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Then I took him up and carried him to the bazaar and set him up against the wall in such a place near such a lane; adding, Is it not enough for me to have killed a Moslem without also killing a Christian? So hang none other but me. God also, however, forgave their sin as soon as they had shown penitence, and thus set an example to man likewise to grant forgiveness when captura de tela download free is requested. Yr wyf yn cofio ei bod yn wylo am ei bod yn gorfod rhoddi i ni ymborth mor wael.

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  • xrg
  • hr
    В Modality (device)В ParameterВ AdvantagesВ DisadvantagesВ 
    Regional stiffnessВ DopplerВ cfPWVaВ 
    • Inexpensive, portable

    • Can assess other cardiac and arterial features, e.g. LV hypertrophy, strain

    • Does not require a specific device

    • Faster than applanation tonometry

    • Identification of anatomical landmarks aids repeatability of measurement position

    • Can detect occlusive/atherosclerotic lesions that may affect PWV

    В 
    • Operator-dependent skill

    • Sites of measurement limited by acoustic window

    • Lacks versatility for anatomical variations

    • Method of distance measurement overestimates distance

    • Calculation of cfPWV includes iliac and femoral arteries and excludes ascending aorta

    In addition:
    • Transit time is determined through visual assessment using digital calipers, limited by temporal resolution

    В 
    Mechano- transducer (Complior)В cfPWVВ 
    • Similar to Doppler

    In addition:
    • Automated device

    • Simultaneous measurements

    В 
    • Similar to Doppler

    In addition:
    • Variations in transit time algorithms used

    • Underestimates PWV compared with applanation tonometry

    • Cannot provide local wall assessment, where aortic condition may vary

    В 
    Applanation tonometry (SpyghmoCor)В cfPWVВ 
    • Inexpensive, portable

    В 
    • Similar to Doppler

    In addition:
    • Two consecutive recordings needed, heart rate variability may cause confounding

    • Local wall assessment not possible

    В 
    Local stiffnessВ CMRВ aPWV and ADВ 
    • Local and regional assessment of aorta possible

    • Relatively operator independent

    • Full visualization of the entire vessel

    • Imaging planes can be precisely placed with good repeatability

    • Greater spatial and temporal resolution (especially 3Tesla CMR) to study the temporal shift over smaller distances

    • Measurement not affected by anatomical variations, peripheral vascular disease or problems with using probes to detect waveforms

    • Other aspects of cardiac and arterial function can be assessed, e.g. strain and deformation

    В 
    • Focal measurement may be prone to sampling error

    • Image analysis can be time-consuming and user dependent

    • Expensive

    • Longer examination time than other methods

    • Not possible with patients with metal implants, or with claustrophobia

    • PP is usually determined non-invasively and peripherally as it is more feasible than invasive measurement

    В 
    hr 1hr 3

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