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Left ventricular filling pressure is considered elevated when LVEDP ≥16 mmHg and PCWP or LV pre-A pressure ≥15 mmHg. 1, 2 Echocardiographic indices of LVFP A number of echocardiographic parameters may be used to differentiate between normal and elevated LVFP.
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Studies have shown that E/Em ratio is the single best Doppler predictor of elevated LV filling pressure 7 and a powerful independent predictor of all-cause mortality in a general cardiac population in those with LV systolic dysfunction and after acute myocardial infarction 27–29 and correlates better with pulmonary capillary wedge .
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