Determine the indeterminate through LA Strain

• Pathological LA Strain is better than LAVI — 62% vs 34% — in detecting DD

• LA Strain + LAVI — better detection of DD 

• LASr <23% — double the hospitalisations & 1 NYHA class higher compared to LASr >23%

• LASr 18% vs 23% in HTN as a prognostic marker for a positive diastolic stresstest