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To localize and classify LV regional wall motion, the American Society of Echocardiography divides the LV into 16 segments. 9 The LV wall motion score index might be reported. Higher scores indicate more dysfunction.
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If the LVMI exceeds 95 g/m² for women or 115 g/m² for men: RWT >0.42 — Concentric hypertrophy. RWT ≤0.42 — Eccentric hypertrophy. If the LVMI ≤95 g/m² for women or ≤115 g/m² for men: RWT >0.42 — Concentric remodeling. RWT ≤0.42 — Normal heart. LVEDD (Left Ventricle End Diastolic Dimension) Typical values: 39-56 mm.
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Each echocardiogram includes an evaluation of the LV dimensions, wall thicknesses and function. Good measurements are essential and may have implications for therapy. The LV dimensions must be measured when the end-diastolic and end-systolic valves (MV and AoV) are closed in the parasternal long axis (PLAX) view.
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