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Question: Does the severity of echocardiographic left ventricular diastolic dysfunction affect postoperative outcomes? Findings: Grade 3 diastolic dysfunction, relative to grades 1 and 2 severity, was associated with a higher risk of major adverse cardiovascular events after noncardiac surgery.
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In general, the LV pacing sites yielding most optimal clinical response are located in the nonapical, basal to midventricular regions of the LV with the anterior, lateral, and posterior sites yielding comparable outcomes. 33-37. LV lead positioning may be guided to sites with later ventricular activation, as measured by the intraprocedural Q-LV.
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