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Abstract. Background: Global longitudinal strain (GLS) is a robust, well validated and reproducible technique for the measurement of LV longitudinal deformation. We sought to assemble evidence that GLS is an accurate marker in predicting cardiovascular outcomes, compared to LVEF.
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LVEF can be normal in the presence of impaired LV systolic function, since it does not reflect intrinsic myocardial contractility. 1 In addition, LVEF is highly load-dependent and suffers from significant intraobserver and interobserver variability. 2 Assessment of myocardial strain can potentially overcome many of the limitations of LVEF in ass.
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