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Normal LV diastolic function requires integration of left ventricular ejection, relaxation, and structure and is an active energy-requiring process. 1 For example, LV diastolic function becomes markedly abnormal immediately following coronary ligation, before detectable changes in other measures of cardiac function, including wall motion .
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The stage of diastolic dysfunction correlates with the impairment of exercise capacity in patients without myocardial ischemia better than resting left ventricular ejection fraction (LVEF). 5 In patients with heart failure, the stage of diastolic dysfunction is a stronger predictor of mortality than ejection fraction. 1.
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