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Echocardiography allows reliable detection of a severely or moderately dilated RV. While the ratio between the size of the LV and the RV is more than 1.3 under physiological circumstances, the RV often exceeds the size of the LV in patients with moderate or severe right ventricular dilatation (ratio 4.2cm is also suggestive of significant enlargement. Like all echo imaging — need to look in multiple windows, to ensure accurate findings.
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In patients with heart failure and reduced EF (HFrEF), the main goal is to estimate LV filling pressures and grade the degree of diastolic dysfunction (diastolic dysfunction is presumed to be present in these patients) based on the parameters presented below .
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