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 +0  (nbme21#5)

This is a very cool concept explained in the Rapid Review pathology book, page 257.

Left-sided to right-sided heart shunts results in volume overload in the right side of the heart, which increases LV volume (preload) due to more blood returning from the right heart to the left heart. An increase in LV preload is equal more cardiac output and more work for the heart. Later in life that will lead to an eccentric type of LVH with decrease cardiac output, pulmonary hypertension and a concentric RVH due to high afterload that the right heart has to pump against.

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