 Stroke Volume
"Stroke Volume" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus,
MeSH (Medical Subject Headings). Descriptors are arranged in a hierarchical structure,
which enables searching at various levels of specificity.
The amount of BLOOD pumped out of the HEART per beat, not to be confused with cardiac output (volume/time). It is calculated as the difference between the end-diastolic volume and the end-systolic volume.
| Descriptor ID |
D013318
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| MeSH Number(s) |
E01.370.370.380.150.700 G09.330.380.124.882
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| Concept/Terms |
Stroke Volume- Stroke Volume
- Stroke Volumes
- Volume, Stroke
- Volumes, Stroke
Ventricular End-Systolic Volume- Ventricular End-Systolic Volume
- End-Systolic Volume, Ventricular
- End-Systolic Volumes, Ventricular
- Ventricular End Systolic Volume
- Ventricular End-Systolic Volumes
- Volume, Ventricular End-Systolic
- Volumes, Ventricular End-Systolic
Ventricular Ejection Fraction- Ventricular Ejection Fraction
- Ejection Fraction, Ventricular
- Ejection Fractions, Ventricular
- Fraction, Ventricular Ejection
- Fractions, Ventricular Ejection
- Ventricular Ejection Fractions
Ventricular End-Diastolic Volume- Ventricular End-Diastolic Volume
- End-Diastolic Volume, Ventricular
- End-Diastolic Volumes, Ventricular
- Ventricular End Diastolic Volume
- Ventricular End-Diastolic Volumes
- Volume, Ventricular End-Diastolic
- Volumes, Ventricular End-Diastolic
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Below are MeSH descriptors whose meaning is more general than "Stroke Volume".
Below are MeSH descriptors whose meaning is more specific than "Stroke Volume".
This graph shows the total number of publications written about "Stroke Volume" by people in UAMS Profiles by year, and whether "Stroke Volume" was a major or minor topic of these publications.
To see the data from this visualization as text, click here.
| Year | Major Topic | Minor Topic | Total |
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| 2022 | 0 | 4 | 4 | | 2021 | 0 | 9 | 9 | | 2020 | 4 | 6 | 10 | | 2019 | 4 | 4 | 8 | | 2018 | 2 | 2 | 4 | | 2017 | 3 | 3 | 6 | | 2016 | 3 | 0 | 3 | | 2015 | 4 | 6 | 10 | | 2014 | 3 | 6 | 9 | | 2013 | 2 | 5 | 7 | | 2012 | 1 | 2 | 3 | | 2011 | 2 | 2 | 4 | | 2010 | 1 | 3 | 4 | | 2009 | 0 | 2 | 2 | | 2008 | 1 | 2 | 3 | | 2007 | 0 | 2 | 2 | | 2006 | 0 | 2 | 2 | | 2005 | 1 | 0 | 1 | | 2003 | 0 | 4 | 4 | | 2002 | 0 | 1 | 1 | | 2001 | 1 | 0 | 1 | | 2000 | 0 | 2 | 2 | | 1997 | 0 | 1 | 1 | | 1996 | 0 | 1 | 1 | | 1994 | 0 | 1 | 1 | | 1993 | 1 | 1 | 2 | | 1991 | 0 | 1 | 1 | | 1990 | 1 | 0 | 1 | | 1989 | 0 | 1 | 1 |
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Below are the most recent publications written about "Stroke Volume" by people in Profiles over the past ten years.
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Ananwattanasuk T, Atreya AR, Teerawongsakul P, Ghannam M, Lathkar-Pradhan S, Latchamsetty R, Jame S, Patel HJ, Grossman PM, Oral H, Jongnarangsin K. Outcomes in patients with electrocardiographic left ventricular dyssynchrony following transcatheter aortic valve replacement. Heart Rhythm. 2023 Jan; 20(1):22-28.
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Maskoun W, Raad M, Cha YM, Houmsse M, Abualsuod A, Ezzeddine F, Pieper J, Jamoor K, Tita C, Miller J. Implantable cardioverter defibrillators in patients with orthotopic heart transplant: A multicenter case series. J Cardiovasc Electrophysiol. 2022 08; 33(8):1813-1822.
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Connor BS, Algaze CA, Narkeviciute A, Anguiano B, Pariani M, Zarate YA, Collins RT. Prevalence and Outcomes of Primary Left Ventricular Dysfunction in Marfan Syndrome. Am J Cardiol. 2022 07 15; 175:119-126.
