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Herein we review the conventional assessment of LV systolic function and examine the role of speckle-tracking echocardiography (STE), a new method to assess LV function. We also highlight the role of STE in the assessment and management of cardiac and noncardiac disease, including detection of subclinical LV dysfunction.
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Accurate and reproducible assessment of cardiac chamber size and function is essential for clinical care. A standardized methodology creates a common approach to the assessment of cardiac structure and function both .
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significant hypertrophy can have small LV end-diastolic volumes and therefore reduced stroke volumes despite having normal EFs. Overt LV systolic dysfunction, termed the ‘‘dilated or progressive phaseofHCM,’’‘‘end-stageHCM,’’or‘‘burnt-outHCM,’’isusuallyde-fined as an LV EF < 50% and occurs in a minority (2%–5%) of pa-
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