By Stephen J. Nicholls, Stephen G. Worthley
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Extra resources for Cardiovascular Imaging for Clinical Practice
With exercise, the cardiac output may not rise or fall, eventually declining even at rest. In addition, systemic vascular resistance, which normally declines with exercise, fails to do so in overt heart failure, further contributing to ventricular hypertrophy and dilatation. 9 Cardiac remodeling occurs to accommodate the abnormal heart physiology and is pivotal in the development and progression of heart failure. Therefore, early recognition and management of the presence and extent of remodeling with imaging can have considerable therapeutic and prognostic impact in overall disease management.
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