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Consider use of echo contrast if poor endocardial definition: Ejection fraction (EF) Estimated using Bi-plane Simpsons. 3DE is the preferred modality for measurement of LVEF EF of less than 45% is a diagnostic criterion for idiopathic DCM in the presence of a dilated ventricle (see Appendix 1a) Sphericity index (SI)

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Dilated cardiomyopathy is myocardial dysfunction causing heart failure in which ventricular dilation and systolic dysfunction predominate. Symptoms include dyspnea, fatigue, and peripheral edema. Diagnosis is clinical and by elevated natriuretic peptides, chest x-ray, echocardiography, and MRI. Treatment is directed at the cause.

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