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Assessment of LV function with M-mode or 2-dimensional (2-D) echocardiography (Figure 2A) can be performed in the parasternal long- and short-axis views by placing the calipers perpendicular to the ventricular long axis. Change in LV cavity dimensions during systole can be used to calculate LV fractional shortening and ejection fraction.
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The RV lacks a third layer of spiral fibers as seen in the left ventricle (LV). The RV end-diastolic volume is slightly larger than that of the LV, and as a result has a slightly lower ejection fraction to generate the same stroke volume. RV ejection is accomplished with a mass that is approximately one-fifth that of the LV.
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