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Chronic stress is a factor of how we perceive the events surrounding us. We can remain optimistic when confronted with challenges or a new situation. How we perceive situations is a choice.

This process is usually associated with a continuous decline in ejection fraction. Dilation manifests itself in an increase in total cardiac mass and cardiac diameter. Cardiomyocytes reach their maximum length of 150 m in the endocardium and 130 m in the epicardium by the addition of sarcomeres.[15] Due to the increase in diameter, the dilated heart appears spherical in shape, as opposed the elliptical shape of a healthy human heart.

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