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Left Ventricle Diastolic Dysfunction and Prognosis. To provide for tissue perfusion without pulmonary congestion, the left ventricle (LV) must eject an adequate stroke volume at arterial pressure (systolic function) and fill without requiring an abnormally increased left atrial pressure (diastolic function). Systolic and diastolic function must .
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In addition to depressed systolic function, clinical or radiographic evidence of heart failure is a consistent and powerful predictor of outcome in patients after AMI. 1 Pulmonary congestion after infarction reflects raised LV filling pressures but is frequently seen after what appears to be only minor myocardial damage. 2 The pathophysiological.
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