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Echocardiography allows reliable detection of a severely or moderately dilated RV. While the ratio between the size of the LV and the RV is more than 1.3 under physiological circumstances, the RV often exceeds the size of the LV in patients with moderate or severe right ventricular dilatation (ratio <1).
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Qualitative estimation of myocardial perfusion contrast echo is inferior to contrast enhanced 2D echocardiography with regard to visibility of all LV segments and appears slightly inferior with regards to interobserver agreement (IOA), while both are superior to unenhanced 2D echocardiography.
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