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Currently, two-dimensional (2D) echocardiography for calculation of ejection fraction is the dominant method for assessing left ventricular function (systolic function). It should be noted, however, that three-dimensional (3D) echocardiography offers greater precision in the calculation of ejection fraction, and 3D measurements will presumably .
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Both ECG strain pattern and QRS measured left ventricular (LV) hypertrophy criteria are associated with LV hypertrophy and have been used for risk stratification. However, the independent predictive value of ECG strain in apparently healthy individuals in predicting mortality and adverse cardiovascular events is unclear.
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In this asymptomatic patient, with a 3-dimensional left ventricular ejection fraction (LVEF) of 58% (left), the mean global longitudinal strain (GLS) was 14%, showing both spatial and temporal variation in the 4-, 2-, and 3-chamber views.
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