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Cardiovascular risk factors can advance atherosclerosis. Elevated sympathetic nerve activity affects the development of atrial fibrillation, and the renin-angiotensin-aldosterone system affects atrial and ventricular filling pressures as well as volume overload. In these processes, prolonged P-wave, reflecting atrial remodeling, and BNP, reflecting impaired ventricular function, indicates that atherosclerosis is developing. Prolonged P-wave in advanced ECG-LVH is a risk for the occurrence of cardiovascular events.
Partial pressure of oxygen adjusted indirect Fick method incorporates the effect of dissolved oxygen in vasoreactivity testing by inhaling oxygen in simple congenital heart diseases.