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Echocardiographic features of DCM are left ventricular (LV) dilation and systolic dysfunction with impaired global contractility and normal LV wall thickness and LV diastolic dysfunction with elevation in LV filling pressure.
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Conversely, decreased compliance (increased stiffness) of the diastolic left ventricle decreases stroke volume because end-diastolic volume is decreased at the same filling pressure. A decrease in contractility (ESPVR), decrease in end-diastolic compliance, or increase in afterload all decrease stroke volume and therefore shift the curve .
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