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Correspondence
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Volume 344:1401-1402 May 3, 2001 Number 18
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Diastolic Dysfunction and Hypertension

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To the Editor: Gandhi et al. (Jan. 4 issue)1 may well be correct in their conclusion that diastolic dysfunction is the primary cause of pulmonary edema in hypertensive heart failure, but the left ventricular ejection fraction is probably inadequate as the sole measure of global systolic function on the basis of which to exclude the possible role of systolic dysfunction. The ejection fraction is recognized to be a relatively crude measure of left ventricular systolic function. Assessment of the ventricular long-axis excursion or velocity by Doppler imaging of the tissue may be a more sensitive index of ventricular function.2 The . . . [Full Text of this Article]

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