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LVEF, defined as the ratio of LV stroke volume to LV end-diastolic volume, is one of the most frequently measured variables in clinical practice. However, LVEF is an imperfect measure of LV contractility, affected also .Assessment of left ventricular systolic function has a central role in the evaluation of cardiac disease. Accurate assessment is essential to guide management and prognosis. Numerous echocardiographic techniques are used in the assessment, each with its own advantages and disadvantages.
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