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The RV and pulmonary circulation are best viewed as a combined functioning unit.13 Ventricular-arterial (VA) coupling describes the relationship between a ventricle and the circulation (pulmonary for the RV, systemic for the LV) it supplies and is quantified by the ratio of end-systolic elastance (E ES, contractility) to effective arterial .An ejection fraction of 60 percent means that 60 percent of the total amount of blood in the left ventricle is pushed out with each heartbeat. A normal heart’s ejection fraction is between 55 and 70 percent.
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