[Verse 1] When conduits fail and pressures climb The heart sends signals through each line RV systolic hits the mark Two thirds systemic, dangerous spark Monitor closely, watch the signs Before the muscle starts declining [Chorus] Two thirds pressure, forty gradient, dilation's call Three thresholds guide us through it all RV dysfunction tells the tale When intervention cannot fail Cyanosis, syncope, exercise denied These markers cannot be ignored or pushed aside [Verse 2] Peak conduit gradient climbs too steep Forty to fifty, pressures leap With RV dilation hand in hand Or dysfunction taking its stand The ventricle struggles against the flow Time to act before more damage shows [Chorus] Two thirds pressure, forty gradient, dilation's call Three thresholds guide us through it all RV dysfunction tells the tale When intervention cannot fail Cyanosis, syncope, exercise denied These markers cannot be ignored or pushed aside [Bridge] Regurgitation floods back through Progressive dilation, chambers grew Clinical symptoms paint the scene Exercise tolerance wearing thin Truncus arteriosus type two Demands precision in all we do [Chorus] Two thirds pressure, forty gradient, dilation's call Three thresholds guide us through it all RV dysfunction tells the tale When intervention cannot fail Cyanosis, syncope, exercise denied These markers cannot be ignored or pushed aside [Outro] Three clear thresholds, crystal bright Guiding every surgeon's sight When the numbers cross the line Intervention's by design
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