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The British Society of Echocardiography recently updated their normal reference intervals for assessment of cardiac dimensions and function. 1 They describe four categories of left ventricular function and a ‘normal’ LVEF is defined as ≥55%.
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Transthoracic echocardiogram (TTE) is inferior to cardiac magnetic resonance (CMR) imaging for detecting small, laminar LV mural thrombus. In fact, the sensitivity of TTE is only 29%, while the specificity is 98% as compared to CMR. CMR is the optimal imaging modality for diagnosis of LV thrombus.
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