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The term “end stage” has been used to describe hypertrophic cardiomyopathy (HCM) with left ventricular systolic dysfunction (LVSD), defined as occurring when left ventricular ejection fraction is <50%. The prognosis of HCM-LVSD has reportedly been poor, but because of its relative rarity, the natural history remains .
poivre samarcandeEach scent from the Hermessence Collection by Hermès is an olfactory poem. Remembering the moment an oak tree was felled and then burnt in his garden, perfumer .
poivre samarcandeThe name Samarcande is an homage to the city through which spice caravans once passed on their way from East to West." - Jean-Claude Ellena, perfumer perfume by Hermès of .
In particular, a 1-cm increase in LV wall thickness or a 100-mL decrease in LV end-diastolic volume reduced the global systolic shortening required to maintain LVEF by 3.0 and 2.1 percentage points, respectively.
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