[Verse 1] When the right ventricle's pressure starts to climb Two thirds of systemic is the warning sign The heart is struggling, working way too hard Time for intervention, don't let down your guard [Chorus] Three thresholds to remember, watch them all with care Pressure climbing high, gradient's burden there Regurgitation flowing back, dilation everywhere Two thirds systemic pressure, forty to fifty beware When symptoms start appearing, it's time to prepare [Verse 2] Peak conduit gradient rising past the line Forty to fifty millimeters, that's the sign Right ventricle dilating, function's going down The pathway's getting narrow, restriction can be found [Chorus] Three thresholds to remember, watch them all with care Pressure climbing high, gradient's burden there Regurgitation flowing back, dilation everywhere Two thirds systemic pressure, forty to fifty beware When symptoms start appearing, it's time to prepare [Verse 3] Conduit regurgitation lets the blood flow back Progressive RV dilation puts the heart on track For failure and dysfunction, chambers growing wide The valve is leaking backward, nowhere left to hide [Bridge] Exercise intolerance tells the story clear Cyanosis paints them blue, syncope brings fear Clinical symptoms warning that the time has come When any threshold's crossed, the waiting days are done [Chorus] Three thresholds to remember, watch them all with care Pressure climbing high, gradient's burden there Regurgitation flowing back, dilation everywhere Two thirds systemic pressure, forty to fifty beware When symptoms start appearing, it's time to prepare [Outro] Truncus arteriosus, type two needs repair Watch these three thresholds, intervention's always there
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