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Because patients with known or CMR-based significant valvular abnormality other than MR were excluded, and echocardiographic data that was available in 67% of controls and 54% of MVP patients demonstrated right ventricular systolic pressures of 28 [2131] mmHg and 26 [1930] mmHg, respectively (data not shown), we speculate that tricuspid regurgitation or pulmonary hypertension do not explain these findings

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there is no confirmed national consensus around this