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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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D-shaped LV: Eccentricity index >1 (49) * RV pressure or volume overload: Diastolic D-shape LV suggests volume overload: Systolic D-shape LV suggests pressure overload: Hypertrophy: Mass >35 g/m 2 (8) Pressure-overloaded RV: RV inferior wall >5 mm (6) Hypertrophic cardiomyopathy, infiltrative disease; exclude double-chambered RV: .
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