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ECHOCARDIOGRAPHIC ASSESSMENT OF LV FILLING PRESSURES AND DIASTOLIC DYSFUNCTION GRADE. The key variables recommended for assessment of LV diastolic function grade include mitral flow velocities, mitral annular e0 ve-locity, E/e0 ratio, peak velocity of TR jet, and LA maximum volume index (Figure 8B).
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The stage of diastolic dysfunction correlates with the impairment of exercise capacity in patients without myocardial ischemia better than resting left ventricular ejection fraction (LVEF). 5 In patients with heart failure, the stage of diastolic dysfunction is a stronger predictor of mortality than ejection fraction. 1
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