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RV SYSTOLIC FUNCTION: RV dP/dT. Recommendations: • RV dP/dt < 400 mm Hg/s is likely abnormal • cannot be recommended for routine use • can be considered in subjects with suspected RV dysfunction. • Advangtage. Advantage: • simple technique with sound physiologic basis. Limitations: • Lack of data in normal subjects • Load dependent
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The better the systolic function, the greater the increase in left ventricular systolic pressure, and, thus, the greater the acceleration in the regurgitant jet. Hence, dP/dT is a proxy for the capacity of the left ventricle to generate pressure during systole. It represents a marker of global contractile function.
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