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Establishing a diagnosis requires an endomyocardial biopsy (EMB), although EMB has imperfect sensitivity for GCM

Measurement of flow velocity across a stenosis can be used to estimate trans-stenotic pressure gradients analogous to echocardiographic spectral doppler however gradients may be underestimated due to decreased temporal resolution of CMR imaging (peak velocity through region of interest can be missed) or imaging plane not being at the vena contracta (a higher velocity may be obtained at a higher or lower imaging plane)

Ensure you are feeling well and have no current symptoms of illness

Travel, schedule changes, and medical procedures are common reasons for missed doses

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When to Seek Medical Advice While headaches are often manageable, there are times when medical attention is important: Headaches that become severe or chronic