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In patients with ischemic LV systolic dysfunction, CABG plus medical therapy resulted in higher mortality at 30 days, but with a significant improvement in long-term mortality (out to 10 years) compared with medical therapy alone. Only 14 patients needed to be treated with CABG to save one life over 10 years.Ejection fraction typically refers to the left side of the heart. It shows how much oxygen-rich blood is pumped out of the left ventricle to most of the body’s organs with each contraction. LVEF helps determine the severity of dysfunction on the left side of the heart.
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The RV and pulmonary circulation are best viewed as a combined functioning unit.13 Ventricular-arterial (VA) coupling describes the relationship between a ventricle and the circulation (pulmonary for the RV, systemic for the LV) it supplies and is quantified by the ratio of end-systolic elastance (E ES, contractility) to effective arterial .An ejection fraction of 60 percent means that 60 percent of the total amount of blood in the left ventricle is pushed out with each heartbeat. A normal heart’s ejection fraction is between 55 and 70 percent.
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