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Strain echocardiography, performed by using the speckle-tracking technique, can identify subclinical left ventricular dysfunction before left ventricular ejection fraction declines. Strain echocardiography is a powerful predictor of cardiac mortality and morbidity for numerous cardiac conditions; it provides additional prognostic information .
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Contrast echo significantly improved LV cavity assessment, enabling full apical visualization in 100% of patients compared with 89% with non-contrast echo (p<0.0001). Improved cavity visualization facilitated thrombus detection: contrast echo detected LV thrombus in 12% of patients (n=6), only half of whom had thrombus detected by non .
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