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This patient has a severely dilated left ventricle and severely reduced left ventricular systolic function. According to guidelines, the LVIDd measurement should be taken at the mitral chordal level to provide a measurement consistent with the corresponding transthoracic echocardiogram.Normal LV diastolic function requires integration of left ventricular ejection, relaxation, and structure and is an active energy-requiring process. 1 For example, LV diastolic function becomes markedly abnormal immediately following coronary ligation, before detectable changes in other measures of cardiac function, including wall motion or .
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