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Diastolic heart failure, in which the left ventricle stiffens and bulks up, is different from systolic heart failure, in which the left ventricle becomes weak and flabby. Ejection fraction, a key measure of the heart's pumping ability, is normal in diastolic heart failure and low in systolic heart failure.
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Left ventricular (LV) failure causes shortness of breath and fatigue, and right ventricular (RV) failure causes peripheral and abdominal fluid accumulation; the ventricles can be involved together or separately. Diagnosis is initially clinical, supported by chest x-ray, echocardiography, and levels of plasma natriuretic peptides.Chronic left ventricular (LV) pacing causes adverse cardiac effects in adults. We evaluated strain imaging to evaluate the chronic effects of LV pacing in patients with TGA. Hypothesis: Chronic LV pacing adversely affects systemic right ventricular (RV) systolic function and may affect left ventricular function in patients with TGA.
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