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Hypertensive HF primarily manifests as diastolic dysfunction, followed by concentric or eccentric LV hypertrophy. Diastolic dysfunction increases the LV filling pressure and left atrial (LA) volume, which, in turn, increase the pulmonary artery pressure . The pathway from LV hypertrophy to overt HF is complex and unclear.
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Then, evolve Nincada into Ninjask by raising it to level 20. You'll find a Shedinja added to your party in addition to the Ninjask once it has evolved. The Shedinja will also be at level 20 and will know the same moves that Nincada knew when it evolved. That's all it takes!
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