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In acute MR, the LV and LA might not be dilated, but LA pressure and pulmonary pressures should be significantly elevated. If all of these are normal, severe MR is very unlikely. Primary MR can be dynamic, but a severe morphological leaflet abnormality (i.e., flail leaflet) suggests severe MR.
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Determine the left ventricular mass using the LV mass equation. Divide the value obtained in step 1 by the body surface area (BSA), calculated based on the patient's weight and height in square meters (m²). That's all! You have now obtained the LV mass index. You can also use the Omni LV calculator to determine the LV mass index quickly.
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