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Two-dimensional (2D) echocardiography, M-mode echocardiography, Doppler echocardiography, and 3D echocardiography are all used to assess the function of LV, both during systole as well as in diastole. LV systolic function assessment gained prominence early during the development of echocardiography.
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Each echocardiogram includes an evaluation of the LV dimensions, wall thicknesses and function. Good measurements are essential and may have implications for therapy. The LV dimensions must be measured when the end-diastolic and end-systolic valves (MV and AoV) are closed in the parasternal long axis (PLAX) view.
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Echocardiography is readily available, safe and relatively cheap, but is operator-dependent. Improved ultrasound technology and use of harmonic imaging have improved detection of apical LVT. The sensitivity of echocardiography can be further improved by the use of ultrasound contrast agents. 27
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