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Left ventricular (LV) diastolic function is characterized by LV relaxation, chamber stiffness, and early diastolic recoil, all of which determine LV filling pressure. Echocardiographic signals significantly associated with LV relaxation are mitral annulus early diastolic velocity (e′), LV strain rate during isovolumic relaxation (SR IVR .Left ventricular hypertrophy (LVH): Markedly increased LV voltages: huge precordial R and S waves that overlap with the adjacent leads (SV2 + RV6 >> 35 mm). R-wave peak time > 50 ms in V5-6 with associated QRS broadening. LV strain pattern with ST depression and T-wave inversions in I, aVL and V5-6. ST elevation in V1-3. Prominent U .
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