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Vidula MK, Xu Z, Xu Y, Alturki A, Reddy BN, Kini P, Alberto-Delgado AL, Jacob R, Chen T, Ferrari VA, Sierra-Galan LM, Chen Y, Viswamitra S, Han Y. Cardiovascular magnetic resonance characterization of rheumatic mitral stenosis: findings from three worldwide endemic zones. J Cardiovasc Magn Reson. 2022 04 07; 24(1):24.
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Desai VG, Vijay V, Han T, Moland CL, Phanavanh B, Lee T, Davis KJ, Muskhelishvili L, Stine KC, Fuscoe JC. Doxorubicin-induced delayed-onset subclinical cardiotoxicity in mice. J Appl Toxicol. 2022 05; 42(5):778-792.
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Henson SE, Lang SM, Khoury PR, Tian C, Rutter MM, Urbina EM, Ryan TD, Taylor MD, Alsaied T. The Effect of Adiposity on Cardiovascular Function and Myocardial Fibrosis in Patients With Duchenne Muscular Dystrophy. J Am Heart Assoc. 2021 10 05; 10(19):e021037.
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Salah HM, Mehta JL. COVID-19 Vaccine and Myocarditis. Am J Cardiol. 2021 10 15; 157:146-148.
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Ta HT, Truong VT, Alsaied T, Critser PJ, Germann J, Ollberding NJ, Khoury PR, Powell AW, Lang S, Mazur W, Redington AN, Tretter JT. Left Atrial Strain in the Repaired Tetralogy of Fallot Population: Comparisons to Biventricular Function, Native T1 Values, Exercise Parameters and Healthy Controls. Pediatr Cardiol. 2021 Jun; 42(5):1102-1110.
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Feldstein LR, Tenforde MW, Friedman KG, Newhams M, Rose EB, Dapul H, Soma VL, Maddux AB, Mourani PM, Bowens C, Maamari M, Hall MW, Riggs BJ, Giuliano JS, Singh AR, Li S, Kong M, Schuster JE, McLaughlin GE, Schwartz SP, Walker TC, Loftis LL, Hobbs CV, Halasa NB, Doymaz S, Babbitt CJ, Hume JR, Gertz SJ, Irby K, Clouser KN, Cvijanovich NZ, Bradford TT, Smith LS, Heidemann SM, Zackai SP, Wellnitz K, Nofziger RA, Horwitz SM, Carroll RW, Rowan CM, Tarquinio KM, Mack EH, Fitzgerald JC, Coates BM, Jackson AM, Young CC, Son MBF, Patel MM, Newburger JW, Randolph AG. Characteristics and Outcomes of US Children and Adolescents With Multisystem Inflammatory Syndrome in Children (MIS-C) Compared With Severe Acute COVID-19. JAMA. 2021 03 16; 325(11):1074-1087.
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Al Saadi T, Assaf Y, Farwati M, Turkmani K, Al-Mouakeh A, Shebli B, Khoja M, Essali A, Madmani ME. Coenzyme Q10 for heart failure. Cochrane Database Syst Rev. 2021 02 03; (2):CD008684.
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Salah HM, Fudim M, Al'Aref SJ, Khan MS, Almarzooq ZI, Devabhaktuni SR, Mentz RJ, Butler J, Greene SJ. Meta-Analysis of Efficacy of Sacubitril/Valsartan in Heart Failure With Preserved Ejection Fraction. Am J Cardiol. 2021 04 15; 145:165-168.
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Ryan TD, Moore RA, Lang SM, Khoury P, Dandoy CE, Davies SM, Taylor MD. Rapid cardiac MRI protocol for cardiac assessment in paediatric and young adult patients undergoing haematopoietic stem cell transplant: a feasibility study. Cardiol Young. 2021 Jun; 31(6):973-978.
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Sachdeva R, Stratton KL, Cox DE, Armenian SH, Bhat A, Border WL, Leger KJ, Leisenring WM, Meacham LR, Sadak KT, Narasimhan S, Chow EJ, Nathan PC. Challenges associated with retrospective analysis of left ventricular function using clinical echocardiograms from a multicenter research study. Echocardiography. 2021 02; 38(2):296-303.
