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Abnormal circumferential strain can be detected early in patients with DMD, despite the presence of normal ejection fraction. (Ref: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2709409/) [9] Regular cardiac function evaluations can lead to timely treatment which may slow the progression of cardiac fibrosis. (Ref: https://www.internationaljournalofcardiology.com/article/S0167-5273(23)00969-5/fulltext)[10]

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SDTM. Circumferential & Longitudinal Strain
SDTM. Circumferential & Longitudinal Strain

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