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Another factor is the way the two drugs work

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PAGln induces hypercontractility and altered Ca 2+ handling in cardiomyocytes The above physiological responses suggest that despite the lack of cardiac dysfunction as measured by echocardiography, there is a central effect of PAGln on the ability of the myocardium to contract and relax properly, manifesting as an elevation in LVEDP despite no change in afterload

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