%PDF-1.4 % 1 0 obj << /Type /Catalog /Version /1.4 /Pages 2 0 R /Metadata 3 0 R /StructTreeRoot 4 0 R /MarkInfo 5 0 R /Lang (en) /ViewerPreferences 6 0 R /Outlines 7 0 R /OutputIntents [8 0 R] >> endobj 9 0 obj << /Title (Mitral Valve Prolapse Fact Sheet_ENG) /Creator (Canva) /Producer (Canva) /CreationDate (D:20260629184058+00'00') /ModDate (D:20260629184058+00'00') /Keywords (DAHN-MGRX-E,BAF49JLMFxo,0) /Author (Michael.Clark@heart.org) /Trapped /False >> endobj 2 0 obj << /Type /Pages /Kids [10 0 R] /Count 1 >> endobj 3 0 obj << /Length 3127 /Type /Metadata /Subtype /XML >> stream Mitral Valve Prolapse Fact Sheet_ENG Mitral Valve Prolapse Fact Sheet_ENG Michael.Clark@heart.org endstream endobj 4 0 obj << /Type /StructTreeRoot /K [11 0 R] /ParentTree 12 0 R /ParentTreeNextKey 1 /IDTree 13 0 R >> endobj 5 0 obj << /Marked true >> endobj 6 0 obj << /Type /ViewerPreferences /DisplayDocTitle true >> endobj 7 0 obj << /Type /Outlines /First 14 0 R /Last 14 0 R /Count 1 >> endobj 8 0 obj << /Info (sRGB IEC61966-2.1) /OutputCondition (sRGB) /OutputConditionIdentifier (IEC 61966-2-1:1999) /RegistryName (http://www.color.org) /DestOutputProfile 15 0 R >> endobj 10 0 obj << /Type /Page /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 16 0 R /Pattern 17 0 R /XObject << /X4 18 0 R /X5 19 0 R /X6 20 0 R /X7 21 0 R /X8 22 0 R /X9 23 0 R /X10 24 0 R /X11 25 0 R /X12 26 0 R /X13 27 0 R /X14 28 0 R /X15 29 0 R /X16 30 0 R /X17 31 0 R /X18 32 0 R /X19 33 0 R /X20 34 0 R /X21 35 0 R /X22 36 0 R /X24 37 0 R /X25 38 0 R /X26 39 0 R /X27 40 0 R /X28 41 0 R /X29 42 0 R /X30 43 0 R /X31 44 0 R /X32 45 0 R /X33 46 0 R /X34 47 0 R /X35 48 0 R /X36 49 0 R /X37 50 0 R /X38 51 0 R /X39 52 0 R /X40 53 0 R /X48 54 0 R >> /Font 55 0 R >> /MediaBox [0.0 7.9200063 612.0 799.92] /Contents 56 0 R /StructParents 0 /Tabs /S /Parent 2 0 R /BleedBox [0.0 7.9200063 612.0 799.92] /TrimBox [0.0 7.9200063 612.0 799.92] /CropBox [0.0 7.9200063 612.0 799.92] /Rotate 0 /Annots [] >> endobj 11 0 obj << /Type /StructElem /S /Document /P 4 0 R /K [57 0 R] >> endobj 12 0 obj << /Limits [0 0] /Nums [0 [58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R 91 0 R 92 0 R 93 0 R 94 0 R 95 0 R 96 0 R 97 0 R 98 0 R 99 0 R 100 0 R 101 0 R 102 0 R 103 0 R 104 0 R 105 0 R 106 0 R 107 0 R 108 0 R 109 0 R 110 0 R 111 0 R 112 0 R 113 0 R 114 0 R 115 0 R 116 0 R 117 0 R 118 0 R 119 0 R 120 0 R 121 0 R 122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R 129 0 R 130 0 R 131 0 R 132 0 R 133 0 R 134 0 R] ] >> endobj 13 0 obj << /Names [] >> endobj 14 0 obj << /Title (Mitral Valve Prolapse) /Dest [10 0 R /Fit] /Parent 7 0 R /First 135 0 R /Last 136 0 R /Count -5 >> endobj 15 0 obj << /Length 3048 /N 3 >> stream mntrRGB XYZ $acsp-)=ޯUxBʃ9 descDybXYZbTRC dmdd gXYZ hgTRC lumi |meas $bkpt rXYZ rTRC tech vued wtpt pcprt 7chad ,descsRGB IEC61966-2-1 black scaledXYZ $curv #(-27;@EJOTY^chmrw| %+28>ELRY`gnu| &/8AKT]gqz !-8COZfr~ -;HUcq~ +:IXgw'7HYj{+=Oat 2FZn  % : O d y  ' = T j " 9 Q i  * C \ u & @ Z t .Id %A^z &Ca~1Om&Ed#Cc'Ij4Vx&IlAe@e Ek*Qw;c*R{Gp@j>i  A l !!H!u!!!"'"U"""# #8#f###$$M$|$$% %8%h%%%&'&W&&&''I'z''( (?(q(())8)k))**5*h**++6+i++,,9,n,,- -A-v--..L.../$/Z///050l0011J1112*2c223 3F3334+4e4455M555676r667$7`7788P8899B999:6:t::;-;k;;<' >`>>?!?a??@#@d@@A)AjAAB0BrBBC:C}CDDGDDEEUEEF"FgFFG5G{GHHKHHIIcIIJ7J}JK KSKKL*LrLMMJMMN%NnNOOIOOP'PqPQQPQQR1R|RSS_SSTBTTU(UuUVV\VVWDWWX/X}XYYiYZZVZZ[E[[\5\\]']x]^^l^__a_``W``aOaabIbbcCccd@dde=eef=ffg=ggh?hhiCiijHjjkOkklWlmm`mnnknooxop+ppq:qqrKrss]sttptu(uuv>vvwVwxxnxy*yyzFz{{c{|!||}A}~~b~#G k͂0WGrׇ;iΉ3dʋ0cʍ1fΏ6n֑?zM _ɖ4 uL$h՛BdҞ@iءG&vVǥ8nRĩ7u\ЭD-u`ֲK³8%yhYѹJº;.! zpg_XQKFAǿ=ȼ:ɹ8ʷ6˶5̵5͵6ζ7ϸ9к<Ѿ?DINU\dlvۀ܊ݖޢ)߯6DScs 2F[p(@Xr4Pm8Ww)Kmdesc.IEC 61966-2-1 Default RGB Colour Space - sRGBXYZ bXYZ PmeasXYZ 3XYZ o8sig CRT desc-Reference Viewing Condition in IEC 61966-2-1XYZ -textCopyright International Color Consortium, 2009sf32 D&u endstream endobj 16 0 obj << /G3 137 0 R /gs2 138 0 R >> endobj 17 0 obj << /P42 139 0 R >> endobj 18 0 obj << /Length 110 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 140 0 R >> /BBox [0 0 21 82] /Group 141 0 R /Filter /FlateDecode >> stream xm1@EaeR•XXؼ=!݋FTlV: iDvzd~yĺ ͹^uƂc78b endstream endobj 19 0 obj << /Length 107 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 142 0 R >> /BBox [0 0 21 82] /Group 143 0 R /Filter /FlateDecode >> stream xm1@ }ž\vJ@~P@)RpIE3L3;$YW,*D#E]7}@Qfh]hQ_X1Z\Ea endstream endobj 20 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 144 0 R >> /BBox [0 0 51 23] /Group 145 0 R /Filter /FlateDecode >> stream xm10}žr>aڈP+@U<"Q4>T8?aqP'ݘXn4󨪌ڳݱ4`b endstream endobj 21 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 146 0 R >> /BBox [0 0 20 68] /Group 147 0 R /Filter /FlateDecode >> stream xm1@ }ž9>JP#@i'D35PQ1+FQ}˺X//Vtcжr7yfvÂ3NӀ7R endstream endobj 22 0 obj << /Length 110 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 148 0 R >> /BBox [0 0 21 68] /Group 149 0 R /Filter /FlateDecode >> stream x+307375032T0P0P@ꙚX)ZZ($r[(Y w,E\ \E%i% N\ KL,̍RҸ\} endstream endobj 23 0 obj << /Length 110 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 150 0 R >> /BBox [0 0 28 71] /Group 151 0 R /Filter /FlateDecode >> stream x+34054242R0P0P@YZ+)$r[(Y w,E\ \E%i% N\ KLRҸ\}s endstream endobj 24 0 obj << /Length 110 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 152 0 R >> /BBox [0 0 28 71] /Group 153 0 R /Filter /FlateDecode >> stream x+34054242R0P0P@YX*)$r[(Y w,E\ \E%i% N\ KLRҸ\}w endstream endobj 25 0 obj << /Length 110 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 154 0 R >> /BBox [0 0 38 24] /Group 155 0 R /Filter /FlateDecode >> stream x+3407T0P0P@YZ)Z*$r[(Y w,E\ \E%i% N\ KL MLRҸ\} ) endstream endobj 26 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 156 0 R >> /BBox [0 0 38 24] /Group 157 0 R /Filter /FlateDecode >> stream xm1PwweR d7D#kJJf(,k.bPmGu)s}iwԉZ+nN>1 endstream endobj 27 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 158 0 R >> /BBox [0 0 32 24] /Group 159 0 R /Filter /FlateDecode >> stream xm1@E9?3;,%CE70D+ y{DSG2~Ts9A{[mq( O?Ҍ#M_w\As>e\A~a endstream endobj 28 0 obj << /Length 110 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 160 0 R >> /BBox [0 0 32 24] /Group 161 0 R /Filter /FlateDecode >> stream x+34220U0P0P@X[*X)$r[(Y w,E\ \E%i% N\ KLRҸ\}9 endstream endobj 29 0 obj << /Length 110 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 162 0 R >> /BBox [0 0 10 21] /Group 163 0 R /Filter /FlateDecode >> stream x+306304476W0P0P@XZ[**$r[(Y w,E\ \E%i% N\ KLLMMRҸ\}{ endstream endobj 30 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 164 0 R >> /BBox [0 0 10 21] /Group 165 0 R /Filter /FlateDecode >> stream x+3064T0P0P@,Ľ􌍍 Ls-L,`d;t.