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Abstract IHD has been demonstrated to cause subclinical diastolic dysfunction before systolic dysfunction becomes evident leading to increase ventricular filling pressure then left atrial enlargement. (Apstein C. S. and Grossman, 1987). LAVI is preferred method for determining LA size and provides incremental prognostic information beyond that afforded by clinical risk factor (Pritchett A.M. et al., 2003). Several reports on the use of DSE in the evaluation of CAD have appeared. Sensitivity has ranged between 68% and 96% and specificity between 60% and 100%. Sensitivity was higher in populations with a significant prevalence of previous myocardial infarction or multivessel disease 50% to 95% (Nagueh, 1996). The aim of our study is to correlate between LAVI and stress Echocardiogram results and consequently, the probability of ischemic heart disease. |