Eps 108: every now and then

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Brian Baker

Brian Baker

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Every so often things like that get cold sores every now and then throughout your life.1-3-5 Most patients are postmenopausal women, and they are usually suffering from a myovascular malfunction that is now recognized as common in cardiac failure, despite the preserved EF.6-9 The combination of myocardial diastolic dysfunction with myovascular disease reduces coronary perfusion.10 If you get myocardial microvascular ischemia on one or both papillary muscles, that may contribute or worsen your MR. Bottom right, now turbulent with continuous-wave Doppler, triangular form, suggesting a fast pressure-equilibrium.