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Diastology:
Moderate to Severe MR

Multiple Positives Indicate Elevated Filling Pressures:
Pulmonary Venous AR-duration minus Mitral A-duration ≥ 30 msec
IVRT < 60 msec
IVRT/TE−e' < 5.6 (only in patients with normal LVEF)
Average E/e' ratio > 14 (only in patients with depressed LVEF)