Welcome. We have created this site primarily to share one of our special loves, our Japanese Garden. As you tour through our garden, we hope you will experience the peace and tranquility that exists there in real life.

Skip to main page content home • subscriptions • archives • feedback • authors • help • circulation journals home • aha journals home search: go advanced search user name password sign in â« previous article | table of contents | next article â» circulation. buy generic viagra 2008;118:s_878-s_879 (circulation. 2008;118:s_878-s_879. viagra next day delivery canada ) â© 2008 american heart association, inc. viagra triangle wikipedia Pulmonary hypertension abstract 4385: prevalence and prognostic significance of diastolic dysfunction in pulmonary hypertension james richardson ; srinivas murali ; diane vido ; carrie melagari ; indu poornima allegheny general hosp, pittsburgh, pa background: diastolic filling abnormalities have been described in patients with severe pulmonary hypertension (ph), but their clinical significance is unclear. Noninvasive estimation of left atrial pressure (lap) measured by the ratio of early mitral filling velocity (e) to early diastolic mitral annular velocity (e') is known to predict prognosis in patients with left ventricular (lv) systolic dysfunction. viagra without the prescription fast E/e' ratio > 15 carries an adverse prognosis in these patients. Cheap viagra online prescription The current study describes the prevalence and prognostic significance of the various stages of diastolic dysfunction in patients with ph and normal lv systolic function. Methods: 2d echocardiograms of 67 pts, ages 24 – 80 yrs with ph and lvef>50% were analyzed for the presence of diastolic dysfunction. Diastolic filling abnormalities were classified as impaired relaxation, pseudonormal or restrictive based on e/a, and e/e' ratios. where can i buy viagra online The e/e' ratio between the group with severe ph and the group with mild-moderate ph was compared. Outcome assessment included the need for hospitalization for decompensated heart failure. no prescription viagra online canada Results: 36 patients had severe ph (pap >=65mmhg), whereas 31 had mild-moderate ph (pap<65mm hg). viagra precisa receita 2011 Impaired relaxation was the most common diastolic pattern present in 25 patients (37%), whereas pseudonormal was present in 6 patients (9%), and restrictive pattern in 7 patients (10%). best generic viagra usa There was a trend toward lower e/e' in the severe ph group (8. cheap generic viagra 83+–3. Viagra cost europe 72 vs 11. 32+–6. no prescription viagra online canada 31; p=0. viagra canada info 06). cheap generic viagra When patients were categorized by e/e'>/<15, there were no differences in the frequency of hospitalization (8. Viagra canada no prescription online 3% vs. 14. genuine pfizer viagra 100mg 3%, p=0. http://nationalityinworldhistory.net/bsh-buying-viagra-on-line-on/ 1). no prescription viagra online canada Conclusions: impaired relaxation evidenced by lower early mitral filling velocity is the most prevalent diastolic abnormality in patients with ph. An inverse relationship exists between pa pressures and e/e' ratio, suggesting that lap decreases with increase in pa pressure possibly due to lower la filling and preload. generic prescription viagra E/e' ratio>15 did not predict adverse clinical outcome. These findings suggest that e/e' may not carry the same prognostic value in patients with ph and normal lv systolic function as those with lv systolic dysfunction. â« previous | next article â» tab. internet viagra sales cheap viagra fast shipping overnight

We gained much of our love for the Japanese Garden art form by spending many hours in the Portland Japanese Garden, considered to be one the most authentic Japanese gardens outside of Japan. We hope you will enjoy the link we have provided above to those gardens as well as some of our own photos of that very beautiful and serene place.


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Vine Maple after Autumn Rain


We will also use this site to post photos of some of our favorite places, photo galleries of various trips or vacations, and recent photographic endeavors.

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