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used rolex presidential 41mmQuantitative evaluation of regional left ventricular function using three-dimensional speckle tracking echocardiography in patients with and without heart disease.
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It does not always indicate that a person is developing heart failure, but it could indicate damage, perhaps from a previous heart attack. An ejection fraction measurement under 40 percent might be evidence of heart failure or cardiomyopathy. In severe cases, EF can be even lower than 40.
used rolex presidential 41mm