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The current definition of dilated cardiomyopathy (DCM) could appear relatively simple; namely, a heart muscle disease characterized by left ventricular (LV) or biventricular dilation and systolic dysfunction in the absence of pressure or volume overloads or coronary artery disease sufficient to explain the dysfunction [ 1, 2 ].
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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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