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Echocardiography is readily available, safe and relatively cheap, but is operator-dependent. Improved ultrasound technology and use of harmonic imaging have improved detection of apical LVT. The sensitivity of echocardiography can be further improved by the use of ultrasound contrast agents. 27
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LVEF may be calculated using several cardiac imaging techniques including two-dimensional (2D) and three-dimensional echocardiography (3D), cardiac magnetic resonance (CMR), computed tomography scan (CT), and gated single-photon emission computed tomography (SPECT) myocardial perfusion imaging.
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Assessment of LV function with M-mode or 2-dimensional (2-D) echocardiography (Figure 2A) can be performed in the parasternal long- and short-axis views by placing the calipers perpendicular to the ventricular long axis. Change in LV cavity dimensions during systole can be used to calculate LV fractional shortening and ejection fraction.
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