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D‐shaped left ventricle defined as eccentricity index at end‐diastole ≥1.2 was an important surrogate for poor hemodynamic status and was independently associated with outcome in patients with severe tricuspid regurgitation. What Are the Clinical Implications?The left ventricle becomes D-shaped, which is a sign of increased preload in the right ventricle (RV) displacing the septum toward the left. Septal flattening is best appreciated in the short-axis view at the level of papillary muscles (basal or .
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Britannica Dictionary definition of D. 1. : the fourth letter of the English alphabet. [count] Many people who are learning to read confuse b's and d's. [noncount] names that start with d. 2. : a musical note or key referred to by the letter D : the second tone of a C-major scale.The “D Sign” is an ultrasound/echo finding that shows the left ventricle as a D-shaped structure. It is a result of right ventricular overload causing a shift of the septum towards the left side of the heart. The “D-sign” can be the result of either right ventricular Pressure and/or Volume overload.
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