}wcb.}Ǣ̴'_g.Ff f E\i\\\WA endstream endobj 31 0 obj << /Length 110 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 166 0 R >> /BBox [0 0 14 39] /Group 167 0 R /Filter /FlateDecode >> stream x+305052054V0P0P@X+ZXZ($r[(Y w,E\ \E%i% N\ KLMRҸ\}tH endstream endobj 32 0 obj << /Length 110 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 168 0 R >> /BBox [0 0 13 39] /Group 169 0 R /Filter /FlateDecode >> stream x+3050563T0P0P@ M L  - , -s-L,`d;t.}wcb.}Ǣ̴'_g.%Ff F E\i\\\c= endstream endobj 33 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 170 0 R >> /BBox [0 0 20 33] /Group 171 0 R /Filter /FlateDecode >> stream x+3071207U0P0P@, - - , -s-L,`d;t.}wcb.}Ǣ̴'_g.Ff &F E\i\\\L endstream endobj 34 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 172 0 R >> /BBox [0 0 20 33] /Group 173 0 R /Filter /FlateDecode >> stream x+3071207U0P0P@,MM-̌ - , -s-L,`d;t.}wcb.}Ǣ̴'_g.Ff &F E\i\\\O endstream endobj 35 0 obj << /Length 111 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 174 0 R >> /BBox [0 0 45 8] /Group 175 0 R /Filter /FlateDecode >> stream x+302151520R0P0P@YXXZ*YZXZ($r[(Y w,E\ \E%i% N\ K -LRҸ\}6 endstream endobj 36 0 obj << /Length 111 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 176 0 R >> /BBox [0 0 45 8] /Group 177 0 R /Filter /FlateDecode >> stream x+3021514T0P0P@YX+YZXZ($r[(Y w,E\ \E%i% N\ K -LRҸ\}P endstream endobj 37 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 178 0 R >> /BBox [0 0 157 69] /Group 179 0 R /Filter /FlateDecode >> stream xm1@wwJ%Bo` call&iSGğÝ9?ahi }yĺ3 ͱ6oޱ4 XT endstream endobj 38 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 180 0 R >> /BBox [0 0 192 82] /Group 181 0 R /Filter /FlateDecode >> stream x+364004T0P0P@̍, L--L, s-L,`d;t.}wcb.}Ǣ̴'_g.f Ff E\i\\\I endstream endobj 39 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 182 0 R >> /BBox [0 0 220 97] /Group 183 0 R /Filter /FlateDecode >> stream x+36725145R0P0P@̍-,L L-s-L,`d;t.}wcb.}Ǣ̴'_g. Ff E\i\\\L endstream endobj 40 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 184 0 R >> /BBox [0 0 75 35] /Group 185 0 R /Filter /FlateDecode >> stream x+346042U0P0PsLM- LM ,s-L,`d;t.}wcb.}Ǣ̴'_g. Ff E\i\\\ . endstream endobj 41 0 obj << /Length 108 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 186 0 R >> /BBox [0 0 41 82] /Group 187 0 R /Filter /FlateDecode >> stream x+34514034U0P0P@YX*($r[(Y w,E\ \E%i% N\ +LLLRҸ\}L7 endstream endobj 42 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 188 0 R >> /BBox [0 0 67 70] /Group 189 0 R /Filter /FlateDecode >> stream xm1Pwwe_R"0664XNg={҅hkp ִ5Z1eA5$.;k99ey0f endstream endobj 43 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 190 0 R >> /BBox [0 0 116 64] /Group 191 0 R /Filter /FlateDecode >> stream x+3215033W0P0P@L,,,̍ ,,-s-L,`d;t.}wcb.}Ǣ̴'_g.&f Ff E\i\\\[_ endstream endobj 44 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 192 0 R >> /BBox [0 0 13 20] /Group 193 0 R /Filter /FlateDecode >> stream xm1@ {b_`|sKPDEA~!@)Rp("iX%O9,iY]D&E5aP>s.D/z endstream endobj 45 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 194 0 R >> /BBox [0 0 10 35] /Group 195 0 R /Filter /FlateDecode >> stream xm=P uW 1TzCPP!&64JR!_bdwO b)cfp.;k=9 3=N endstream endobj 46 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 196 0 R >> /BBox [0 0 29 91] /Group 197 0 R /Filter /FlateDecode >> stream x+3444001Q0P0P@YY*YYX*$r[(Y w,E\ \E%i% N\ ;L,LRҸ\}a endstream endobj 47 0 obj << /Length 111 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 198 0 R >> /BBox [0 0 12 42] /Group 199 0 R /Filter /FlateDecode >> stream x+3012406W0P0P@*ZZX($r[(Y w,E\ \E%i% N\ [L,M-RҸ\}P endstream endobj 48 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 200 0 R >> /BBox [0 0 13 44] /Group 201 0 R /Filter /FlateDecode >> stream x+3015460T0P0P@[*[YY($r[(Y w,E\ \E%i% N\ ;L,MRҸ\}n endstream endobj 49 0 obj << /Length 109 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 202 0 R >> /BBox [0 0 24 12] /Group 203 0 R /Filter /FlateDecode >> stream x+3014736S0P0P@ꙙYX*[XY*$r[(Y w,E\ \E%i% N\ ;LM,LRҸ\}w= endstream endobj 50 0 obj << /Length 111 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 204 0 R >> /BBox [0 0 23 13] /Group 205 0 R /Filter /FlateDecode >> stream x+30171337T0P0P@Y*虚X*$r[(Y w,E\ \E%i% N\ [ĽLRҸ\}}F endstream endobj 51 0 obj << /Length 107 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 206 0 R >> /BBox [0 0 39 14] /Group 207 0 R /Filter /FlateDecode >> stream x+305040T0P0P@Z*YXY+$r[(Y w,E\ \E%i% N\ M-LRҸ\}4} endstream endobj 52 0 obj << /Length 110 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 208 0 R >> /BBox [0 0 28 22] /Group 209 0 R /Filter /FlateDecode >> stream x+3003050W0P0P@*虛YZ)$r[(Y w,E\ \E%i% N\ KMLRҸ\} endstream endobj 53 0 obj << /Length 110 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 210 0 R >> /BBox [0 0 2333 99] /Group 211 0 R /Filter /FlateDecode >> stream xm1@`R"…XP_ 921_RR-7$TVl+Ѹnm-ye[`>9 nNS endstream endobj 54 0 obj << /Length 106 /Type /XObject /Subtype /Form /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /ExtGState 212 0 R >> /BBox [0 0 2550 122] /Group 213 0 R /Filter /FlateDecode >> stream xm;0E`x?%A"AERPSޙ$RLcCj%h f4'^/>wk'3 endstream endobj 55 0 obj << /F23 214 0 R /F41 215 0 R /F43 216 0 R /F44 217 0 R /F45 218 0 R /F46 219 0 R /F47 220 0 R >> endobj 56 0 obj << /Length 83515 /Filter /FlateDecode >> stream xĽ[mq߾_&0 vHc'mHQ(HZkq YHr1 ˿n1?|/OۿBX H}o߿ ߭?O_]zPs|ֿ:OJҼ5){WcySM]<.^J메^o#@?RK/bR kYw{x೿\His~Zͽǜk~ȵ?}]z~qWuiS'<: ^5j/Tq7y~mn/}}.mTIl.U]jc ]<}ͽ]dc7b");%ޣ 7ɵ<|J֔[1/?ιoKƔ^L.(F/~%'Uyz 8\ofP],^ REjn7GG|1p\c~\e j@%KhJ5|7bO?:6;L1*lb)rs*f~:<&>WU낼~ȹt=4fT+}?|@!15h1rk=8!(Wc|8PJ(e%_}VB*>&;4{'W ܫKы˦#.5 ;VPK@zDu>4Kz~Uq\\oy܈Z1c>Wkŕ&M7 ť}ƞZɉk }#/̭U:d˚?eSݍj:P۪M۱h>ɈVݹf:Ĵͱ炰Ċ<\+m!ÕG0\{p_ jm[Znxnķ!a p<JmP m;O&3.`ZFE H$&Ǡ;&zR_Tޘ\~`?D8J5L!&S2Q1h\dx{FLF)j6^}*zMaϿ߰.O7qvѲmxL%$\pa5.M㋏[Yt+l7WkTb!jnnds4" ȱvj.tܘFzZN ѯ: ې%!pve7Y|+xe E.YG2=dW?h,O*뉷-FZNGa܍[md|s0޵nIMͭ&⇌.'^.V1Xʇ -.5hͥcr{:o SwuTEd]JB.#;d9ۗ} Dn8wV&i[|2e7wrR`si$.e.@fi/P|~st>Gsest g)+9I=R>p0ƠLSVven϶R۶d4/m|uCN lrn]7dEPߜAt9R7*ÏR3Oru-\]UZA2եxiP:O ޮCC8ϮrIonԊ瓽. ҅6yU U``(+a^]X8/}^!x/\R.Dy.&[ܵT_9ʇ#Yʗpvȍϩ4{~چ"q]dJscTA[ihu40gp~NfWvcڪ˶d0CtbMoRn=7}dҢT(cPѕZo% tob #_]~{žBfhSWQ1ɍG-֚& 7Soئf֒Kiް!"