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Siddiqui S, Alsaied T, Henson SE, Gandhi J, Patel P, Khoury P, Villa C, Ryan TD, Wittekind SG, Lang SM, Taylor MD. Left Ventricular Magnetic Resonance Imaging Strain Predicts the Onset of Duchenne Muscular Dystrophy-Associated Cardiomyopathy. Circ Cardiovasc Imaging. 2020 11; 13(11):e011526.
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Lang SM, Alsaied T, Khoury PR, Ryan TD, Taylor MD. Variations in native T1 values in patients with Duchenne muscular dystrophy with and without late gadolinium enhancement. Int J Cardiovasc Imaging. 2021 Feb; 37(2):635-642.
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Singh R, Devabhaktuni S, Ezzeddine F, Simon J, Khaira K, Dandamudi G. His-bundle pacing: A novel treatment for left bundle branch block-mediated cardiomyopathy. J Cardiovasc Electrophysiol. 2020 10; 31(10):2730-2736.
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Gaitonde M, Ziebell D, Kelleman MS, Cox DE, Lipinski J, Border WL, Sachdeva R. COVID-19-Related Multisystem Inflammatory Syndrome in Children Affects Left Ventricular Function and Global Strain Compared with Kawasaki Disease. J Am Soc Echocardiogr. 2020 10; 33(10):1285-1287.
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Kassab K, Kattoor AJ, Doukky R. Ischemia and Viability Testing in New-Onset Heart Failure. Curr Cardiol Rep. 2020 07 06; 22(8):76.
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Ates I, Okutucu S, Kose G, Hinson D, Marmagkiolis K, Iliescu C, Cilingiroglu M. Evaluation of Effectiveness and Safety of Transcatheter Mitral Valve Repair Under Moderate Conscious Sedation. J Invasive Cardiol. 2020 Jun; 32(6):206-210.
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Fam JM, Khoo CY, Lau YH, Lye WK, Cai XJ, Choong LHL, Allen JC, Yeo KK. Age and diabetes mellitus associated with worse outcomes after percutaneous coronary intervention in a multi-ethnic Asian dialysis patient population. Singapore Med J. 2021 Jun; 62(6):300-304.
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Letsou GV, Musfee FI, Cheema FH, Lee AD, Loor G, Morgan J, Rosengart T, Frazier OH. Heterotopic Cardiac Transplantation: Long-term Results and Fate of the Native Heart. Ann Thorac Surg. 2020 10; 110(4):1316-1323.
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Leng S, Tan RS, Zhao X, Allen JC, Koh AS, Zhong L. Fast long-axis strain: a simple, automatic approach for assessing left ventricular longitudinal function with cine cardiovascular magnetic resonance. Eur Radiol. 2020 Jul; 30(7):3672-3683.
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James KA, Gralla J, Ridall LA, Do TN, Czaja AS, Mourani PM, Ciafaloni E, Cunniff C, Donnelly J, Oleszek J, Pandya S, Price E, Yang ML, Auerbach SR. Left ventricular dysfunction in Duchenne muscular dystrophy. Cardiol Young. 2020 Feb; 30(2):171-176.
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Dasgupta S, Madani R, Figueroa J, Cox D, Ferguson E, Border W, Sachdeva R, Fischbach P, Whitehill R. Myocardial deformation as a predictor of right ventricular pacing-induced cardiomyopathy in the pediatric population. J Cardiovasc Electrophysiol. 2020 01; 31(1):337-344.
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Goel A, Kattoor AJ, Mehta JL. Thiamin therapy for chronic heart failure: is there any future for this vitamin? Am J Clin Nutr. 2019 12 01; 110(6):1270-1271.
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Uretsky BF, Vallurupalli S. Is the Digitalis Leaf Still Withering? J Am Coll Cardiol. 2019 08 06; 74(5):628-630.
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Heo S, McSweeney J, Tsai PF, Ounpraseuth S, Moser DK, Kim J. The Associations of Diagnoses of Fatigue and Depression With Use of Medical Services in Patients With Heart Failure. J Cardiovasc Nurs. 2019 Jul/Aug; 34(4):289-296.
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Mando R, Goel A, Habash F, Saad M, Ayoub K, Vallurupalli S, Maskoun W. Outcomes of Cardiac Contractility Modulation: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Cardiovasc Ther. 2019; 2019:9769724.
