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Qualitative assessment of left ventricular systolic function should be categorized as hyperdynamic, normal, reduced, or severely reduced based on evaluation of endocardial excursion, myocardial thickening, and septal motion of the anterior leaflet of the mitral valve in multiple views. •.
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LV distension may result, culminating in elevated pulmonary artery pressures, pulmonary edema, and hindered LV recovery. In this review, we will analyze the physiologic basis of LV distension during VA ECMO and indications for LV venting in this critically ill patient population.
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