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Global LV function can be assessed using changes in the LV dimensions and volumes between LV diastole and systole. The recommended calculations are as follows: Fractional shortening (FS)
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However, recent data have demonstrated that LV global longitudinal strain is a more sensitive marker for systolic dysfunction and provides incremental prognostic information in patients with severe AS when compared with LV ejection fraction. It has also been shown that clinical outcomes of the patients with moderate AS are poor.
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