~\'tf5\ ,}Vi|29e7wlR`r $..,X|tGpOyG"?Q 7F85'Q'ްP}5%sp*焚1&GBˣ5+!fe\͚ َ%']@޵nIMέ릑̺(| sg3QI===ދblzpU^ [; n=8r2=7`zp 0ɵ.ȍM#< E OzM<ßAha_\mpR{ g?[MZ#wc"g7zOd Y)S8!xve7Y}+x-y>ͬo|đ+]'3颐*f}0rp-Wj ǧTesxC-,)sI_}:p﮷m d˒͡n vU7Q}w3x>̴oٸ삑ն5D2"ď*<9jF]Jʲy=<%LJNt/6:oFN<ز@5h"f"'¦STvy? ^$KOF.Z&uHf]T MO"rp f.-}"ѷ~4]ۨn+(fcTRjZyT%c[pВSڕ`jVfh|2yp]ܪ*dEDGrr^K&7׈A#Pn!1z/Cyk(rnݻ=uQ2.]ҹvy]xڥXţxy `hRyaD oFٸ=J|ߏ&['3T48nN{D4A`bf'Rxa**]U!q&c+Jm>Ѣعsj$H&d@-r >1\\+<!J8B_+oK.륍p;69iCwexA[i2@z0QԾ+/01p+bv4l5m|6V4`5h՘le| !#6AΚ)}$^JLkُ@G%Bt^!-Tpk6BHfVQ۪)]«Iٸ ܺ(aǦ#F˔s$DE*ojپQetҳWȯU 8@ \n#5h=37<lnT,Bs"!ۈ=Hq:aD8g 696-݄ۆlˢClLY(0E/jx^F(yQG6A DZ(f i!}CΕ SRB ٬|Wfv+JŗMGOLy`X|Od֖~.pACA?A t]LA.§%!F^B}egIo.Q=C,w?ɘ٭֌99'}pۈ-]42šϳ泧  <үR*@Ձ7qڑ &"c3%K.@pZ^e*|ixWmt88"_a`vU4USSf12b@o?W&M(e.' 5@ ldW{Jy 4;4Pl$:XYQ@~dn߻1F*v@۪))_ve6n'֛/*Szj*6%bLlE&mGUAY%"NV7R\.a$nTY-͂fA{L}!”fM'B ٮݍ3[Qbn|􉍖)55/0y^]`*5Xf ifYЦ & ;priQ("ثfY%c&wڑEvDo:ʺvBntȐ 8%MGLh XS"؄Λ\63iXJ9!9+n9krxY}܀T$U6ZȊMd8#[%#'R8qq;6=.q2TrZlHM-wu# SݹqnUCS`2*yY >yeXݨȨa6lQqj6PŖ#)P`!=K:~dvn؊qۦ#Klj$0y^]@D 2LAb=uC BʼnJ#r/ePSvj:] j,~xӴG6^ J7OҮt7Koo%'l|I*䬀C*l֡zR_\\%Tޑ\fIGx2g+Xn2ʑ'Te{Ga"!4.-]ŷ;5M Ԏ_mna[1%'Tڌv'ylѢv<\X)ߒ.=ļxo.Uuww$C3\c%׻Tr닭\d" Cz3µ 04ZA2ڪv<SrBh`sJ iQJޣ)kLO L_d^w,$Lyǖ:bf ,Hi vjB@ C1/wN`f MѶd41e$worFkR=W%wK<º!L#Rܬ ڈƆ:i{YH^f-ndwǛ)*ZљUgf`=jn\1%! l$Rg"`pzF _ZCT9ٙٳMИ-Ą|p`Ulƻ8#YIqjBmjWmxލe7*9OJ(9IvES?'CwF\U#[NJ~؆>~{x`a}f ѝfw|a2s6k>KA~%' );4NY%tU٬C)zU9%r `Ȍm^D|^F0zs]cC(M,7Ja2s6ky;Ւцzǔ@RrK$tS:TK:h]8Daeb QP3y̓mUЈtZhYA77\nsCIl-¹ PU({Իs7o;w TNWZHIN}ͿŨ" M 9B E6HB4Y/;bvk7S rcU(5jn[ !թ`sJ iQJ ,s`' phG$(X%d9d) !mpaX[p|EYڬ]$Ʋd}cNJ7VuHV]DO 0J|H\ pb"="dutAVġ" u̇R|H +py~ie6ȫDZ|2HS넜PrHW:TO$~M= \ڬAXAV:Ag,e\x_" n^d^.o}3լMc`l*q6jx 6+29OZs/M 1d< u|D4."<^ ?DxR]4y yĞ| h1S]p1YV&h[|2iHS*0!]F6P=/2(xK0Õح" IARrMbnT^7ak!Cd͔)T#4+As5k Q<6/xLQA MT= MpEպpe^,M[<ǁY) rἻyIV̒g{fuq )hU6ʘzĎlVdLI@H pJ iQJ+\gP۬c0 ;UqB\xtZ,^ w{xpOѵ "a/#kS$l"+z,UnR7[ TJ[WBHQmRr'MƔ5'C6 U5rHĭ"y.,نl,e8H[0*YCn"wPhތ5"VF`j*H%' U VPrHW:T 9OO2‹%1<iإFFrfGlسwM|)WC{.DScP=18R r3]0ڕpf MҶd4S1e'Tkif'Y+Y 5!WIvȣnFlC|F3Cw3fQ.ci:N (Y~3µ( 0:*q50T=J?v<SrBhضMZ J O» 3'SGgdrfQ.wa>cmU.˵YEdq351ӴFG?ZLmqW"d!^1e' U`ct4ZjDfGFSd fƔqUKHd/5zdtㆃ 3e !*ojּp[mh&^1E"6ofCv v,FF-d]7GK]I>1DZ2 q<6/xL tn۟ԐJ"[u⫗fT!dy * 3P` !~ gpQZ!MmWo%');4N ]$M‡I|f5s>0> YhI Nr;56^y>WR:~٣QmY#fxU8RKOFSvI*䬀C*l֡zReQ瓡] F%n5:`"]ȗ.}mHCf f*.$xn!e!vQqE!fwU(RKw TNWbHS:4ϋ#ƚOx sb 3- W6ް'7Yojv.RNq4TY,&.h 7keti6tZY̤odBHU*ܺB*l!^eQ!r b]C@Ykް#b[q9sd]n9bh/.zb'¾i" VFhj *H%' StH*ܾRC*l!ZaOh_! &n ,r(;@0sy|h"v/luNiT /m-hE6ɈrDZ|20ؘDS넛ܺ.ɨM;D@!U1Bux<'p=!5=\\x~|ߙo0NדѬGed kn`x*QeUmd\1E' mcTZI{Ei'ICuuɖuTG߆$<}P@;07G2c AJzj%\ӷ]!MmW#d!^1e' U@!UD-ď 5l?7VwBJeoC9`nx7_ Y6^[10] n mKOF3SvijJ4YI}qz`3i'ĉ0r }Ԁ0(K0dS(] tbܽ'qXhYI'qfI2}]C޶@8 ѩB4{8:<&7mW|L uBn]'l֡ZQƛ9'~Q \YMewWȐ[![!8(7?\"62̉W{ADܭap@fS!+[mn2Ӿ1%' m~C*lԡy^1ب?'3 H"gn5i Kڱ? ō 0uI #, Ejn]1%' 77ĐJ!uhړfѾJ%x5&Naa#3;_lt]84~4] */b=ɻ>1DZ2 qjY%t٬ʸ}>a]և 3ܚIȱi[8Y'G+#$Y]$~ԒbC"c FAڶ=)1jNEJ^a[Y&N^nꖄl 6x8%d#烉K%8^Mdjd)Bn,wV&h[̜olLIT9OZ@ YlZnh6H0-C, GjhC0J'ܾRC*l!ZA˯'k@. ބ'6vx$^ƍDz\NJ058 ba|Ȓ bw B(ջ)v<)2ʬ z 1ixo5|xWR0ʻ]rFP]M'p#άw T"VFpj*H$%' U VPrHW:T -aQ/~??KQE$a[HeoMWע+o,G-G$cG'C)j)Bn0wVh[|2Pم#UT)d͓f>%i 5ؗo+6F@{[*R0a. eϑuo #i.TsMa2SeUAbH-yM6+69T)dB{hԛ_Ow k|*pgL:S%>{tݻ9Edaظ:&lDvhWvc%ط7Cےdf}ccJ m}B*l!yeQ!A™=Fȱ̞|H̞|..) مj:0tr:ȒƨpOVFpj*H$%' );4Nȭ뤑:TO 5˗_OCΫrG3}##3u(c   a#p)XXF@mvH",Q]#ԎɆ):A4NmRU)dBktȉ +F D!ٟdF@> a&Iƛ1N B(ջ)vVF$='ޑŤw>!-3M קidsddy[ 'diȲB\OFH+#0Y]$ԒdCbC%DST)d͓fyDKW<6 }S:z$ kott,Wܙfnt06YS%ѸSKmaW!y7ؘٰ!U`sJ )Md!=D 2Jzb!L|LlJ˜odL u+-6'EMD!ĉ=y_ h98U7_'Y!22 N7v 0:&q6ȀbčZ|20`1E'| mRbYIE ' "q[]9\ʻoV$~23Y6RYKGCMw7"Aۛ1)iU6ʸzD|2蘲FS*01N٬C{<DLH̴DŽL{L.N J}=F7kEMGeyioO]Һn(wV&h|2i蘲FS/^HS%m:$Oқ3J|27`@!ty23wcs!Jb`@2Ӵ M k85] m"&Pʺa2SeUA"H-y>mhW|L $պ3RF0m??p$dpd\ʦ' p ]Nc'mɻV91]i'mEH7IHEUf](Ȥ'y7)ؘ!UƕScœ!F;8C@“ȉ[ g %<#ϖ\񋞰ga ̥Y0WNFѝ" VFXf͔m)Smn\ CR֕RT dɓf> 94ؙK[ x<CSG>fZ1t1t1tdNB2ANb ~S1NmW$da^ $ժJ4Yj>'hxh0yE3R ڠ^!TY39N ȒY hfn8lWS$ ]͍l:[mXf\a1E'|T+%V'MF%\'e01qk|LTlC K|.92_>\};3kb$Ifm\C"cNMlB*}lҡX(/Ëz뉽=v kM%.- ,EROڊwyX7E3ŻO 6*| pC>,#pC4bڥy`-"q y>o波ڪ!"Ծ}f`6c^ih+A%}lTr hUXE fuUQKOFSa&mn o٬Hm~P`lFZ #3{<|D.͍sJ}ېmy<7ZA2 <&SR04U |{Bz*}lҡX(cz=xn]WFX Ii*)ًwG@֒šp@d ^P#NBhWv%ܷ7Cےd&}ccJNθT)d͓Af> Y3x2/نn5pd~$Fsȁss` , Y;z})ie6ȫDZ|2PPYjUY%tU٬CP߼ 5ˏ_OI1zNؤC|`Q_~=f*채sχB}5Kp.ٛy\sǞ| v;R~#C͉p" VFXj *H%ϻɆsƔ\{T۶>i!E@,!FI_OLHȘ^@p2͍ ɦ?/ %zS!6.L&:z:ZSWG"ѮFs6˰v7AۊƔ Z'ܾC*lӡy0Ȩ؏# KF ".˰+`C>k >UaENn鴽Ϊp 2K/F>jWTL ժ@sJ )I`^|fODs&WO 29nxqsb=xj4qTse,+#pҜ7BZՍj@?]#O*R6+ tX0ˁ?OD $ZN7g\6guaK7gWp Ԙw%'K͖))Ie<_ΐgndsmıda^ $ժRUIdѓf?h&F@C#8 [0,4s,GĦq)k#  \Be^0FZ 房#da^1e'TB (9f0 OxEKSy3cz| Ya!RAD\fE9b 2L ڕXf вd01e9覴pMIzHI'KzE C: ].+.+ad'!M  i{+8QLN1NmW$da^1e' U`ctT cQ^'#]Fw^!U"/.5"="߄cYĶUAmXஒJ n dtCdn=I>1FZ[mh~cN Mr$uHf]TO3ƛD?AH\ïi8p0c lȺl.NNj@@F]~LnDŽ"pr6L/ CeJWܞ"VF`FuUR+OSvhjpJ iQI{wp>2hb YN>qRqp}!}cG-DI.}l'5bBn:b\1IkG+#(YF]$Ԓцvǔ@R 9+䐮D6JIS i#^8!x] \H̴'l H$9\|cduSMWY&n 5)Bn(wV&h[|2iPY>!7B-r F6P=h6PPhp0|\*ȼLg 녣 kQ'y\*H'by/HEAjn±y" VFXj *H %ϻɆuņJ*TB[WZHQ%m:$ 03rCZf3,i 2EAGA֒%IoH.nH0Q`ұa$] fvURKw 銍)9ATM˭&lHgdt}d$ˠʒ?l 39!21gɡO1%uQlC#dPNG+#(YF}Gϛ*'ܸBz*}lҡxR0l~`N@Y8q(@ҐՙCxd,r]_&B_!9L<]#,#ԎɆ):A4Nm4 %vcƄ07ƄAXCV75ϴI?}dHW} +8) .@hM7I\u6+ HvBiP>1m Wi_/I9+S=Gk8#3ɐ  oJA2E7@vIi1vĎ49x&KK?OgdZ  P&7:2ʬXm0`8IQ byց/nIi`#g1jWC˖JETn<5CCF sj=]ƃ(w n]K5v "costDDlR2z[~8zL,QncM )]ԥB enk]HsmoLnIqGo߿\lX)=>= v}z\~wD*R2%ęZʊeqN~ZzbPq /׃P䟍8U$E;L1#x=aCy)=O,O+j l|^2mDHGBlQ rMGW\ uۄk %2J@So_UnMP15që4k!ꮔ6 .4I⏦\#㦗kxfwe߾ZXHs< ɜ﯋brz=%A8I*d]~?0I1kVo&r*(iqJXwJqJ Щ*vʫL{-LH]n[k}%^ѫkq_Cb#N5ks2DkqkZ&ŵ>/k_8P"z>߾K&wYAp˫(RB ; ~lE}#+e?.$[^J(@;92M:͗M_2" UpK t6t%0e(RZފ:G$X3H/}Bhd]N^$Xdsh$,j(.8^ y[}cgC@> 渳ס<I H-`KqdJ"0 ]Eοˏqw3 #4aldW73tt\(dHWlXV]8_rÐѰf?9?#ƛ3|Yə'"00?ϏcϏ>>?P?ǵ"<}2[%'KCn{fg<Gɮ#7#9o#IPy`|0<W=z޿[ϧ|?3{O=<v*ɛ.x!ǤC.^QcW||tFqs_ 9ϥe$n@J =Wō޷~ .MobcAUr`lչ!>Z1DWZ(7x!Wx4֪J& f8 \&a-:x8{EڨGcd?Hr!˸f5Gķa:D9j_KˢsC+ `-CjR\=+0G!eD)(]C)3ڸI8 ֺWTV#J} ,Zbj.'t걺).dP:G8cU\܊k 8]P7f ch-h•dk}!:\CPŠ 92-57+-F,eq~*$XUQg#Kij7yӱ S$it vDP(&DG!zk} "[~%\uvkhǧ*BEaF,'$z y/!8 <ވBġUV/=nRPR~%awӾb\?iEVzm0Zkd}^Z6A>{PsacGi.&&l'Σքp xGP53ka mx%?G/׷Bn ˂md,;?_?nuGu[V{7q'I:>B?``n}k)gp|W.oq%eM b.p0yq6)qHCEF\GZ_c5Lg1wG{ v*E=N|z 3I]XsܛQfien?-$I%ϝ#`o}}{jU̕nU $D¥f x2ϭ5Hxo!!eH?+ąM [wfIO-dכÎWPҽ2u$ǖq2jFV"=9ܳH}tT[bq`UpX|Y?n;fW|dȑ| 5?7k~$7p& YR!iP\@:b` -!`E"9GKKzu |c:\3ͫ*^Nhc&d3CӍȓ&߁3:w~c@&ذ$íQ%zMv-륆 S|oRFypR0# [f.{K 27 h5|& Pقhtx(a;޴4dM +4P( E9!\q#sN2FG +3S׻8F\ <l:"|Ahq k%x>wt{tf eȣ\צy=qL"-r/:)jTd;>2)%g8c) IB,@l-ρ)P=nWYp MeJmMT}ČZ Gµ^XEB 8^N͕ KlM=6@5Gd.ŔHف)|Rh΢XIW0*"< Gm*[>}V/{¯]CdAqe' z X콑k3/. $HD-Y;0R%t%>ZSCGT!c.[.UiUΏŊ7ypҗWSV$^؀H[R g d?cδpjŽ^nfH= o5zP:| y@?k(>U !W1~~͏@Hd:c|aBV^8>rNm1Ju nǷ-bbsaMk",JV}0ŀKbG*|C:d2ʉWFz|)Y@ֺRU,HF:Peٛ2Bn0XkDjX׹`[dk2059!