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celine dept nakedLVOT ACC (m/s 2) = Vmax (m/s)/ACT (s). When systolic function is normal, the LV ejection curve resembles a sharp-angled triangle. With impaired left ventricular function, the ejection curve becomes flattened and rounded, i.e., with a decreased peak velocity and an increased ACT.
Consider a loop diuretic as symptom management. Titrate dose to control symptoms. Monitor urea and electrolytes at baseline and 1-2 weeks after medication initiation (or dose increase) Beta blockers should only be considered when the patient is stable. Consider lifestyle management advice. Monitor weight and hydration status.
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