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LV diastolic function is impaired by all of the common pathological processes that affect LV function or produces LV hypertrophy or fibrosis, including: hypertension, diabetes, ischemia, myocarditis, toxins, and infiltrative cardiomyopathies. Thus, LV diastolic performance is a sensitive indicator of cardiovascular dysfunction.
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Herein we review the conventional assessment of LV systolic function and examine the role of speckle-tracking echocardiography (STE), a new method to assess LV function. We also highlight the role of STE in the assessment and management of cardiac and noncardiac disease, including detection of subclinical LV dysfunction.
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