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Left ventricular (LV) systolic and diastolic dysfunction at retinoic acid syndrome attack. A: Decreased LV systolic function (LV ejection fraction 38%) by LV M-mode. B: Abnormal LV diastolic function (E/Em 13.4) - restrictive LV ventricular filling. LVEDD: LV end systolic diameter, LVESD: LV end systolic diameter, LVEF: left ventricular ejection fraction, E: early diastolic mitral inflow velocity, Em: early diastolic mitral tissue Doppler velocity.
