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E/e’: > 14 is rare in normal individuals Change in mitral inflow with Valsalva: 50% change in E/A o highly specific for increased LV filling pressures o supports diagnosis of diastolic dysfunction o requires continuous recording of the Doppler signal during 10 seconds of Valsalva Difference in duration between pulmonary vein Ar ve.
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The following criteria are needed for the diagnosis of diastolic heart failure (DHF): clinical picture consistent with HF, demonstration of preserved left ventricular ejection fraction (LVEF), and demonstration of diastolic dysfunction. 1 Clinically, diastolic dysfunction, secondary to impaired LV relaxation and increased LV stiffness, .
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