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Global left ventricular hypokinesia was observed in 26 of these 67 patients at admission (primary hypokinesia) and in 14 after 24 or 48 hrs of hemodynamic support by norepinephrine (secondary hypokinesia), leading to an overall hypokinesia rate of 60%.Cardiac MRI showed a moderately dilated LV with mild-to-moderate concentric LV hypertrophy with wall thickness of 13 mm. LV systolic function was severely reduced with quantitative EF of 22% and severe global hypokinesis.
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Consider use of echo contrast if poor endocardial definition: Ejection fraction (EF) Estimated using Bi-plane Simpsons. 3DE is the preferred modality for measurement of LVEF EF of less than 45% is a diagnostic criterion for idiopathic DCM in the presence of a dilated ventricle (see Appendix 1a) Sphericity index (SI)
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