Advanced disease may present with signs of right-sided heart failure such as parasternal heave, jugular venous distension, hepatomegaly, ascites and / or pulmonary hypertension, the latter often presenting with a loud P 2.
12.
A sole-source contract was awarded to Population Services International ( PSI ), which then signed an agreement with the BDG establishing the activity as a parasternal one, with a project council serving as the board of directors.
