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An ejection fraction of 40% or lower may signal heart failure, a condition in which the weakened heart struggles to circulate blood throughout the body.
Bush expressed a romantic view of his work, once writing that "he who struggles with joy in his heart struggles the more keenly because of that joy". And his struggles bore great fruit.
A failing heart struggles to pump blood around the body, meaning even trivial tasks become exhausting.
The heart struggles to process the immediate flood of emotions.
The heart struggles to pump blood through them, and in a few years, it gives out.
And so, here I am, folded in a fog so thick my heart struggles for direction and looking for something so impossible it struggles for hope.
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Ahmed's s work has ranged from portraying the heart-rending struggles of women and children in war and politics, to documenting human rights abuses by police and occupying forces.
You could actually see his heart struggling to beat in his chest.
Mathis tempers the more operatic elements with tenderness and knowing glimpses into the human heart struggling to love.
What about the day when her mother, who has a bad heart, struggled to breathe until her lips tinged blue?
Mr Jordan brings Oscar to life as a reformed rogue with a short fuse and a big heart, struggling to extricate himself from the mistakes of his past.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com