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Abstract INTRODUCTION Although a cr~ic ~egurgitation easily re-::ognized most patients.,. an acc:1rate assessment of le£t ve?’lt=icular fuDction in patier.ts ·-.~ith tf’.is condition may be difficu:!.t. Prev:ous st•..1dies demons-::!::ated tbat some patients ”With ao~tic regu~gitation have a p~’2tected asymptomatic cl!.r:i·=al cou!:se, despite: ::uarked ~emodyr.amic derangement. Thus :.rnpai~ed left vent:!:icular performance may develop in patie:1ts IJith severe aortic !’ail’-lre. regurgitation before symptoms of conges’tive heart C:i as t .,: lie ::.e£1: ’w’ere ~:::-:=viously assessed usL’1g dig:.”:S..zed M-mode echocardiogan; oiography ar.d techniques. The:::e is ;e~e:al agreemer.t that abncrma:.it:es o£ both systolic and d~as:.cli:: :fu.n~ti’:l:; may occur in patier:t:s wit:h ::n:c:::c aortic :::egu:rgitation and that a bn o rm alit i e s of diastolic £r.2nction may p:reced systolic .._,.entricular dysfunctior .. |