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Even though echocardiography is the first-line imaging modality in most patients, cardiac magnetic resonance imaging (MRI) has become the gold standard: it allows quantification of the RV volumes and ejection fraction (EF) without any geometric assumptions or suboptimal image quality.Diastolic Function Assessment in the Presence of a Normal LVEF (Figure 8A) The presence or absence of diastolic dysfunction in patients with a normal LVEF is based on the assessment of four variables. These variables and their cutoff values include: Septal e’< 7 cm/sec or Lateral e’ < 10 cm/sec.
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Left ventricular ejection fraction (LVEF) Ejection fraction typically refers to the left side of the heart. It shows how much oxygen-rich blood is pumped out of the left ventricle to most of the body’s organs with each contraction. LVEF helps determine the severity of dysfunction on the left side of the heart.
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The repeated binge administration of ecstasy produces eccentric LV dilation and dysfunction that is accompanied by oxidative stress. These functional responses may result from the redox modification of proteins involved in excitation-contraction coupling and/or mitochondrial energy production.
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