-SE:VwG _q h7F Wkj(-)F#~9>XWvO-Vjp69Ʌr=Ɉ Z<ä''G4ث {|4?hJS/Q5?ZrLC"%J=KS?8ZD(?ne7SAG8س[HT*w_,Pg]{1})he:SdՠZE/M룅ѧנ/JdY >o:^63fvz A 07;aMp {2mc ,dz\!˳2OOoX{P2\2w#nir$]\ sҺ VҞL@c!%wW=#QԲ#~_{$W4/K@^9|P4${E+rYGl·\CؑH%(RmM(W7t5D{GYu[2 S  (ˮI1uV1sQ*<.ÛkA_$nT:pI@"Y KqbUC )%Jp돾~kI N.T:v0A%c $\nCD-=t_uPg+Ed\[lpX:}ԣ/W ND/-]žઁnDD^2d`xz玂>^3l8:d8]_ 3FčMC+[.a>S*GT+rٮ ac enRHeU ^!QJc :C8-S.!RO8$u\r2SjnJ7?D9kWؔ2*;әk v 1*\LKt)')h?$᷿/g9`}3*٤{3km efCL]hȝm7l :0/)u_]4*,&qef^K*–ıΝ1*Ցg drWc!dWO؉Õ]3R:99/ Rƶh4'HY$NQ^[z$R 2ˆ<*@2fQtUA =.Y'pGY}nYp;@pʚ6f 'WpWѥg@ܙ]t*?#(M"nS N%p]'q޸hwuxkU;x!0JA8\\e1X\o!\,c|1[@ȫSFz/sx+~T3xFSI/{e3_1U,MRh*JĞza=MqĢ$ıSgG# 4YrIMoò#3tI0b;0Ԯw$h2C{hpE=9ʷDLQt Թp-!^jYw;R# r$ CS80\I*+g|^U. RYwՁE,~1L@d?} Pma ~JjAdBrxQ*35p|GbVqqk 9 s|;c`*E&tީev$w b +k+TH&, jGPp+Bd-@ĸ5RyX61y" ď>dX=KmEhљ#wt)MDDq=U.wo;9ڻwK\.1jZfj\4>@eA^`Ǘ ;9u~ l%IE]ȥ876Xݬ ^o;87ʝIlU(5z'6`<),IĚ!yݼpѭ؅K$PSVqۣǐ^HAAvD~<7D{e>m&I$#J%?zQa$R%|ɇJ ~,&[៳,J?[l?Ԕ()9K$KAlzTBTkrN9}Pw-1 !8[` NgyMVz YBd~|Z&R/(ygW`-/%H7N7*&%a?cZz.%qx϶ ӧlX[M/l}-~[#A1;N5T' q5-.@L$d`aXEDk6%%SH-LbG0b*v=^[+oƒA2g@ѫM!o^%f ^K7M- E4u|ZYDЁ+vF'xU^={>A,THWZwHSw&YHC)$4K$%q$4$%4ISJe: \aļ֤HHʆ}$?E[„ltT^( ,:i<̦/TJϫ"J$ ,%%j"hQ"IR+,9 B[Z@$매4`^B-hⶹ;Dœt]T/ Gbh5L!&HX)HXpk}1I1Ҟ3Ad1t1j 98GNpRT 42Jx hRؗ$ c/(V# aԁ3\tGq#b[v%*ղӆLhs9"%oߖE+,ƭ/ݏdgaN\mGqKiYV:WbG2b}H;)"/5X,f2y'X";UPAYxDQu9#yע> ͞?7V9 0YS)F@ꋗx,`-~}HG05#1wQ?T|r"` (쉚m{'F2obĮ8aAuLj`l#x$ԑҚ/20a u5Dl?pwe[V)^5"fI=$| , % :=%xꋖ_%e1?eCc0auOF$@*bd\ؿRhOz^k-͒"vyzg5_8(ۀɤ6J>E]8o 8g}'W%N%,Jk``{H@amR!wP RFh=܌+s*޳YS[HP48s@_cI 7$f-ۤ.f[a60gDMfרggT1nm fVJ+WKzi#5nؠ{c`q7MBڀ#ymG*&:6G}򄁂DO5q~05vbɼ8KG63b@BJ#cz@"[;[&kWb-bF pj|[Ms<-!Mi)Hk':]ְ!sֹc2r%rXk@rIsQrs_*3W>?sCwrhP仲^ ]1#^EKΐ-{o[ð$ɨV v|ysSM("Ȕڐ7) GmIڒǁЀSRERcN S'/y^@0%Ţ `jj.e^R?iofhCfӓ'?IQ!bgL zm27mb%-A t`6Kh|ZSde_i9 2#*PoDDpIwQRl*"(NR6v $ݮ?&<>ݑ4$H꩔\l{xdA;:JGNa)LBna\W$yZ"B=8#v _ۺVǖ!N|Qh\GTEJl Z*2D2>]US_};W82aԒ5yX' dWTv5܄OoM\ͣaǍ*b$M"ey,3NJ#e]Πlc!^oTR|xu|c.)ob~7QwMܿ%#s]0>2%;k/Qt^wزޑgHMQ ?q(z8MyC|J)s0րk<'⍥MtwG$*>$I*8ƭ,U/oqfQlfL"ZOt_Y78oPEEB7ާ0wRܼ u\R#s#6xyZ׫~^nKNyzߌj,hwz8> A@05ofꟜkAp=)~\ >#⣢մo76_*D기:s݊/ճ<&'iP/̘c$_OF?M[NAkrN~ߜ\-Yڐw wt΁~$?yrQgj~QIƦ&QG& `*[q-o<>ؘJ7)ްζ(ָ l%]Ł 0aH2J&A% 6im/͝sPP È{6/tI;taf<$[F^z1;zG͍gHHCZ? l/hВ"6v[_"?iC8pX8ׯʹ 6Ic}*5a|,#y~_;Tw"I'căZ4g]m>lt0ݧl706[mn;\w`꺰3jt~'se;vάE(:oHd,%eoBbj,oPjzr7 tJOnx:Uf(5KF@oU3<^{ոm#]ui\xj-rdiɣeMP$z ͱ'cЈ/AW.=T"&Q*RX8Z2JU~2%S[QuE"U\m>MEA4 [#,WkP$KavoU=TIQ}(k6 ='Q4Ia{JZ ]6WkAS\Ze:|i6_5IQ(I&N !ubG8w`ȚzAV*#_fa)1MlMH<o.M[" 5n=V1ə n"YcЮ敁;]X0=6kCHۂ0DI뒝F_o1 U O!:6J SVz)[+<$iNj] "wK91-&GgX.ehRkc𺩺 ,hgB!gT1Z0zS_ydAe\A}. n=jЩ \(jر7vDEN0;m&!R8[(1tOl^#k۽f`5:GUAQeç3Z+oF;߿CJ>J 6z,KBe $} NAXkHo4PRI~}yUݕgރ|amǨr"FF^U”F*M3_/[ÐCZ'4AqS 2w_] n (,afrq)c/HHٚBN_m\wӫ]o(22>ٲL$=s/s/Eߦx傚Ir SɋQHyf(~9)qo6jQ8[IuV2g8x,5Y-:Y"5V=5OM譚)doIv vϱwkMT&TyIg]쀑)ZasL\ *ԍӉ%;jB/P1 R'durY^^6CV[F88mDS3%BMX珙Y(m_# Jǵl}m6I t :9[8ksӆ%htH[n4 3!gB(Y 뵻- -P1znܡbQRG~ .#WK֓^A ?U{6Ί[:|.`&LL7ỡ $Ǯc@q!W G띃f/Mssv;K7s1ܬw{)9DRv*m_Zy-!1R636k|C c,;K 2:VoNTXQQKSvز.nctJnyݠJy茍S I7x+KIqqQn*eEv<. =+7pnl}> AFK 8vb6̖7]!$|9:H@ SP^BRX#(ǫT~4o[>C`Ն{+]@l W6gU.wvX`ҍPMxBİ&7ZMvkĪ{R +hs (\xNf]Tu{ M}(9c X0(1WyMX/S4:~|l,$qn[0(38d9F$aN8`S :Ǒ"* ̧식78BR]xL_yzQ*BszaDz?#iGI:8aʻ;/Q|j㚔MeVb>ʅƳ_V#rib4V]]ޏ/Vd~?_(C &.vf֘2 ־#Rӱʽs0ըJ3Iӌĸ,Ѹ3ʳ>9:ʲԳh<tb̳i*z:fu J!ao }6Ղwsci}Z n[m4[ڣ_Zgz߳Ga.|LSUSkg7mg>Vmx;SVAZY-^T9,Bq:t}pyqmP 9@Me \&aXհ轐mP)^0Kjt~(u~L2??ޙpQy|\CĿ8Z!};?[cq]q~y~`8Ϗa}p>'CcCϏϏ :Ϗq~ b; !4r\꿝ʐ!`ԏ{p!n8Ϗ5/9?*ttXsy`XϏ!!w~`m<yv~T2Vaءv~y~01 ~L=vo).c0 7>IJ}ENb1EglǪZY ]~kt&i3>.q!ݞ~`Er [oTGđ}866V_c@cH%wA}r둲ػl6 5k@Q{ܲGɽIX摵vb\cUQśOTi>/籽وa΁B$?j,3| F,[+Ό<{ɸ!`і+*om>,rbc|i[T˸l/͵LK1тAtn-O6>d6n*0z{TM;Rk粆M~O+MIܠ>zc3ag (XΛu.BpNu߷ɀmjaԯqȭ2`l- ߠ88Êma=4jA lI|c;Zŕlö<*`lLKz:XDsOZXƞqΝWgomEQRc}}ٞep|Fݾo-Wܣ9KzxS@qmӵ|m.xPV *'[?XǗsa/ۋ,ؿkB#\?g }Q@L'Nf-Lp :Vэ:9wc@~hmZNacLsM?HSX(55&Aɂggփxys_T~}lPV<ۮntACۖȠ^U1v(^BXV5n Ynn \&"8c} 'M}c%zߦAʦr99wJV%Hd M7ۡMHܥA1vKS[yf?ڴ)w@D|?! iJض/-g;ǣma%%ڠbF"K=l8]\j:a'Ns"/kc[pgaۈ։ϗחcS Ҝr/#M 6P~TM clSLaR6:6~ZAV(~g;tS>COůϙ;t6\jU-C"coXawvܡkM_ϱ7Ӂ`9X&tQg\iϼlaAQz{t_}R '&G應.MM at<s{VPFǜ1śrͼͫRcYo4KF4 OXgX nsԜ:S5ަeqSI^p`{3pPyޜ*fvhfEPRYtmrA3.Yoh7}i(1ą:.ns:Vxm=u{z vjg1ŭ5j͵k@~Y >KH׃+ܜitH,:ts{(=R~J?>CK,=td,z=Pto*9pϷbgt/غ@]G_nN/3i Z J'k8bC9R-0hwe+Eu@j~X. FA_YP u>ը \gt^ncKr>&ɚW BSe`E/$Cᖬ(9ѥ+sNvF`d!7)6$U'zJ}@=BԵ*i׸@<8ХϷ!dL4 !$U{)赃_&a])#Q4"AR$VMrKc[ML0 td6v0Ӡ??B8eSvK<(t,gaQٯq,NpvIS#HiE~E,"ʻ'IE푉$MҒW+iW;i~~p,}3Tg8$ 6i./3`D>}ܪ,7x$ |N<(,k93Cۓh&HYX UlgpJqdIP_:"AxiiqdBLa;= ?܈ӏѰŜP80, +{%wmnfQcf>98C5%Jz*I}}C OZiś%ı)rEj9}ᜳhN}`Bzw=㨂'$O TJGp2gWRZn+"v`ɇ0ln2̆ :}u\)7(D& ?T@r"Kix:ɼ5&C0{(Wam=(IjH )Ȧ, bƚ~E2j?=4y,+*ϒ8DfDU֤t^1[3dB%#~r[ti$~ʆv'i~^`% fG:~:tBA<ƤJfB\K^НRzwg=U`B8w_:Y$-01t*FuViRHaz0f KGv_\`bmiMWĆWWٷ.M=9b\}Nܗ)jZRTHٰ]BD)Uۢ\m Uy|XItG>&i?v6b;Wbw)W*/Thv0Nq`a gsg 'm[]b Zܳ0.bU"~7δuRˆ.wV-r2؛CV.R+AzL{v3_h0nI2Rd0HݙNxDNM)0f>Aܚi.P?SY9D~ J UM︔m~~bFkbl$3(apLB+=$fJ'4DIw C忥߀\lҏ>>pb1_W닽kSoOþ?H{V\ùVkGrE3?{CF;8G4?w_ܙ֜S |E.{`C 1 E>l #'fc@BM]]˚r+zLrs,q\R#: ĔB/Y?6ls\_nY?ľ]z],Xp]b214!_q e>ܱܟ< rx!DZU43]5Ż,CsL7g6tRı]Qc@N>&;Vg+m举(y"ډ}gk:X^j_p]bEbKzFo$5}"+\.O9:ƽLJE6$ n>V~V\ObTbk3lpc6. MhM paom=K^;K}Ȍ*^>:# a}U[~rnN";f8oz͉'eO,v'6JNП8' zg.U Dcn:2{؆.E#~B,^V߳@ĵD'̈!SXٞWJ{.6$B]! N {0jmn.nd IĹ]0VǞJq}KhDo;{ ?!:T⠑3Kl[kpI_Ƅqa_DMLU)<QXό;?k>b,w n؈5xu n 0 w̎6w^/6LHu^, |C;SrM"m%vQNQ=mȱ])5mwvݹyQQ׫~^-jSG4_Msfg;簎]:F^ޓ/op08XBs$|6ܬ{sR'+U7En~#_4*<XlFX;U p6 {5q~ú&O$;y/{n)U#+.W_koK{-*'WkES,O=6{[֧7mhyp{9Ys*cj,"MsP.I^;{ƽp͎jE&>Yqʼn Ze]3<Tor{!~noI <~g'P$?9vva'&%OD{Om'#^'S8;SMg*͸ۯ x篊LDK9DZ ^GE[l˔xe.!.[}ѓpW㝘Tѯ&5;ۍbsXg?Iހ7FN;pv\YETE?ퟴNEnÆFz}|HûWxѩsT0iȡtU P?sL. ^/vw:ƟrQtTmRF)V(.n90S]{|)cR'N8'[+p39@"\“nR=4xb\s8DNt|u[Mv6Vaw/7MBu"_| }C(!)byzfփM ?OE=_=]TSSyV5:ckBH |-%]\sA9V-ŀ*qgv3R=:-~Fdo88>9Ǥ"~5Ŋ`4'9'%':+<z^OuW6@az+ddj0mil5qd?찿0r%=h(ʷ۝m\Y?턾;pۛ5Ǹ?+ҁNѣ<^o't)8qN^!r[qW~IZcX]Hgǣ9DpҤh/v0ru!0:D-g+2K\J)pخh0GəGJؼNZ/GѲvjN2Gc~Zw'P$?9vna'&%ODɟ~2rџ,w&M` yl_0"[<07 .{x@O-] GteQ?Fx].\;h73r o 4'r'g{))@G&dzF ͜%ZE-_.> ͧGD (kxguJzףe7Bvsc bHX5'Fd5q<9=ζ(y"ڋ~Ƿ{,wLN1:6QUnq%l:~PS^gr:ՙBt>6nI`!;n8>c(i,1"v9pP'|H`Ύ# Fe1:ijyru>k㰨j#ꆰ쑠%ѷ<vIz 5.PFCzz'Ɇ"7;) |p_M{fg;'簎]>''|[t0_%1"tDmbd~mOw*GNvr}]dWqgO }˻o I6rjj EsX"(Qגqhv3Fult?>6N;hvTMMy+/누|}ڝDK5.d Q^"RcnǛP$dJ]:uUjZ8u ݯqNw\,rM'7])%'nN2]Õ.; I)\v`G:o^"ę;NS%Owq 1sRn|EಁQhzdi3u≆ˡ$ZXDRGpgz!~| &JRI^!#ԠP)W#28v"M sbqh={T+q麥.$=F1ƫּg r:~uɩ穚PO5;tN ]pG)uu= <S\)ZO6tFK=+p>eTR/>2i$Y:5)MG7׶Eb ]<Ul VtxmPgw1u4?2[dy 1pnS@_QstJ_~55rS{kOF0xߢDN ڋ Fe=df~4*Jdc&]7YC&zOe_IsX.I~LH׫#`q=YK*rőQRtq롡*S8C7LBC$ *;i}9"Ƨn+#W!owP<٭9x1ht}*H+*m9Z* >~x2;pNC!Gj{wH|FP1~,pvj¡xr}Ǟ>9{7wMJޟ9H?ˏ} UxeV׫W<SuC(2s1: >Dn9ZB9gb90UzLĚUÙ '}Ak yCZ֡xeɞW:v4eˊ˓H8,XT5Rqߞ/֍c j._NRw>&<īβXgu;k5#~B Ny,~cN 't~#Fc&C֙c{A'%OD7mGr jbd-Ql0&z>Z+Õ-.