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How measure Ejection Fraction with Simpson's Biplane? (We have 150 more lessons on our website) 1. Trace the endocardial border in the apical 4 chamber view during end-diastole and then scroll to end-systole and trace again (repeat with the apical 2 chamber) 2. Follow the inner edge of the myocardium. 3. Exclude papillary muscles and trabeculations—they are part of the LV cavity. 4. Close the tracing with a straight horizontal line at the mitral annulus. Quick Tip: Reduce sector width to display
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