let's turn to leona arthurna martirosyan leonardovna, which at first glance it is clear that the examination our patient has an atrium. the width of the valves do not work quite correctly, that is, insufficiency of the second degree in the tricuspid valve is parametric. uh, 0.1, somewhere, it turns out, hypertrophy also has a wall thickened somewhere in centimeters, and it turns out that the pressure in the pulmonary artery is increased. well, that is, all the signs that the heart is exhausted from pumping blood with a height of meter fifty, the weight should be 50 kg. and now she 's over 100. and it was that 40 almost 150, that is, in at the beginning of the heart, three people were served by the same thing, but now it’s clear to two that the heart already looks like it. let's just say there are defects and thick heart muscle, because it pumps and pumps and pumps, and she eats and eats and eats to lose weight, you know you belong to the group of people that we recommend surgical treatment, right? herman six because you have diabetes? of course there is, that is, everything is already there,