ʱB~xTI2:Q%牻 9!BlʁN∗HK;Trj[ mq-Oc05zL"pƢ|\ľ,doK:Y;>i}6 ܾnÞl7'M{n))DG&h| |~|wt0Ipe X H/@%Ya` '5# (<3NstB2Jޟ9vaѫ#`q=YK*v׿]Fܥ{x{ҽ=XV_|)xOt?u o"3)p sU*O8'Z%>2!;cbT0(TǏ۲ƶЫ!୉琱71'NٹчţO}珪%1Ļ7ߴCkLJݏ)KɃٛĵr"҆!ρjZ m9ZBg>'ajD:WrU c 0q8,7Nw6X`!x\L9{W lj"h`$CA"/deݸW6/eJZF^ԓ'1uil@&:O WEdO;ucߺ&xAHp1Udံ(ne =ㆮ$gsf8`}#FcOM<3Lt"2Jޟ>ùWGp51E92?ퟻ܋%1<5lC#㳜MljK9&dt|_"GNM6/zQ ;1 Mfg;;簎]H''H׫އp4ZVї+dBjCS:MC.t3gbzƖ|>rWz\Ӊ0y(7xhW`z)}N!rRYx 9b9DnDl3NgٜFa˝~ϘY岔=zW$cǎo'81m[!1ӆ|7'ȣWe Uxeї(wF)zvcP-Jl>/ dt)oo(p~6q3s {,.I^ƞ)\r>>%s2T-9ܫ5f~O*DfW Ip Jl/zEո +ٵ‹627r!_^3v3{X*:-0>>Xhr$l /R+5]xvH_ (Fc@l<3N3t22Jޟ>$o9*#]r jbd-Q6&zuU^#;4HW;J_iKC0U.yz2<Qq ޚxYg6!Dd|xZ]n? aj"D-1ka^3/oP9w^-+ۋ&ޤz WrqhX,_/_:sEmX_tЍ7'g\CcҘG78DM%dzmƄ+![$9Mv d xfkRk\9{9`H9r\>-vSij:sܴa= A'#C=GSe78TM%h|/,}"P8Lgv(X%u!͵aG6l{ =Ϲ9G\G. 09Yv4@uhCzrN8Fč7G[eѫ!0:舚Vq'b?~ Pğo* \Giɯ:ʥz|^jN;]O;A -n6챮mPrCoΤd/scTxt>WOL*&~Oi8%RǟXS,|I2 /R{'b x:=J=׷ij:sܴa= A'#CƟ2UY~" q=UK"'63t30=1܃[ ,oO y}{́z/ /%2vÑ/ǣ9cDpѤh/ɟ2UY08\M%j} CmkRët)zԞÇ)$lB>#f|KGRy(hЙc.i(p&G֙c 9o:!%OD7mWcGp51zUi!u!zOoG^-S+prw IܯR|LHXMM<3Lt"2JI>nq-Oc05z{l6*v.q )wb !F1۹ҥӕ(~Vcq8`%%bRr3侚,Zm\_n2Z?$?]p?ơjBT-Al5ޭ_܂{ƁᖝnW˳@ W!x2&C7ZfxYW6g$dt?|}055&N~|CDZb [.sּ.J{4$,WMXրꁥ'8X|!vۡ(S 1gvqX>Qۥ3ix"׋s4U*&SD"/ǘ H` uNJor[ &+F4x +6Z,õ!|InԮ&G֙c 9o:!%OD7mGZV?a`Xdqp'?V[uf7&H~(zk|"v ,~#F䭉uizNHFч?G[eѫD@sbd-QcFo/;I64"ʏxFn]6\p Tp<;{y8"^G܎a(n ̃qhv3s>E4)'ًL?O*3fEbv4?i瀥b}[ݩb/!v^1:-sjF fl9d9fڰQN!vRxÛ`&BO=ݲ _^J G%ùN7na&۽}KQ{m>>%v#y׭&G֙c 9o:!%OD7mGr jbd-QoLX(4Gug1;h@d}ȵu;!uIHbu[a$z7:96+gu8izN>FŇȍ3GCѣp[Er;)2Kb1}~|M['[*NtK"2"@_aS 7|w8ys]*U,*@O cB_qN^+h3O۱&iw ש^OqC57r KguizNFFч{ƣSeDP5!zE563t5K?V;6[(( X9Tɚ%_+}y[Nb8ͮvfA'z&O${OmWcGDp5!zUf ^/+E|)v4=%/{mFp:٥* 6_ը2z1kĀP~G0_%ނ TWϞѓc9n9O"7mWcG05yU27~ 4_C C]r8&HC \$9.pDdXzWA lyd9vڰQD!zkkt=&ѓD-oƴk+F m$")[4^k*Wȑd`^'2#9&CsX.I^?toq=QK*f3Ů"i^oU#Rݝŭ_%!z{Ko݋^0XحuizNBF;ɇЍ7GKeѧoq=QK"hL6qe:3G:ͧTkW%}S WG s˧__l4;y9ul>ys]*U,Qi Ye1C8 gwɱ5I5uI=_nu' އN:`I^vb r_G֙c 9o:!%OD7mG΁ѓD ]~<$e:q(%CN[yHFC y8=> V`-ld]]mq& ~:/Fޒ<)d+iPDlQvl#č%'֑ JoF{sE YWw={VwWW?(.Cbd ):A4NmRU(d6̓0I FuD>?ѣG@$5:$O@8;.4ʥ)ܱ;5b"ڦƄSioO'$ui(WROx\̴/tL u퟼B ۴I1ɐ^OIG1Aki[ha$&F}A֚id rѴmȒ .E!fvQKWFSvIs'3PFmciz?0s$d1sd(eG^fv#8.őc'mp dcnfAL ⢧A*B1hLOۅLl2S1%T57.B)g 1⽟OC3)<9@qb3R2lG}vb:JGY(:SnCծS(Qt$Y3e;)۲l\ybHU ܺB l&y1,!#;sQ#jBcRlS؎Zm %q d9r d)1tnBva2SeEA"I,y\m|I 䬀C l֦zPhN?|[ȣCL]J3K% nz 0H#>3‘<)Y4K)! ەcͪF8RLs,x\ˌ ,脏*}TتM$QF' r >̈Z 8 0S$d9:H1:  qqd._ιwgH& C5/WSvBhj`[+&max|b=;dϠ6jJ 'o,ϓ4},Ay_;O26*h @?[Lُ}XFO龯" Ѭi3lmf&~cʖZ q]0C2Jba2SeEA"I,y\m|I 䬀C lVYTCǟO <'a*pf hY2_HS*01NYB>c)ĎD584@`1εt 82hFJ}µ|`ZFNG;$ kAW*He4˨DXx6ِ.ؘCS6>I1zNؤMc_|2wd0#Ta GχB[ՑKp>7pM {KmHŎ<}T77+nna2ReEA"H,y7G@)# ydh |fHOHlHOօ-#!=ǀM) \7c:{e 绾0D2fg36b[20/PYjYRUHd6ѓf?h6lG\d 'F_`dѧd) 6k\a0̵"c$0n 8KWFSvI 䬀C l֦zP#_ G+pf@K^ݐYpÑ81#)];da`1 {h&n Zi,WRP3t2Y_ؘq 9&p]MIzHHOtt {AXX&S $]Wv/ʑ 4:wuxi8.G6t[8y'H*#8YF^$ĒǕцyǔ@Z'VIU>P=P?tＵʈP;!ⴥe㬂!<J }<aL{󧏧J8u}.  3Sxr [l\~'_ݧ}?џOs>?)_|ѿ sG@B/~/O?0Iiܬ#^eZ[Z7}{_RZ? YKS3zg?_)N. G^ `s5q烈z.E7pSsyO4n-.$!C ZHuy=Jڽ> HbUyV,{]!RW{_xlvqT%4+[}h Q^<&~n$j? .tƎc~c)ڇZwdι?z puMAH%[\\\?V|i\s!u0K?K)u)RܫKoپv&,4h&_ngC_jUHC\ᆖ%=2_t_\ˁJXkӚqG&oy[\K ;n~ 7VޘsSɍ&ع>8I6yѳF촡*;(s3ұN=4?7d߉պ8፲Ub̲/pܱ#ە徭OZ8ٛ/݉&*Ƿɲѹ9Ǐӭ18ѳAϷ͵fl$me訵%$𩓧<]w"1.ٷI첃߾7俟MCw -T7V&oVc|7*9ׯ`UiX5mOQ>+X~g9[,!g7TςnfDqn{bXxC|eqAT{}x͹dnt_+ ^GX^%w7_Wa}K ޗ ޠ#ו=J}o_oƣoUآCRܼ 7Lh_4*~/Gt]{.%dǵqkkތSPgZpwEfx,fͦlEw˸|/~\\kY>#f.'KыngtFJ Ev Ic}:vqRxʇ9yd韪]dq!s-Q]\/ U?l_ŐwS?vb)*z `؄@8^)9X[f& 'E~߾p7$7K=Gvݼbk*e/Y|uo2P_ܞ0G.x[; ).I{=9KRLn>,]>zjwcMwPNݡɶ];tǾ]˝EZ~Ԟ2PݭQTg7+#"4/Jv1CGtٌj;6E2.ŕJ}_ (Zzfment_;nQ}ڊ^mx4wCJoT\39A:{G{|?X -Oۈ'}[i[| 7___)w)D 8=m4dͽy__Q7r ^G!m7߭j|S/xფxDUoƍ@.DVgܑU諺-c+껖s)}{?fj7n,ɻy?ͺ67բ<>#:7۫㸙| kr\鎷A|I7޹:w,tzc^ (oCC#ޫ΋F| nv_s~~cGxy7ML^ Ogy]^ mhUo=lە+'㦖xn{]57 IyviOoVptV߬>ݰz~qһ.?XWub.e]G+6tѼ\yM Z$kXn>Jp/ j~v]Y|yv,u-7 ){[_kx-fv{|׷sȌn1|KQ7z7;7_t6Wh2 Rof0}ͦd^p*[l|LIFC4d&;۷ vנ9uGt{hrꑃ:vj5'v\Fjs[q *r#C04qL9L_^>"͡kCZG~g:S@WgոH?h;FsXֳ^ k}=qZHbGׯƣ6͹=4"j#F;Z=,\:Q;ʺ!uߩ΃~s4Bվ20Y}Nܨ=!فs>hWݱ>#AwrTF]#oC/qqO>k,MSkuGO3R׆jGHHseXOc?zTda~mӖiTX`]˧ Ťaid dFtPjN=vG5jG;eꑥ;߽Wk._J|ΞcE/5ד+ggEƔW m|6zNwM5s5itЉ<#jz} 8TBW{}wMkkŌ︸]#%sCWk.wSV™/r zdnė/؟}7^b SQ/w8ӻx܍wt>wU%ozׯo>ٷ#ŀse猹+tT6Z*-ٕZnnCKoI(z[,goݼwM庳q/+_k}7 xӽ}vGo$/z7O썡7YttiӾz#r/yUkË^_f4zk#O_^Sh?{P߈/G^ޛO} ~vSצdwˑ #E=#ݼ Ǯ wK/.B/.qp:Œ4EUsk2yRݥ=:~GEۻ{tpxPߴ>:߳>:=<tz0uN4ßՐd>4[#5.mC ,5k\'bS%*ԍ{?~iC󇦵MkJ:mV/>4^|hZдzf/atw`[j#Wpa/wRm{y?C,?}{_45`]ZuY샽p3mYF? ї3 Ò.ŨDNH͇ #Q vB!k^#ʄ- k#g(7c[?/d)doi3g;99Տ^c}B) <}J!RȞ>O)OR>^|J!~QJ|݋t+mvܚ=}^zu[LwqQ6_ԛOi>ЏJ*?6y[$DN^P6:>U~ ~("+[˷j;HPjx 7CynBX~8C}pgKT{ 7:k$Ý71/ -%ch_Nחsj\7Dl3D[<>mՇLc>zu1_|:Cti?Uc vr'k#/>!^~:CtswX?UH:RHu̥XG^ńze]t1/rnV[X!?n7aeF*| ~ S?}O1`õ>/~ +^\E9-GJ9}fzjkwo.N߭Z#:"n"+廱]zoI5\/F| )Q g^=vqR1OUvpnoۓaՇT=}=w#Ck9֝h-O3̿7ggs~BooڼaS*-70ߛjnཫZU=I]5]zx,(?˛DT2#_N Yv[wAwPwn0𶷋#}]ticz  )~up=z`IW%1gQzc/{X3 6k&n7=n8T#|Mf>}pы|]O7~҉\)NXVN5#~39yѦœiݶ«G^ C=LSՂ3ܬoݴy#mjŅl,sDɹ3JnuJN6t=yk}}(~}lW-溭.d ]rTsca~.6' [^dg8v?,|S7+bqrw3 bGmoKJJG(qf6oX9|J++|Br3%Z[=p'TFT~5^ՆO]"jO)迻f~Zy›GL|;mGl615/ۀ3l>?Zp2}`rKG†n;F ?hiN>F-k +50%D L|W,1Zpga~iڼu um_}/=;(]x?ދB?/ gfŧGG< D=?O?F:]Xjq9'h}(%o?I>PϊFPޔUJv!,WkO?.&@>纗 ˼SU)ұfr/{@4,Tu+`ki6g \)*k|d(Tי]yQI^zh4߮GK7cGk ל Wή5ogG+UQewZ^ft VߦS57.adRHa4V)}e}?_v}}HkS-Hp1cw_K_h.5ϛ`Z /gx>/v߭vsͅXifay2O._*:篿6UC׏b}mt6TBK YdwŘF/JP>i^LC]4s7N ׆V\̘K5l_@,V># 9!'12Fם;i笰9uV?\e-ok؋p(.XnE8u暨XۗnE΍\c8Pkf6wl;B/kx>M?zyDaxr+.A||C{:_QO$&w+uY@AǹZ_K_y׽(L$D~~7t>/K:[DPZV3bZquX%df&ԲsΡCmiƞcJkIX:G0#b娴Կ_jnyeUmfW=.-yhk/wsTj7j&_B7m..tYeۗj^vOcvoRӁNdA#܉i#B" x8~GM%KL5jGNpSg;?zY#B؋IϮLA)VB}+ٖ<&7>Rպ! lrFm pX"OjIRՐ6> k!%HG뽇ɬG-yj.SkͩP)D_̘c.!ƈ3~&E4>24 "h[2hHU y}t4j4ՠ_Wzks S |{ )eS)VeNbfq8Oes+.@>fXW@Ɇ497/LUUk"4e -.-r̓rUԒ}Qk<||t/`FSS]H(%P|01Nl@{sPb)ru, #,C4g55mۢǥ!6V\Z`嚅ХuԒ'  ]s?jF6ЏRb #փv|? BM"pR܎^nR+S8߅]Yi(UB}Zv1 G+u@k|GeO͆Ve!Bw ˪H[Xo-ˆǓD q'ʦb,RQ _BT⛡8gs4}>ui۬z6m>nLu9z jD6Ku9j֯ڐS8.B4Y|)CO2 .x5PS碏L~Avdꉎ?2XQ2¡) p&K{< gvѹB%</T#guXK\![]&v2=[Ned{eOu pjQU I ; ߾']#7jW wԧF>襬pyOHQ$#VgO1!i~U^[RP/-KWF‡˞@Z"Gh$ՃzmO'#D4j5F ,OR9j=ꥹThEPHL̗#3f}n& jP_iĊǕ˞r'E$`=GS4#z;r ?)Uf=2Ѓ^@F #Lgw*| ]xTGK).ٕ)(w"hx(߸p@4~zŃ7,3=59+p3 Tӑz6|c=TJ8Pۍ9|d+K$|!tVe٬%|*H^6d0'\創id<#v;FDӊUn6dÁq(Γyܬz^h3KoHq.B4*-i^+ rkj}\I'^`P*gYoG9$O#)!MP2nVTlKWF.{k]뢑RTˑX=RB\)GRߎ,{;WGZ %L Ց8B6~GjPF2 j_ j%+=Ե.IEuHf)A}uG}B~O,m@ v؅;p.Tv IdIQAa(Q_z"Ve,-KWFG/ 6&HE )/f_M %ەË'5.15Vy$ ]5%sh5|6E23;{r1$n_:@ ,TͶqe.se6)hѺ.,E f,X|QO'p"+\JՀ x)\zcDzBqŔLWéثj:\Jzzk x]0wlld m[2_pH]난Xh]dzDYÅ07&*y gW!6y[C8b@‹ sV!аy8Cd9-?˼2̌1'EZ鰥,E8-u0Բqe4'\ Q$Gh$AzC'~EZ>܉ß8Á< בO?:$+z:/CX|G@t@Hu ]ҹvJPPLv)Vq9g9XrCDETBuX,‹Q6N>;Bcx%GJ2E3tti qv; ~ v؉<Ń8$oH]Y1gÊtT!lUHƙ(1lz\`BJO`^ήy006fI. =F<Е[8!85H ^SĹ;AjY ͛(j׎ /alԻ*$hmaI-ް2 ?VɖYO] z&#'Y8E5GMpUPuf(ctWȯr(bCZrmaf\ O! lBl8^napwlVsFiztnjg<-z\o:ʔ>a55 ⤋玊Zk4#xQG6A wT |?KJ Yb<߱c` t9)8WqW ~46Cߔgfv)Jʦ%'6Z $qft>x >(unGW !