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Exercise-Induced Reduction in Left Ventricular Ejection Fraction in the Absence of Coronary Artery Disease: Clinical Characteristics and Outcomes.
J Am Soc Echocardiogr
November 2024
Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota. Electronic address:
Background: During exercise stress echocardiography (ESE), there are patients with normal left ventricular ejection fraction (LVEF) who paradoxically develop reduced LVEF during exercise despite absence of coronary artery disease (CAD) and a significant hypertensive response. This study sought to describe the clinical features and outcomes of this population.
Methods: Among ESEs performed between 2003 and 2022, patients without CAD by angiogram within 90 days of ESE and resting LVEF ≥50% with a ≥5% LVEF decrease during ESE were included.
Response by Mohananey et al to Letter Regarding Article, "Clinical and Echocardiographic Outcomes Following Permanent Pacemaker Implantation After Transcatheter Aortic Valve Replacement: Meta-Analysis and Meta-Regression".
Circ Cardiovasc Interv
November 2017
Department of Cardiovascular Medicine, Cleveland Clinic, OH.
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