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Definition. Three main phenotypes describe HF according to the measurement of the left ventricle ejection fraction (EF), and the differentiation between these types is important due to different demographics, comorbidities, and responses to therapies: Heart failure with reduced ejection fraction (HFrEF): EF less than or equal to .
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As transvalvular gradients and LV dysfunction exist on a continuum, uncertainties as to whether moderate AS that is well tolerated by a ventricle with normal systolic function is equally well tolerated by a failing ventricle have recently been raised.
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