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The RV and pulmonary circulation are best viewed as a combined functioning unit.13 Ventricular-arterial (VA) coupling describes the relationship between a ventricle and the circulation (pulmonary for the RV, systemic for the LV) it supplies and is quantified by the ratio of end-systolic elastance (E ES, contractility) to effective arterial .
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Left ventricular systolic function is normal. LV ejection Fraction = 55-60%. No hemodynamically significant valvular aortic stenosis. Mild mitral regurgitation. Mild tricuspid regurgitation. Right ventricular systolic pressure is elevated at 30-40mmHg. The inferior vena cava is normal in size, with a normal collapsibility index.
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