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"Duty Roulette: Level 50/60/70 will put the player into a random level 50, level 60, or level 70 light party dungeon. As of patch 4.0, access to this Duty Roulette requires unlocking a minimum of 2 of the included dungeons. Players must also have an average item level of 45 or greater."
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SAM is most prominent in late systole as the LV empties and cavity size is decreased (SAM therefore is a dynamic obstruction i.e., gets worse throughout systole, as opposed to aortic stenosis which is a fixed obstruction)
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