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Left ventricular diastolic dysfunction (LVDD) occurs in many different patterns – from simple slowing of ventricular relaxation, without significant hemodynamic consequences (grade 1), to elevation of LV filling pressures (grade 2) and development of pulmonary venous congestion (grade 3) .In patients with heart failure and reduced EF (HFrEF), the main goal is to estimate LV filling pressures and grade the degree of diastolic dysfunction (diastolic dysfunction is presumed to be present in these patients) based on the parameters presented below and the algorithm in Figure 8B.
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The symbols are I, V, X, L, C, D, and M, standing respectively for 1, 5, 10, 50, 100, 500, and 1,000 in the Hindu-Arabic numeral system. A symbol placed after another of equal or greater value adds its value—e.g., II = 1 + 1 = 2 and LVIII = 50 + 5 + 1 + 1 + 1 = 58.
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