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Mild (grade II) LV systolic dysfunction with global hypokinesis is often consistent with a normal myocardium in atrial fibrillation, when the observation has no other meaning unless specific segmental wall motion defects are also identified.
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For example, in ventricular hypertrophy the ventricular compliance is decreased (i.e., the ventricle is "stiffer") because the thickness of the ventricular wall increases; therefore, ventricular end-diastolic pressure (EDP) is higher at any specific end-diastolic volume (EDV) (see Figure).
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