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The management and prognosis of patients with asymptomatic LV systolic dysfunction will be reviewed here. The evaluation and diagnosis of ALVSD are discussed elsewhere. (See "Approach to diagnosis of asymptomatic left ventricular systolic dysfunction" .) Issues related to the management of patients with HF symptoms (ie, .
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Cornell-voltage criteria. Men: S (V3) + R (aVL) > 28mm; Women: S (V3) + R (aVL) > 20 mm; Sensitivity 42%, specificity 95%. Cornell product criteria (R aVL + S V3) • QRS duration > 2440 mVms; Presumably the best index. Sensitivity 51%, .
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