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Abstract. Background. The diagnosis of heart failure may be challenging because symptoms are rather nonspecific. Elevated left ventricular (LV) filling pressure may be used to confirm the diagnosis, but cardiac catheterization is often not practical.It is measured from the mitral valve plane to 4 cm distally into the LV cavity and > 50 cm/s is considered normal. Vp can be used to predict LV filling pressure by combination with E velocity (E/Vp) or IVRT {LV end-diastolic pressure = 4.5 × [10 3 / (2 × IVRT + Vp) - 9]}.
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