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In this asymptomatic patient, with a 3-dimensional left ventricular ejection fraction (LVEF) of 58% (left), the mean global longitudinal strain (GLS) was 14%, showing both spatial and temporal variation in the 4-, 2-, and 3-chamber views.
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The three standard apical views should be acquired in succession as LV focused views optimizing endocardial borders at a frame rate of 60Hz-90Hz. Heart rate should not vary more than 5bpm.
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