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RV enlargement is suggested if: RV area dimension is larger than LV area in end-diastole in the AP4C (apical four) A linear basal dimension of >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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significant hypertrophy can have small LV end-diastolic volumes and therefore reduced stroke volumes despite having normal EFs. Overt LV systolic dysfunction, termed the ‘‘dilated or progressive phaseofHCM,’’‘‘end-stageHCM,’’or‘‘burnt-outHCM,’’isusuallyde-fined as an LV EF < 50% and occurs in a minority (2%–5%) of pa-

where to buy michael kors|michael kors outlet

where to buy michael kors|michael kors outlet.

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