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It is a common finding in people over age 60. Grade II is elevated pressure in the left side of your heart. Grade III is significantly elevated pressure in the left side of your heart. Grade IV is advanced heart failure with significantly elevated pressure on the left side of .
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The stage of diastolic dysfunction correlates with the impairment of exercise capacity in patients without myocardial ischemia better than resting left ventricular ejection fraction (LVEF). 5 In patients with heart failure, the stage of diastolic dysfunction is a stronger predictor of mortality than ejection fraction. 1
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