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Double Kick: 30 30 100% Hits twice in one turn. 20 20 Flame Charge: 20 50 100% Inflicts regular damage. Raises the user's Speed by one stage. 25 25 Quick Attack: 30 40 100% 1: Inflicts regular damage with no additional effect. 17 17 17 17 17 Peck: 35 35
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Patients with signs and symptoms of MR with severely depressed systolic function (ie, EF <30%) can present a difficult diagnostic and management dilemma. It can be difficult to establish whether the primary problem is that of MR causing LV dilatation and dysfunction or a cardiomyopathic process leading to secondary (ie, “functional”) MR.
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