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Figure 5 Transmitral flow velocity patterns (top) and MVG curves (bottom) obtained before and after volume reducing therapy in a representative case of hypertensive heart disease presenting congestive heart failure at the initial examination. E and E/A conspicuously decreased and DcT increased, thereby transmitral flow velocity pattern changing from a near normal pattern to an abnormal relaxation pattern. In contrast, peak negative MVG was apparently improved by the therapy.





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