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In the study patients, a tricuspid regurgitation DPEP3 jet was sought from all available midprecordial and apical positions until a flow signal with the maximum spectral representation of the highest velocities was obtained. Peak velocity was recorded from a holosystolic regurgitant jet. From the maximum velocity (V) of the regurgitant jet, the systolic pressure gradient (P) between the right ventricle and the right atrium was calculated by modified Bernoulli equation (P = 4V2).13 Right atrial pressure was estimated by the response of the inferior vena cava diameter to inspiration. Right atrial pressure was assumed to be 5 mmHg if the inferior vena cava completely collapsed with inspiration, 10 mmHg if the inferior vena cava dia meter decreased Semagacestat price >50% during inspiration, and 15 mmHg if it decreased 2.5 cm and reduced by or peak systolic pulmonary arterial pressure in the absence of right ventricular outflow tract obstruction. PAH was defined as PASP >35 mmHg.15 In cases with an absence of tricuspid regurgitation, at the end of the diastolic pulmonic regurgitant the velocity was calculated using the pressure gradient between the pulmonary artery and right ventricular end diastolic pressure: pulmonary artery pressure =4 (VPR)2 + right atrial pressure. Statistical analysis The baseline characteristics were compared using exact probability tests for categorical variables; Student��s t-test or Wilcoxon rank-sum test was used to compare the mean difference of continuous variables. Propensity score adjustment was used to control confounding by ASA indication and contraindication. Propensity scores for prescribing ASA versus no ASA were calculated from a logistic regression model that estimated the likelihood of prescribing ASA based on the observed patient characteristics. Gaussian and an exponential risk regression were carried out. Univariable and multivariable regression analyses were used to evaluate the effects of ASA. Data are presented by frequency, percentage, mean, standard deviation (SD), beta coefficient, 95% confidence interval [CI], and P-value. All statistical analyses were c-Met phosphorylation two-tailed. A P-value of

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