< b@8vv :Wy~iG`B|TJ!~J:z~dVL,5e|!V4`!A`|lbv6ƨ|YЎ\]׏hg?.q5fhn>"W(!HN٭ ֌9zǣԑAY-j4vb(xIi&n>{;GkUHƙ(Ѷlz\ace OTE+z0['lvg/~j_ZU:D GAKi mfJr(@pzT4\Gx4 6}1ppEt4>;,PWi9X ablF IǦ)J2O`M' "t^䲁 ̤aq T2<͜͜jfY ̜c9K<\6$=1QebYQ tR3{"+w-]b?rRU!eZ[QMܶq w)}K5 ŢT^Բ}Q0%۝# _U;)#:0?.Y!6#< 6 2$ w9h: d8j=soos#ۄ/vx-CV*tww\hLxǖHd»;op`Ulƻ8#9E7" '(_x6^>S6?)Bz'i ,y>`5EUhq[+rcqy܋{i`Gp)OL"TF`fTehCcN MrV@!]F6kS=oc~x)*G֜%@77d6c/":!gUhd6Փz`x?N.m , ˍ K3K?. zŔ A"<`߮A;撮~$Ɨ@7fYz2f |;\feL٬A}) Z:! LrHWTObC<ʌV҆$i??n>)[ kլAX+gd Ry6k Q$<6ğES'6O^hSu36m'x.Ϳpe^,MkDGkCGlhq-d5%9K%!8]ёHi1l[1%! ض -F vxqWo5UFBh 2yQ.D,3qs{ G؜0+ryQ)^혢7_d%НW _%MZbVzaB1ԯ'⑘W࿌iR#!f91!Y6uRn#䎄KMEC}rH4J_mԯ"ѪLù%䗂eh~cN OrxpZ4YI}>Xm²R<⍽%N! I %|6r Lq¤E9ғ)r3FG[ێdzrAƔ:sCF œ6y!Ec(rd0*ƵYOfjci.\RLiq"qe!^1e' U`ct4ZA}c9?xd0>ß aL G]9l<>s8<ɚ 2q {2e OWB謌g[ j%+x}1cTU{c1Xfu1r'! u|a ;!sv}DRucN#y۲<1FR)2 q$<6 >jY!t٬MFOz&v -hH͋t!_6" !~}`Gf`bO+Ra0,#$,. EbdC`C%DST(d6bL'Oa9|6sܘ+i`Y,U\إ:fM\D.ѥ,o. Ubb&}!CBRօRTd6ɓ2!}>;ʑ .U%(;O+vu\}}GJ8Y.r6#8b7m.E"ДfxQ8KWFOxL #U*sB *$UA|sVߺ8DUx3 C4θne;Rcs\f.o>HY &rbF\GlFeіyD 06R(M2#V< 6 6:&1Zד@2j<2ʑR%LZ= +`OY}5J C ̈́AZ61ec N.Ie4ȋDX20/HS*0!]F6kS=oGƖVillCۖe i& qu|;|΁jt%?q4,<3KH*#8YF^$ĒǕцzǔ@Z'VIufm!f_AVزSj8?|2#̷°:nqݐ)83.4ʰzĐ2ʂC٪T鱫(6̓H3]'̴?&̱unbЍp9"2>۬ ޅ,xNIw9o"bGYY+&n %n!Ve,-K&3 Sr`h`'-FI ۴I1ɐ.]73);惰4ڮzhB\\,d5j7C;A-]"ДfxQ8KWFOxL t 5Vmŏa'G. ބ-'6vRyx$^ƍ۲?+ |`f;Km,)!v!`F h2y_蘲FUgUHd6ѓf? )5/H2b)=v<+ɗٛ/#Av͗tT2K5b3= %Ztdop 0<+) hmN!F}Cy;J,<+ G'@g,v*(s0FR)2 $<6 >TVZrV@!]F6kS=xIB7F@=vΔ|n HӷbNH^] G|cd)n9 ;8ҞLPvBhU\KAMѲqe4'T77/ĐB!iW 6/IH|E\5BNZoJ^88㭹a3\1e.E!fwQK&SrhpsB i*QA{hě?؛o19 RR*O6{9٣kSA滍An K6nW\*B4Y})Z:! LrF6kS=oc9}}y㸦SU`&q O37dd&# ߊ1 p74 a#p)!l Y FvQ;W&OpL tm۟ĐB![iFh_O'N\Y6#Dtw "!D I2wBhU\K=MѲqe21e' 8+ ԐB" 52;x"F K B]0BR)2 Q$<&7>Rպ/fBmyҞ0Ԝ8y" HzN#I]kY\DZfA62J#>M ˍ# K3Z7qCLd'X0BR)2 $D 2O'|Jri0}, Aq[66&JC||{"QR=bDArc2ovBE ͚)۩ Oٖ%g <1*ln]h!E@iTVZrV@!]F6kS=Oq 4>-E`!s&.%N7BTSEdOH, @J1EofUQY~)Ygndx EŷH@I[vG> yv'm|}->,#tWhŴVڑ,m` ̈Oˁ% $EJWpzvP\CUx9_/x\֛#^wJ 8$6"OW #Vby[ r0;}4v%^UT`N=gMdɅf}5aLai2f cv>mm >[޶'sd[bEy _qs#J,<Pߎ_m,9Zӄ1eu˨Dyr~vّnظSy3J iKByKcl? ȵ#J:A׎,EYMR*k$YϮ+-O޷t^UhsOBh)\e&}aZ*(dIfѮO|YlCXpdaf޸z   kAXAVYB+4aLi2f dv>ր$9`䐭F#P- Sͽx l+)]u'R1;qKH@)W\BBd!xUAav15uȘiDprבnm6hm][JzH'G:€9nІ۽usdrd=9H1Jt,H-1tȊ+m_ !SE`ZG+k0V 0jV#zV&[ʯ'vK:=\^$dMW[dwo \Ǒ\oc}0O^ʯ& ЭNu32?W.; VatZo,5٧d!}DL4F7} Jqn#"3>p w-܈W*1plyqϣ![xFKꖀ_-OWN3 VtZrolU[FR_1~E ,h1|87*r0'Ȳd΍"n5;kH@6pՄ1eu˨Dyr~vّnظS)XΕg.=+ӌ'GD G9B>ڸC°!S*DzԲҰK>͍<.}t7'70@nv32O.; >C% ]i!C@!YHS~?13#c'Mz\H̫OsSk2]CC> qp2щ0pZu#Th#&R2fN|0qmDU2(dI'rd蹉bY` tDM_ٮޱ6~UݶQs"WFD8j mQc\u*GZ h(!C#3n,/!kq,Vc%kC;dI.cu,t@D-e;[}3tqrY_ظ#p f]OJzLH'OzC G:# lC>m7$]֒˱v'!́  +qu@WqGcdN떑7$|cqmHU!(9V`j>5>%˨+IŴڹ砥.WW$ Jrs#T8ք2eu˰Đyr~vٱnPKthsF jOBz 2gy{\^ ~e TtJj߽, M1(׏_?ˏ~_㯏~?v??9~LGZ#1U)TڰA(BֱӥQ[ܛc)ꊩi*#"fwd|.5[451_WL=^R9CQF9A uSCD46hyN`0=_ϒѮ2yd.xUJjR~R&˝)xT3;es^r %2&@Z֘n|kG1kA(^72/KR DIt}A+ вFTip/rį8Scg,{-\\'1"880lhLt4+|m4˕79 极y<*ȯ(ysZ ^ʼn2eԫ6QY`ߘm8d Jle~NyΝf2S1 WE[-k(KvZGRہIt\*r'g]pxT"G5נN[fo4|ؑ$'3ոMB,mk+~&?eR2@ endstream endobj 57 0 obj << /Type /StructElem /S /Part /P 11 0 R /Pg 10 0 R /K [90 0 R 65 0 R 68 0 R 69 0 R 84 0 R 91 0 R 61 0 R 92 0 R 93 0 R 94 0 R 95 0 R 96 0 R 97 0 R 98 0 R 99 0 R 100 0 R 101 0 R 102 0 R 103 0 R 104 0 R 105 0 R 60 0 R 106 0 R 107 0 R 108 0 R 59 0 R 109 0 R 110 0 R 111 0 R 112 0 R 113 0 R 114 0 R 115 0 R 116 0 R 117 0 R 118 0 R 119 0 R 120 0 R 121 0 R 122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R 129 0 R 58 0 R 130 0 R 62 0 R 131 0 R 71 0 R 73 0 R 132 0 R 74 0 R 72 0 R 70 0 R 75 0 R 76 0 R 77 0 R 221 0 R 64 0 R 63 0 R 67 0 R 87 0 R 88 0 R 89 0 R 133 0 R 85 0 R 222 0 R 134 0 R 86 0 R 66 0 R] >> endobj 58 0 obj << /Type /StructElem /S /P /P 57 0 R /E (Shortness of breath ) /Pg 10 0 R /K [0] >> endobj 59 0 obj << /Type /StructElem /S /P /P 57 0 R /E (Palpitations) /Pg 10 0 R /K [1] >> endobj 60 0 obj << /Type /StructElem /S /P /P 57 0 R /E (Chest pain ) /Pg 10 0 R /K [2] >> endobj 61 0 obj << /Type /StructElem /S /H6 /P 57 0 R /T (MVP often causes no symptoms. When they do occur, they may include the following:) /E (MVP often causes no symptoms. When they do occur, they may include the following:) /Pg 10 0 R /K [3] >> endobj 62 0 obj << /Type /StructElem /S /P /P 57 0 R /E (Exercise intolerance) /Pg 10 0 R /K [4] >> endobj 63 0 obj << /Type /StructElem /S /P /P 57 0 R /E ( ) /Pg 10 0 R /K [5] >> endobj 64 0 obj << /Type /StructElem /S /P /P 57 0 R /E ( ) /Pg 10 0 R /K [6] >> endobj 65 0 obj << /Type /StructElem /S /H1 /P 57 0 R /T (Mitral Valve Prolapse) /E (Mitral Valve Prolapse) /Pg 10 0 R /K [7] >> endobj 66 0 obj << /Type /StructElem /S /P /P 57 0 R /E /Pg 10 0 R /K [8] >> endobj 67 0 obj << /Type /StructElem /S /H3 /P 57 0 R /T (Primary MVP) /E (Primary MVP) /Pg 10 0 R /K [9] >> endobj 68 0 obj << /Type /StructElem /S /H5 /P 57 0 R /T (Mitral valve prolapse \(MVP\) is a heart valve condition where the two flaps of the mitral valve do not close evenly. Instead, they bulge slightly upward into the left atrium when the heart beats. ) /E (Mitral valve prolapse \(MVP\) is a heart valve condition where the two flaps of the mitral valve do not close evenly. Instead, they bulge slightly upward into the left atrium when the heart beats. ) /Pg 10 0 R /K [10] >> endobj 69 0 obj << /Type /StructElem /S /H5 /P 57 0 R /T (MVP affects up to 3% of people and is usually a harmless condition; however, it can be associated with marked mitral valve regurgitation, bacterial endocarditis, congestive heart failure, atrial fibrillation, and in severe cases, even sudden death.) /E (MVP affects up to 3% of people and is usually a harmless condition; however, it can be associated with marked mitral valve regurgitation, bacterial endocarditis, congestive heart failure, atrial fibrillation, and in severe cases, even sudden death.) /Pg 10 0 R /K [11] >> endobj 70 0 obj << /Type /StructElem /S /P /P 57 0 R /E ( ) /Pg 10 0 R /K [12] >> endobj 71 0 obj << /Type /StructElem /S /H2 /P 57 0 R /T (The two types of) /E (The two types of) /Pg 10 0 R /K [13] >> endobj 72 0 obj << /Type /StructElem /S /H3 /P 57 0 R /T (mitral valve prolapse \(MVP\):) /E (mitral valve prolapse \(MVP\):) /Pg 10 0 R /K [14] >> endobj 73 0 obj << /Type /StructElem /S /H2 /P 57 0 R /T (Treatment for) /E (Treatment for) /Pg 10 0 R /K [15] >> endobj 74 0 obj << /Type /StructElem /S /H3 /P 57 0 R /T (mitral valve prolapse \(MVP\):) /E (mitral valve prolapse \(MVP\):) /Pg 10 0 R /K [16] >> endobj 75 0 obj << /Type /StructElem /S /H4 /P 57 