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Chronic Heart Failure With Reduced Ejection Fraction: Four-Pillar Therapy

…functional ventricular abnormalities and progressive neurohormonal activation. The therapeutic rationale for disease modifying treatment is to reduce mortality, prevent recurrent hospitalization for worsening heart failure…

Physiological Assessment of Coronary Stenoses and Revascularization Decisions

…Ratio of distal coronary pressure (Pd) to aortic pressure (Pa) at maximal pharmacologic hyperemia (adenosine); approximates fraction of normal maximal flow preserved by the stenosis…

Ejection fraction (EF): Physiology, Measurement & Clinical Evaluation

…ischemic heart disease (coronary heart disease) are among the common causes. The mechanisms leading to deterioration in ejection fraction vary for these conditions. Two exa

🟠 Calculating Shunt Fraction (Qp/Qs) Using Echocardiography

…VTI} ] The constant ( 0.785 ) ((\pi/4)) converts diameter to cross sectional area. Shunt Fraction (Qp/Qs) : [ \text{Qp/Qs} = \frac{\text{Aortic SV…

Heart Failure With Mildly Reduced Ejection Fraction

…Heart failure extends across the full range of LVEF, and echocardiographic measurement is subject to meaningful variability. HFmrEF may therefore represent several clinically distinct trajectories…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…failure (HF) is a clinical syndrome in which the heart cannot deliver blood at a rate appropriate to tissue requirements unless filling pressures are elevated…

Fractional shortening for estimation of ejection fraction

…shortening correlates strongly with ejection fraction. Similar to ejection fraction, fractional shortening is affected by preload and afterload. It possible to calculate fractional shortening using…

Heart Failure with Preserved Ejection Fraction (HFpEF)

…hemodynamic criterion underscores that "preserved" ejection fraction does not equate to normal cardiac function, but rather to a state where stroke volume is maintained only…

Heart Failure with Reduced Ejection Fraction (HFrEF)

…a left ventricular ejection fraction (LVEF) of ≤40% [14, 26, 27] . Recent guideline updates have introduced critical nuances to HF terminology to reflect the dynamic…

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