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LV systolic properties, namely EF, end systolic elastance, stroke work, and preload recruitable stroke work, all decreased. The ePAD/EDV ratio increased; to a large extent, this was dependent on an increase in EDV.
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Thus, low-cost and easily accessible ECG left ventricular strain and hypertrophy data provide valuable tools for risk stratification in patients with aortic stenosis. Whether ECG strain identifies those whose prognosis would be improved by earlier aortic valve replacement merits further study.
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