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Q. Assessment of Diastdlic Function?
Myocardial ischemia Clters diastolic function of left ventricle. The earliest abnormality to appear with prolonged ischemia is delayed myocardial relaxation i.e. A > E., increased deceleration time. Diastolic function after myocardial infarction (MI) depends upon the interaction of various factors:
Patients with severe LV dysfunction after MI demonstrate restrictive filling pattern i.e. E >>> A and decreased deceleration time. Patients with restrictive transmitral filling pattlern most likely experience heart failure.
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Describe Valvar Aortic Stenosis Murmurs ? Characteristic: Harsh, rasping crescendo-decrescendo murmur best heard anywhere in a straight line from right 2nd ICS to apex ("sash"
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