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Increased left ventricular stiffness isassociated with an increase in left ventricular diastolic pressure,a passive increase in left atrial and pulmonary venous pressure.There is an obligatory increase in pulmonary artery pressure,which may precipitate right ventricular failure. This effect of fenofibratewas also seen in the FIELD trial. Social realists can still ‘do business’ withpsychiatry, particularly if a bio-psycho-social model is deployed and investigated in a spirit of gen-uine interdisciplinary collaboration

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