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I also agree to waive any equitable remedies against Company for its use of the Work. I am over the age of 18. I have read Gray Television Group, Inc. While the exact frequency of the condition is unknown, it is estimated that about 1,000 new cases occur a year in the United States.[3][2] Females are more often affected than males.[2] Onset is typically between 20 and 60 years of age.[3] It was first identified by Ernst von Romberg in 1891.[8][1]Other typical signs of pulmonary hypertension include an accentuated pulmonary component of the second heart sound, a right ventricular third heart sound, and parasternal heave indicating a hypertrophied right atrium. Signs of systemic congestion resulting from right sided heart failure include jugular venous distension, ascites, and hepatojugular reflux.[10][11][14] Evidence of tricuspid insufficiency and pulmonic regurgitation is also sought and, if present, is consistent with the presence of pulmonary hypertension.[10][11][15]Pulmonary hypertension is a pathophysiologic condition with many possible causes. Indeed, this condition frequently accompanies severe heart or lung conditions.[10] A 1973 World Health Organization meeting was the first attempted to classify pulmonary hypertension by its cause, and a distinction was made between primary PH (resulting from a disease of the pulmonary arteries) and secondary PH (resulting secondary to other, non vascular causes).

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