0 R /T (Most people with MVP do not need treatment. Your care team will help you understand your level of risk and how to prevent complications.) /E (Most people with MVP do not need treatment. Your care team will help you understand your level of risk and how to prevent complications.) /Pg 10 0 R /K [17] >> endobj 76 0 obj << /Type /StructElem /S /H4 /P 57 0 R /T (If medication is prescribed, take as directed. ) /E (If medication is prescribed, take as directed. ) /Pg 10 0 R /K [18] >> endobj 77 0 obj << /Type /StructElem /S /H4 /P 57 0 R /T (People with an abnormal mitral valve may need mitral valve repair or replacement if: ) /E (People with an abnormal mitral valve may need mitral valve repair or replacement if: ) /Pg 10 0 R /K [19] >> endobj 78 0 obj << /Type /StructElem /S /H5 /P 223 0 R /T (Symptoms are getting worse) /E (Symptoms are getting worse) /Pg 10 0 R /K [20] >> endobj 79 0 obj << /Type /StructElem /S /H5 /P 224 0 R /T (Mitral regurgitation becomes severe) /E (Mitral regurgitation becomes severe) /Pg 10 0 R /K [21] >> endobj 80 0 obj << /Type /StructElem /S /H5 /P 225 0 R /T (The heart chambers become enlarged) /E (The heart chambers become enlarged) /Pg 10 0 R /K [22] >> endobj 81 0 obj << /Type /StructElem /S /H5 /P 226 0 R /T (Heart function \(ejection fraction\) decreases) /E (Heart function \(ejection fraction\) decreases) /Pg 10 0 R /K [23] >> endobj 82 0 obj << /Type /StructElem /S /H5 /P 227 0 R /T (AHA/ACC guidelines recommend considering mitral valve repair in some patients with severe mitral regurgitation before symptoms develop.) /E (AHA/ACC guidelines recommend considering mitral valve repair in some patients with severe mitral regurgitation before symptoms develop.) /Pg 10 0 R /K [24] >> endobj 83 0 obj << /Type /StructElem /S /H5 /P 228 0 R /T (Most people with MVP no longer need antibiotics before dental procedures. They are only suggested for people with certain high-risk heart conditions.) /E (Most people with MVP no longer need antibiotics before dental procedures. They are only suggested for people with certain high-risk heart conditions.) /Pg 10 0 R /K [25] >> endobj 84 0 obj << /Type /StructElem /S /H2 /P 57 0 R /T (Signs and Symptoms) /E (Signs and Symptoms) /Pg 10 0 R /K [26] >> endobj 85 0 obj << /Type /StructElem /S /H3 /P 57 0 R /T (Additional notes:) /E (Additional notes:) /Pg 10 0 R /K [27] >> endobj 86 0 obj << /Type /StructElem /S /H4 /P 57 0 R /T (Visit heart.org/HVDEducation for more heart valve information.) /E (Visit heart.org/HVDEducation for more heart valve information.) /Pg 10 0 R /K [28] >> endobj 87 0 obj << /Type /StructElem /S /H4 /P 57 0 R /T (Characterized by myxomatous degeneration \(abnormally stretchy valve leaflets\).) /E (Characterized by myxomatous degeneration \(abnormally stretchy valve leaflets\).) /Pg 10 0 R /K [29] >> endobj 88 0 obj << /Type /StructElem /S /H3 /P 57 0 R /T (Secondary MVP) /E (Secondary MVP) /Pg 10 0 R /K [30] >> endobj 89 0 obj << /Type /StructElem /S /H4 /P 57 0 R /T (Can occur as a part of other conditions, like certain connective tissue disorders.) /E (Can occur as a part of other conditions, like certain connective tissue disorders.) /Pg 10 0 R /K [31] >> endobj 90 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [229 0 R 0] /K [32] >> endobj 91 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [230 0 R 0] /K [33] >> endobj 92 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [231 0 R 0] /K [34] >> endobj 93 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [232 0 R 0] /K [35] >> endobj 94 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [233 0 R 0] /K [36] >> endobj 95 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [234 0 R 0] /K [37] >> endobj 96 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [235 0 R 0] /K [38] >> endobj 97 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [236 0 R 0] /K [39] >> endobj 98 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [237 0 R 0] /K [40] >> endobj 99 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [238 0 R 0] /K [41] >> endobj 100 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [239 0 R 0] /K [42] >> endobj 101 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [240 0 R 0] /K [43] >> endobj 102 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [241 0 R 0] /K [44] >> endobj 103 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [242 0 R 0] /K [45] >> endobj 104 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [243 0 R 0] /K [46] >> endobj 105 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [244 0 R 0] /K [47] >> endobj 106 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [245 0 R 0] /K [48] >> endobj 107 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [246 0 R 0] /K [49] >> endobj 108 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [247 0 R 0] /K [50] >> endobj 109 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [248 0 R 0] /K [51] >> endobj 110 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [249 0 R 0] /K [52] >> endobj 111 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [250 0 R 0] /K [53] >> endobj 112 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [251 0 R 0] /K [54] >> endobj 113 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [252 0 R 0] /K [55] >> endobj 114 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [253 0 R 0] /K [56] >> endobj 115 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [254 0 R 0] /K [57] >> endobj 116 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [255 0 R 0] /K [58] >> endobj 117 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [256 0 R 0] /K [59] >> endobj 118 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [257 0 R 0] /K [60] >> endobj 119 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [258 0 R 0] /K [61] >> endobj 120 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [259 0 R 0] /K [62] >> endobj 121 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [260 0 R 0] /K [63] >> endobj 122 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [261 0 R 0] /K [64] >> endobj 123 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [262 0 R 0] /K [65] >> endobj 124 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [263 0 R 0] /K [66] >> endobj 125 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [264 0 R 0] /K [67] >> endobj 126 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [265 