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For several decades, ejection fraction (EF) has been the dominating method for assessing left ventricular systolic function. Ejection fraction is simple to calculate; if the left ventricle contains 100 ml of blood at the end of diastole and 40 ml is pumped out during systole, then the ejection fraction is 40%.
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In clinical practice, echocardiography (echo) is widely accepted as the primary screening test for left ventricular thrombus (LVT) ( 1,2 ). This approach is supported by multiple studies showing that echo performs well as a test for LVT when imaging is tailored for this purpose ( 3–5 ).
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