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November 11, 2010
AboveNet Expands High Bandwidth Services Portfolio in London
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November 8, 2010
AboveNet Connects with CENX to Expand High Bandwidth Network
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September 20, 2010
AboveNet Expands to key European Markets
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June 16, 2010
AboveNet's secure fibre network connects to London's Telehouse West data centre
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June 7, 2010
AboveNet Expands Metro Portfolio with Launch of Core Wave Services
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A systematic review by the Rational Clinical Examination addresses diagnosis with the history and physical examination.[2] Since publication of the systematic review, a clinical prediction rule may help detecting moderate to oakley jupiter squared white polarized severe aortic valve stenosis (defined as a valve area of 1.2 cm2or less, or a peak instantaneous gradient of 25 mm Hg or greater):[3]reduced intensity of the second heart soundAccording to joint clinical practice guidelines by the American College of Cardiology and the American Heart Association, echocardiography should be obtained when:[5]Systolic heart murmur that is grade 3/6 or greaterSingle S2 heart soundSymptoms that might be due to aortic valve stenosisIt is not clear why the guidelines did not include radiation of the murmur to the right neck and the presence of an abnormal carotid pulse among the indications for echocardiography as the value of these signs have been previously shown in a systematic review.[2]Grading the degree of stenosisAccording to joint clinical practice guidelines by the American College of Cardiology and the American Heart Association:[5]"Mild (area 1.5 cm2, mean gradient less than 25 mm Hg, or jet velocity less than 3.0 m per second)""Moderate (area 1.0 to 1.5 cm2, mean gradient 25 40 mm Hg, or jet velocity 3.0 4.0 m per second)""Severe (area less than 1.0 cm2, mean gradient greater than 40 mm Hg or jet velocity greater than 4.0 m per second)"Joint clinical practice guidelines by the American College of Cardiology and the American Heart Association address treatment[5]According to the ACC/AHA guidelines:[5]Class I recommendationsAortic valve replacement "AVR is indicated for symptomatic patients with severe AS.""AVR is indicated for patients with severe AS undergoing coronary artery bypass graft surgery (CABG).""AVR is indicated for patients with severe AS undergoing surgery on the aorta or other oakley jupiter squared woodgrain lens tungsten iridium polarized heart valves.""AVR is recommended for patients with severe AS and LV systolic dysfunction (ejection fraction less than 0.50). ".

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