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Abdul Ghaffar Y, Maskoun W, Mustafa NG, Feigenbaum H, Sawada SG. Low dose wall motion score predicts the short and long-term benefit of surgical revascularization in patients with ischemic left ventricular dysfunction. Int J Cardiovasc Imaging. 2019 Sep; 35(9):1651-1659.
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Yap J, Chia SY, Lim FY, Allen JC, Teo L, Sim D, Go YY, Jaufeerally FR, Seow M, Kwok B, Liew R, Lam CS, Ching CK. The Singapore Heart Failure Risk Score: Prediction of Survival in Southeast Asian Patients. Ann Acad Med Singap. 2019 Mar; 48(3):86-94.
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Yap J, Lim FY, Chia SY, Allen JC, Jaufeerally FR, Macdonald MR, Chai P, Loh SY, Lim P, Zaw MWW, Teo L, Sim D, Lam CSP. Prediction of Survival in Asian Patients Hospitalized With Heart Failure: Validation of the OPTIMIZE-HF Risk Score. J Card Fail. 2019 Jul; 25(7):571-575.
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Smer A, Salih M, Darrat YH, Saadi A, Guddeti R, Mahfood Haddad T, Kabach A, Ayan M, Saurav A, Abuissa H, Elayi CS. Meta-analysis of randomized controlled trials on atrial fibrillation ablation in patients with heart failure with reduced ejection fraction. Clin Cardiol. 2018 Nov; 41(11):1430-1438.
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Yandrapalli S, Khan MH, Rochlani Y, Aronow WS. Sacubitril/valsartan in cardiovascular disease: evidence to date and place in therapy. Ther Adv Cardiovasc Dis. 2018 Aug; 12(8):217-231.
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Pothineni NV, Kattoor AJ, Kovelamudi S, Kenchaiah S. The Current Focus of Heart Failure Clinical Trials. J Card Fail. 2018 May; 24(5):321-329.
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Sonny A, Govindarajan SR, Jaber WA, Cywinski JB. Systolic heart failure after liver transplantation: Incidence, predictors, and outcome. Clin Transplant. 2018 03; 32(3):e13199.
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Yu LR, Cao Z, Makhoul I, Daniels JR, Klimberg S, Wei JY, Bai JP, Li J, Lathrop JT, Beger RD, Todorova VK. Immune response proteins as predictive biomarkers of doxorubicin-induced cardiotoxicity in breast cancer patients. Exp Biol Med (Maywood). 2018 02; 243(3):248-255.
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Go YY, Sugimoto T, Bulluck H, Acharyya S, Allen JC, Chia SY, Jaufeerally FR, Sim D, Lim TK, Liew R, Lam CSP. Age and ejection fraction modify the impact of atrial fibrillation on acute heart failure outcomes. Eur J Heart Fail. 2018 04; 20(4):821-822.
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Cilingiroglu M, Hakeem A. Does the severity of left ventricular systolic dysfunction impact outcomes of Mitraclip therapy: How low is too low? Catheter Cardiovasc Interv. 2017 11 15; 90(6):1046-1047.
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Smer A, Saurav A, Azzouz MS, Salih M, Ayan M, Abuzaid A, Akinapelli A, Kanmanthareddy A, Rosenfeld LE, Merchant FM, Abuissa H. Meta-analysis of Risk of Ventricular Arrhythmias After Improvement in Left Ventricular Ejection Fraction During Follow-Up in Patients With Primary Prevention Implantable Cardioverter Defibrillators. Am J Cardiol. 2017 Jul 15; 120(2):279-286.
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Perez J, Diaz N, Tandon I, Plate R, Martindale C, Balachandran K. Elevated Serotonin Interacts with Angiotensin-II to Result in Altered Valve Interstitial Cell Contractility and Remodeling. Cardiovasc Eng Technol. 2018 06; 9(2):168-180.
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Abdelaziz HK, Elkilany W, Khalid S, Sabet S, Saad M. Efficacy and safety of intracoronary verapamil versus sodium nitroprusside for the prevention of microvascular obstruction during primary percutaneous coronary intervention for ST-segment elevation myocardial infarction. Coron Artery Dis. 2017 Jan; 28(1):11-16.
