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This manuscript introduces the basic principles of left ventricular mass (LV mass) estimation by echocardiography, focusing on the potential limitations and discrepancies of such measurement, in order to provide the appropriate background for understanding the rather complex issue of defining the cut-off values for LVH diagnosis .LV Mass = 0.8 x (1.04 x (((LVEDD + IVSd +PWd) 3 - LVEDD 3))) + 0.6; LVMI (LV Mass Indexed to Body Surface Area) = LV Mass / BSA; RWT (Relative Wall Thickness) = 2 x PWd / LVEDD; BSA (Mosteller) = (((Height in cm) x (Weight in kg))/ 3600) ½; Reference Ranges for LV Mass Indexed To BSA (g/m 2)
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Markedly delayed LV relaxation in the setting of elevated LV filling pressures allows for ongoing LV filling in mid diastole and thus L velocity. Patients usually have bradycardia. When present in patients with known cardiac disease (e.g., LVH, HCM), it is specific for elevated LV filling pressures. However, its sensitivity is overall low.
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