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In chronic severe MR, LV to LA flow begins when LV pressure exceeds LA pressure, hemodynamics that occur almost immediately at the onset of systole. Thus, the murmur of MR is holosystolic.
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The neuro-hormonal antagonists that have been demonstrated to reduce mortality and morbid-ity in HF (angiotensin-converting enzyme inhibitors [ACE], -blockers, angiotensin receptor blockers, and aldosterone antagonists) are .
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