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The most frequently used method for this purpose is the ratio between early mitral inflow velocity and mitral annular early diastolic velocity (E/e'), which has become central in the guidelines for diastolic evaluation. This review will discuss the use the E/e' ratio in prediction of LV filling pressure and its potential pitfalls.
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The stage of diastolic dysfunction correlates with the impairment of exer-cise capacity in patients without myocardial ischemia better than resting left ventricular ejection fraction (LVEF).5 In patients with heart failure, the stage of diastolic dysfunction is a stronger predictor of mortality than ejection fraction.1 A shortened early decelera.Summary. There is no federally mandated paid sick leave law. The Family and Medical Leave Act (FMLA) may allow eligible employees to take up to 12 weeks of unpaid leave for certain health-related situations. Seventeen states have implemented their own paid sick leave laws – see them here.
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