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Cardiomegaly revealed by chest roentgenography and right ventricular hypertrophy seen on ECG and echocardiography are related to the indirect effects of rapid development of severe aortic obstruction.

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Hemodynamic derangements in septic patients, such as arteriovenous shunting, cutaneous arteriolar dilation and decreased vascular resistance can alter pulsatility and venous blood flow and therefore theoretically affect pulse oximeter accuracy.

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