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At higher programmed speeds, there is an increase in LV unloading (emptying), the native contribution to cardiac output is decreased, and the aortic valve may remain closed. Because the bulk of systemic blood flow is through the pump instead of out the aortic valve, aortic circulation and peripheral circulation are less pulsatile.
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An LV mass "index" is derived by dividing LV mass by factors that include body height and/or weight. The normal range of LV mass index can then be derived from a reference sample of individuals believed to be free of significant risk factors that could otherwise cause LVM enlargement.
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