Higher-resolution still images also are recorded, which allow precise measurements. By measuring the distance between the walls of parts of the heart, at various stages of heartbeat, the pumping efficiency can be calculated; the main such measurement is the left ventricular ejection fraction. This is especially useful for diagnosing heart failure, or a condition where the pumping efficiency is decreased. That may be treated with things including drugs, pacemakers, devices inserted through catheters, and surgery. Over the years, I’ve developing worsening congestive heart failure, effectively treated with echocardiography giving Superman-style X-ray vision, or the equivalent, to the cardiologist.About a year ago, my heart failure worsened, and was treated in a community intensive care unit. Part of the problem was that my aortic valve, through which pumped blood enters the circulation through the aorta, the largest artery in the body, was failing. I was too sick to tolerate open-heart. ’ ‘What do you intend to do with me’ spoke Ingemar through thick parched lips. ‘Sell you to the highest bidder at the next auction.’ ‘What is it about men that makes them want to emulate the worst in people they meet.’ A spasm of pain flashed across Ulf’s face to be quickly replaced by a look of feral anger. ‘What would you know of evil. They did not kill your wife.’ Pain crossed Ingemar’s face at Ulf’s cruel gibe. ‘Yes perhaps,’ he said ‘but what they did to her was far worse.’ ‘How say you, from our vantage she seemed to spit herself happily enough on the spears of her captors. I almost wished I was there with them.’ If Ingemar had not been tied he could have dispatched Ulf with his bare hands. That they had watched Alexia’s humiliation was bad enough but to debase her character was unpardonable. As it was, he was powerless to do anything and Ulf turned away from him and spoke to Gareth. ‘Look Gareth there is a place we might stop for the night.’ He pointed to a small copse of.
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