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While preoperative LVDD correlates with outcome, a postoperative evaluation of patient’s diastolic function should consider ruling out first the influence of stressors that may worsen diastolic function (i.e., pain-related tachycardia reduces diastolic time, hypo- and hypervolemia may influence LV filling pressures, etc.).Left ventricular dysfunction can be a silent and potentially deadly condition. "What's terribly important is it can be there without symptoms and can lead to bad things happening: death, shortness of breath, fainting hospitalization."
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A Cardiac Cath on January 2, 2018 revealed LM and 3V CAD: CTO of calcified proximal RCA, 70% distal left main bifurcation with 90% proximal LAD and 70% proximal LCx (Medina 1,1,1) and 80% mid LAD (Medina 1, 0,0) bifurcation with SYNTAX score of 41 and LVEF 50% due to inferopical hypokinesis.
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Contrast-enhanced chest computed tomography demonstrated thrombus that filled the right main pulmonary artery and moderate right ventricular (RV) enlargement (RV-to-left ventricular [LV] dimension ratio=1.2).
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