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10.1001/jama.2014.11011 JAMA 51 HoppeC.JacobE.StylesL.KuypersF.LarkinS.VichinskyE

21 Remarkably, even in HF-free patients with morbid obesity, cardiac abnormalities can be seen that are consistent with left ventricular (LV) remodelling and dysfunction, including greater LV mass, LV diastolic dysfunction and elevated LV filling pressure

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So you started to dig into the parts that dont go far enough