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Cardiac MRI showed a moderately dilated LV with mild-to-moderate concentric LV hypertrophy with wall thickness of 13 mm. LV systolic function was severely reduced with quantitative EF of 22% and severe global hypokinesis.
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There is growing evidence that patients with severe aortic stenosis and LVEF 50-60% have a higher rate of adverse outcomes compared to patients with LVEF >60%. A meta-analysis suggests that impaired LV GLS despite LVEF >50% is associated with reduced survival.
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