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Based on the patterns of various diastolic parameters, diastolic dysfunction can be graded as follows: grade 1, impaired relaxation; grade 2, pseudonormalized pattern (impaired relaxation with moderately elevated mean LA and LV filling pressures); grade 3, reversible restrictive pattern (impaired relaxation with .
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Right ventricular (RV) systolic dysfunction is now recognized widely as a strong and independent predictor of adverse outcomes in patients with heart failure (HF). Reduction of RV systolic function more closely predicts impaired exercise tolerance and poor survival than does left ventricular (LV) systolic function.
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