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(a) Apical four-chamber view shows mitral inflow velocities. E and A wave velocities measured 140 and 65 millisec, respectively, giving E/A ratio of 2.1. No L wave (mid-diastolic) was observed. (b & c) Tissue Doppler echocardiogram shows E’ velocities measuring 9 cm/s and 7.5 cm/s at the septal and lateral mitral annuli, respectively, giving a E/E’ ratio of 15.6 and 18.7, respectively.
