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The current definition of dilated cardiomyopathy (DCM) could appear relatively simple; namely, a heart muscle disease characterized by left ventricular (LV) or biventricular dilation and systolic dysfunction in the absence of pressure or volume overloads or coronary artery disease sufficient to explain the dysfunction [ 1, 2 ].
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The main finding is that diameter frequently underestimates LV size compared with contrast-enhanced volumes, even when there is significant LV dilation. How might this impact on clinical practice? LV diameter should be used with caution as a measure of cardiac size.
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When you have LVH, the muscle wall of the left ventricle becomes thick (hypertrophy) and enlarged. LVH can happen over time if you have certain health conditions that overwork the heart muscle, such as high blood pressure or aortic stenosis. As the heart works harder than normal, the left ventricle adapts.
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