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The stage of diastolic dysfunction correlates with the impairment of exercise capacity in patients without myocardial ischemia better than resting left ventricular ejection fraction (LVEF). 5 In patients with heart failure, the stage of diastolic dysfunction is a stronger predictor of mortality than ejection fraction. 1.
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The net effect of these changes is reduced biventricular filling pressures with persistent coupling of the LV and arterial systolic pressures. VA-ECMO may increase LV filling pressures leading to pulmonary edema. LV venting refers to techniques or methods that reduce LV filling pressures.
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