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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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Since the volume of a sphere is the cube of the radius, and the left ventricle is almost a sphere, a correction factor to account for the non spherical qualities of the left ventricle yields a surprisingly accurate result. LV Volume = [7/ (2.4 + LVID)] * LVID3. RWMA, either close or distant, may cause the volume analysis to be incorrect.
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