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Many overweight patients have no significant cardiovascular disease, but incidental eccentric left ventricular hypertrophy is frequently found. 27 Normal left ventricular function is usually present, but diminished left ventricular compliance is common. 28 In some individuals, left ventricular diastolic dysfunction can develop, which results in .
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Systolic Versus Diastolic Heart Failure. Both systolic and diastolic heart failure affect the left ventricle. In systolic heart failure, the heart muscle is weak, and the ventricle can’t contract normally. With diastolic heart failure, the heart muscle is stiff, and the left ventricle can’t relax normally.
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Therefore, echocardiographic diagnostic criteria for DCM are a LV end-diastolic diameter greater than 117% predicted value corrected for age and body surface area and a LV ejection fraction less than 45% (and/or fractional shortening less than 25%).
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