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Systolic function is conveniently (although not always accurately) measured as the ejection fraction (EF), calculated as stroke volume divided by end-diastolic volume. 1 The LV EF is easily interpreted. The lower limit of normal is ≈50%. The lower the EF is, the greater the reduction in systolic function.
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As addressed in the recent publication ( 1 ), the latest BSE guidance for LV function categorisation (‘severely impaired’, LVEF ≤35%; ‘impaired’, LVEF 36–49%; ‘borderline low’, LVEF 50–54%; and ‘normal’, LVEF ≥55%) is clearly out of keeping with current guideline documents from international echocardiographic societies (American .
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