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Left ventricular hypertrophy, or LVH, is a term for a heart’s left pumping chamber that has thickened and may not be pumping efficiently. Sometimes problems such as aortic stenosis or high blood pressure overwork the heart muscle. In response to this pressure overload, the inner walls of the heart may respond by getting thicker.
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If you wear the Instinct VS in 38.5 and it's your tight but tolerable fit, then you should get the Drago LV in the same size. Comfort wise, the Drago LV will be slightly less volume vs Drago in the toe, and very narrow at the heel. The Drago LV will have more volume in the toe vs Skwama (men), which I find very uncomfortable. Hope all this helps.
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