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Assessment of LV systolic function by global longitudinal strain (GLS) from speckle tracking echocardiography (STE) is a sensitive and feasible method that overcomes many of the limitations of LVEF, including reproducibility issues of serial testing and detection of LV dysfunction in pathologically remodeled hearts.
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All three standard left ventricular (LV) apical views (four-, two-, three-chamber views) were acquired avoiding LV foreshortening. The LV outflow tract (LVOT) diameters were measured at the aortic valve annulus (distal) and 0.5–1 cm below the aortic cups (proximal) from a zoomed parasternal long-axis acoustic window ( Figure 1 ).
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