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Williams FZ, Sachdeva R, Travers CD, Walson KH, Hebbar KB. Characterization of Myocardial Dysfunction in Fluid- and Catecholamine-Refractory Pediatric Septic Shock and Its Clinical Significance. J Intensive Care Med. 2019 Jan; 34(1):17-25.
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McLaughlin ES, Travers C, Border WL, Deshpande S, Sachdeva R. Tricuspid annular plane systolic excursion as a marker of right ventricular dysfunction in pediatric patients with dilated cardiomyopathy. Echocardiography. 2017 Jan; 34(1):102-107.
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Gao K, Sachdeva R, Goldstein BH, Lang S, Petit CJ. Aortic Valve Morphology Correlates With Left Ventricular Systolic Function and Outcome in Children With Congenital Aortic Stenosis Prior to Balloon Aortic Valvuloplasty. J Invasive Cardiol. 2016 Sep; 28(9):381-8.
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Ventetuolo CE, Mitra N, Wan F, Manichaikul A, Barr RG, Johnson C, Bluemke DA, Lima JA, Tandri H, Ouyang P, Kawut SM. Oestradiol metabolism and androgen receptor genotypes are associated with right ventricular function. Eur Respir J. 2016 Feb; 47(2):553-63.
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White CI, Jansen MA, McGregor K, Mylonas KJ, Richardson RV, Thomson A, Moran CM, Seckl JR, Walker BR, Chapman KE, Gray GA. Cardiomyocyte and Vascular Smooth Muscle-Independent 11ß-Hydroxysteroid Dehydrogenase 1 Amplifies Infarct Expansion, Hypertrophy, and the Development of Heart Failure After Myocardial Infarction in Male Mice. Endocrinology. 2016 Jan; 157(1):346-57.
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Weinsaft JW, Kim J, Medicherla CB, Ma CL, Codella NC, Kukar N, Alaref S, Kim RJ, Devereux RB. Echocardiographic Algorithm for Post-Myocardial Infarction LV Thrombus: A Gatekeeper for Thrombus Evaluation by Delayed Enhancement CMR. JACC Cardiovasc Imaging. 2016 05; 9(5):505-15.
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Abualsuod A. Response to Letter to the Editor: Effects of New Antiplatelet Agents and Aldosterone Receptor Antagonists on Mortality in Patients with Myocardial Infarction. Cardiovasc Drugs Ther. 2015 Oct; 29(5):497.
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Lopez-Candales A, Palm DS, Lopez FR, Perez R, Candales MD. Importance of End-Diastolic Rather than End-Systolic Right Atrial Size in Chronic Pulmonary Hypertension. Echocardiography. 2015 Dec; 32(12):1762-70.
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Bode WD, Bode MF, Gettes L, Jensen BC, Mounsey JP, Chung EH. Prominent R wave in ECG lead V1 predicts improvement of left ventricular ejection fraction after cardiac resynchronization therapy in patients with or without left bundle branch block. Heart Rhythm. 2015 Oct; 12(10):2141-7.
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Abualsuod A, Rutland JJ, Watts TE, Pandat S, Delongchamp R, Mehta JL. The Effect of Metformin Use on Left Ventricular Ejection Fraction and Mortality Post-Myocardial Infarction. Cardiovasc Drugs Ther. 2015 Jun; 29(3):265-75.
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Parashar A, Agarwal S, Krishnaswamy A, Garg A, Poddar KL, Sud K, Ellis S, Tuzcu EM, Kapadia SR. Renin-Angiotensin System Antagonists in Patients Without Left Ventricular Dysfunction After Percutaneous Intervention for ST-Segment Elevation Myocardial Infarction. Am J Cardiol. 2015 Aug 15; 116(4):508-14.
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Lang SM, Shugh S, Mazur W, Sticka JJ, Rattan MS, Jefferies JL, Taylor MD. Myocardial Fibrosis and Left Ventricular Dysfunction in Duchenne Muscular Dystrophy Carriers Using Cardiac Magnetic Resonance Imaging. Pediatr Cardiol. 2015 Oct; 36(7):1495-501.
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Bunch TJ, May HT, Bair TL, Jacobs V, Crandall BG, Cutler M, Weiss JP, Mallender C, Osborn JS, Anderson JL, Day JD. Five-year outcomes of catheter ablation in patients with atrial fibrillation and left ventricular systolic dysfunction. J Cardiovasc Electrophysiol. 2015 Apr; 26(4):363-370.
