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Contrast echo significantly improved LV cavity assessment, enabling full apical visualization in 100% of patients compared with 89% with non-contrast echo (p<0.0001). Improved cavity visualization facilitated thrombus detection: contrast echo detected LV thrombus in 12% of patients (n=6), only half of whom had thrombus detected by non .
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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-
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Healthcare providers involved in the care of patients with cardiogenic shock might wish to consider early or concomitant left ventricular venting in patient supported with veno-arterial extracorporeal life support. The optimal left ventricular venting strategy may be dictated on case-by-case bases.
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