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To calculate the WMSI, the LV was divided into 16 segments. A semiquantitative scoring system (1, normal; 2, hypokinesia; 3, akinesia; and 4, dyskinesia) was used to analyze each study. Global WMSI was calculated by the standard formula: sum of the segment scores divided by the number of segments scored. 20.Mild (grade II) LV systolic dysfunction with global hypokinesis is often consistent with a normal myocardium in atrial fibrillation, when the observation has no other meaning unless specific segmental wall motion defects are also identified.
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