I can't even count how many Ashley's I have known, all I know is that it's a lot! I am good friends with at least three of them! 99% of Ashley's I've known were females, but I know a guy name this spelled Ashlee, and he's one of the three I am good friends with (and dated). I met Ashley G in Kindergarten.
Signs and symptoms. EFE is characterized by a thickening of the innermost lining of the heart chambers (the endocardium) due to an increase in the amount of supporting connective tissue and elastic fibres. It is an uncommon cause of unexplained heart failure in infants and children, and is one component of HEC syndrome.
The increased prevalence of PH in CPFE is probably explained by the coexistence of emphysema and fibrosis. Both cause destruction of the pulmonary vasculature bed and of the lung parenchyma. The destruction of the pulmonary vasculature reduces the total cross sectional area.