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Mau MK, Seto TB, Kaholokula JK, Howard B, Ratner RE. Association of modifiable risk factors and left ventricular ejection fraction among hospitalized Native Hawaiians and Pacific Islanders with heart failure. Hawaii J Med Public Health. 2014 Dec; 73(12 Suppl 3):14-20.
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Bano M, Kanaan UB, Ehrlich AC, McCracken C, Morrow G, Oster ME, Sachdeva R. Improvement in Tricuspid Annular Plane Systolic Excursion with Pulmonary Hypertension Therapy in Pediatric Patients. Echocardiography. 2015 Aug; 32(8):1228-32.
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Roeth NA, Ball TR, Culp WC, Todd Bohannon W, Atkins MD, Johnston WE. Effect of increasing heart rate and tidal volume on stroke volume variability in vascular surgery patients. J Cardiothorac Vasc Anesth. 2014 Dec; 28(6):1516-20.
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Marques NR, Martinello C, Kramer GC, Costantine MM, Vadhera RB, Saade GR, Hankins GD, Pacheco LD. Passive leg raising during pregnancy. Am J Perinatol. 2015 Mar; 32(4):393-8.
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Go YY, Allen JC, Chia SY, Sim LL, Jaufeerally FR, Yap J, Ching CK, Sim D, Kwok B, Liew R. Predictors of mortality in acute heart failure: interaction between diabetes and impaired left ventricular ejection fraction. Eur J Heart Fail. 2014 Nov; 16(11):1183-9.
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Madmani ME, Yusuf Solaiman A, Tamr Agha K, Madmani Y, Shahrour Y, Essali A, Kadro W. Coenzyme Q10 for heart failure. Cochrane Database Syst Rev. 2014 Jun 02; (6):CD008684.
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Simari RD, Pepine CJ, Traverse JH, Henry TD, Bolli R, Spoon DB, Yeh E, Hare JM, Schulman IH, Anderson RD, Lambert C, Sayre SL, Taylor DA, Ebert RF, Moyé LA. Bone marrow mononuclear cell therapy for acute myocardial infarction: a perspective from the cardiovascular cell therapy research network. Circ Res. 2014 May 09; 114(10):1564-8.
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Waldron NH, Miller TE, Thacker JK, Manchester AK, White WD, Nardiello J, Elgasim MA, Moon RE, Gan TJ. A prospective comparison of a noninvasive cardiac output monitor versus esophageal Doppler monitor for goal-directed fluid therapy in colorectal surgery patients. Anesth Analg. 2014 May; 118(5):966-75.
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Said R, Banchs J, Wheler J, Hess KR, Falchook G, Fu S, Naing A, Hong D, Piha-Paul S, Ye Y, Yeh E, Wolff RA, Tsimberidou AM. The prognostic significance of left ventricular ejection fraction in patients with advanced cancer treated in phase I clinical trials. Ann Oncol. 2014 Jan; 25(1):276-82.
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Kutty S, Russell D, Li L, Hasan R, Peng Q, Frommelt PC, Danford DA. Echocardiographic measurement methods for left ventricular linear dimensions in children result in predictable variations in results. Int J Cardiovasc Imaging. 2014 Feb; 30(2):305-12.
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Greiten LE, Holditch SJ, Arunachalam SP, Miller VM. Should there be sex-specific criteria for the diagnosis and treatment of heart failure? J Cardiovasc Transl Res. 2014 Mar; 7(2):139-55.
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Evans JM, Mohney L, Wang S, Moore RK, Elayi SC, Stenger MB, Moore FB, Knapp CF. Cardiovascular regulation during body unweighting by lower body positive pressure. Aviat Space Environ Med. 2013 Nov; 84(11):1140-6.
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Gulati A, Ismail TF, Jabbour A, Alpendurada F, Guha K, Ismail NA, Raza S, Khwaja J, Brown TD, Morarji K, Liodakis E, Roughton M, Wage R, Pakrashi TC, Sharma R, Carpenter JP, Cook SA, Cowie MR, Assomull RG, Pennell DJ, Prasad SK. The prevalence and prognostic significance of right ventricular systolic dysfunction in nonischemic dilated cardiomyopathy. Circulation. 2013 Oct 08; 128(15):1623-33.
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