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Left ventricular (LV) diastolic function can be most conveniently assessed by echocardiography which provides reliable assessments of LV structure and function. Most patients with structural heart disease have variable degrees of myocardial dysfunction.E/e’: > 14 is rare in normal individuals Change in mitral inflow with Valsalva: 50% change in E/A o highly specific for increased LV filling pressures o supports diagnosis of diastolic dysfunction o requires continuous recording of the Doppler signal during 10 .
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