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In patients with chronic ischemic cardiomyopathy, left ventricular (LV) ejection fraction (EF) and wall motion score index (WMSI) are well-established predictors of long-term outcome. However, both LVEF and WMSI have some limitations related to reproducibility, geometric assumptions, and expertise.
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Global left ventricular hypokinesia was observed in 26 of these 67 patients at admission (primary hypokinesia) and in 14 after 24 or 48 hrs of hemodynamic support by norepinephrine (secondary hypokinesia), leading to an overall hypokinesia rate of 60%.
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