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Abstract. Background— Left ventricular (LV) mass is an important predictor of heart failure and cardiovascular mortality, yet determinants of LV mass are incompletely understood. Pulmonary hyperinflation in chronic obstructive pulmonary disease (COPD) may contribute to changes in intrathoracic pressure that increase LV wall stress.
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This happy umbrella features a standard size shape of waterproof Louis Vuitton monogram brown nylon mixed with pink smiling flowers. The umbrella is finely crafted with a sturdy frame and a long metal rod and curved wooden grip.
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