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To cast one of your warlock spells of 1st level or higher, you must expend a spell slot. You regain all expended spell slots when you finish a short or long rest. For example, when you are 5th level, you have two 3rd-level spell slots. To cast the 1st-level spell thunderwave, you must spend one of those slots, and you cast it as a 3rd-level spell.
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When you have LVH, the muscle wall of the left ventricle becomes thick (hypertrophy) and enlarged. LVH can happen over time if you have certain health conditions that overwork the heart muscle, such as high blood pressure or aortic stenosis.
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