals in predicting mortality and adverse cardiovascular events is unclear.
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