0 R 0] /K [68] >> endobj 127 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [266 0 R 0] /K [69] >> endobj 128 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [267 0 R 0] /K [70] >> endobj 129 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [268 0 R 0] /K [71] >> endobj 130 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [269 0 R 0] /K [72] >> endobj 131 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [270 0 R 0] /K [73] >> endobj 132 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [271 0 R 0] /K [74] >> endobj 133 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [272 0 R 0] /K [75] >> endobj 134 0 obj << /Type /StructElem /S /Figure /P 57 0 R /Pg 10 0 R /A [273 0 R 0] /K [76] >> endobj 135 0 obj << /Title (Mitral valve prolapse \(MVP\) is a heart valve condition where the two flaps of the mitral valve do not close evenly. Instead, they bulge slightly upward into the left atrium when the heart beats.) /Dest [10 0 R /Fit] /Parent 14 0 R /Next 274 0 R >> endobj 136 0 obj << /Title (Treatment for) /Dest [10 0 R /Fit] /Parent 14 0 R /Prev 275 0 R /First 276 0 R /Last 277 0 R /Count -5 >> endobj 137 0 obj << /ca 1 /BM /Normal >> endobj 138 0 obj << /Type /ExtGState /ca 0.0 >> endobj 139 0 obj << /Type /Pattern /PatternType 2 /Matrix [.125249982 0 0 -.125003025 30.281998 783.58374] /Shading 278 0 R >> endobj 140 0 obj << /G3 137 0 R >> endobj 141 0 obj << /Type /Group /S /Transparency /I true >> endobj 142 0 obj << /G3 137 0 R >> endobj 143 0 obj << /Type /Group /S /Transparency /I true >> endobj 144 0 obj << /G3 137 0 R >> endobj 145 0 obj << /Type /Group /S /Transparency /I true >> endobj 146 0 obj << /G3 137 0 R >> endobj 147 0 obj << /Type /Group /S /Transparency /I true >> endobj 148 0 obj << /G3 137 0 R >> endobj 149 0 obj << /Type /Group /S /Transparency /I true >> endobj 150 0 obj << /G3 137 0 R >> endobj 151 0 obj << /Type /Group /S /Transparency /I true >> endobj 152 0 obj << /G3 137 0 R >> endobj 153 0 obj << /Type /Group /S /Transparency /I true >> endobj 154 0 obj << /G3 137 0 R >> endobj 155 0 obj << /Type /Group /S /Transparency /I true >> endobj 156 0 obj << /G3 137 0 R >> endobj 157 0 obj << /Type /Group /S /Transparency /I true >> endobj 158 0 obj << /G3 137 0 R >> endobj 159 0 obj << /Type /Group /S /Transparency /I true >> endobj 160 0 obj << /G3 137 0 R >> endobj 161 0 obj << /Type /Group /S /Transparency /I true >> endobj 162 0 obj << /G3 137 0 R >> endobj 163 0 obj << /Type /Group /S /Transparency /I true >> endobj 164 0 obj << /G3 137 0 R >> endobj 165 0 obj << /Type /Group /S /Transparency /I true >> endobj 166 0 obj << /G3 137 0 R >> endobj 167 0 obj << /Type /Group /S /Transparency /I true >> endobj 168 0 obj << /G3 137 0 R >> endobj 169 0 obj << /Type /Group /S /Transparency /I true >> endobj 170 0 obj << /G3 137 0 R >> endobj 171 0 obj << /Type /Group /S /Transparency /I true >> endobj 172 0 obj << /G3 137 0 R >> endobj 173 0 obj << /Type /Group /S /Transparency /I true >> endobj 174 0 obj << /G3 137 0 R >> endobj 175 0 obj << /Type /Group /S /Transparency /I true >> endobj 176 0 obj << /G3 137 0 R >> endobj 177 0 obj << /Type /Group /S /Transparency /I true >> endobj 178 0 obj << /G3 137 0 R >> endobj 179 0 obj << /Type /Group /S /Transparency /I true >> endobj 180 0 obj << /G3 137 0 R >> endobj 181 0 obj << /Type /Group /S /Transparency /I true >> endobj 182 0 obj << /G3 137 0 R >> endobj 183 0 obj << /Type /Group /S /Transparency /I true >> endobj 184 0 obj << /G3 137 0 R >> endobj 185 0 obj << /Type /Group /S /Transparency /I true >> endobj 186 0 obj << /G3 137 0 R >> endobj 187 0 obj << /Type /Group /S /Transparency /I true >> endobj 188 0 obj << /G3 137 0 R >> endobj 189 0 obj << /Type /Group /S /Transparency /I true >> endobj 190 0 obj << /G3 137 0 R >> endobj 191 0 obj << /Type /Group /S /Transparency /I true >> endobj 192 0 obj << /G3 137 0 R >> endobj 193 0 obj << /Type /Group /S /Transparency /I true >> endobj 194 0 obj << /G3 137 0 R >> endobj 195 0 obj << /Type /Group /S /Transparency /I true >> endobj 196 0 obj << /G3 137 0 R >> endobj 197 0 obj << /Type /Group /S /Transparency /I true >> endobj 198 0 obj << /G3 137 0 R >> endobj 199 0 obj << /Type /Group /S /Transparency /I true >> endobj 200 0 obj << /G3 137 0 R >> endobj 201 0 obj << /Type /Group /S /Transparency /I true >> endobj 202 0 obj << /G3 137 0 R >> endobj 203 0 obj << /Type /Group /S /Transparency /I true >> endobj 204 0 obj << /G3 137 0 R >> endobj 205 0 obj << /Type /Group /S /Transparency /I true >> endobj 206 0 obj << /G3 137 0 R >> endobj 207 0 obj << /Type /Group /S /Transparency /I true >> endobj 208 0 obj << /G3 137 0 R >> endobj 209 0 obj << /Type /Group /S /Transparency /I true >> endobj 210 0 obj << /G3 137 0 R >> endobj 211 0 obj << /Type /Group /S /Transparency /I true >> endobj 212 0 obj << /G3 137 0 R >> endobj 213 0 obj << /Type /Group /S /Transparency /I true >> endobj 214 0 obj << /Type /Font /Subtype /Type0 /BaseFont /AAAAAA+LubDubHeavy /Encoding /Identity-H /DescendantFonts [279 0 R] /ToUnicode 280 0 R >> endobj 215 0 obj << /Type /Font /Subtype /Type0 /BaseFont /BAAAAA+LubDubBold /Encoding /Identity-H /DescendantFonts [281 0 R] /ToUnicode 282 0 R >> endobj 216 0 obj << /Type /Font /Subtype /Type0 /BaseFont /CAAAAA+LubDubCondensed /Encoding /Identity-H /DescendantFonts [283 0 R] /ToUnicode 284 0 R >> endobj 217 0 obj << /Type /Font /Subtype /Type0 /BaseFont /DAAAAA+LubDubHeavy /Encoding /Identity-H /DescendantFonts [285 0 R] /ToUnicode 286 0 R >> endobj 218 0 obj << /Type /Font /Subtype /Type0 /BaseFont /EAAAAA+LubDubLight /Encoding /Identity-H /DescendantFonts [287 0 R] /ToUnicode 288 0 R >> endobj 219 0 obj << /Type /Font /Subtype /Type0 /BaseFont /FAAAAA+LubDubBold /Encoding /Identity-H /DescendantFonts [289 0 R] /ToUnicode 290 0 R >> endobj 220 0 obj << /Type /Font /Subtype /Type0 /BaseFont /GAAAAA+LubDubMedium /Encoding /Identity-H /DescendantFonts [291 0 R] /ToUnicode 292 0 R >> endobj 221 0 obj << /Type /StructElem /S /L /P 57 0 R /K [293 0 R 294 0 R 295 0 R 296 0 R] /Pg 10 0 R >> endobj 222 0 obj << /Type /StructElem /S /L /P 57 0 R /K [297 0 R 298 0 R] /Pg 10 0 R >> endobj 223 0 obj << /Type /StructElem /S /LBody /P 293 0 R /K 78 0 R >> endobj 224 0 obj << /Type /StructElem /S /LBody /P 294 0 R /K 79 0 R >> endobj 225 0 obj << /Type /StructElem /S /LBody /P 295 0 R /K 80 0 R >> endobj 226 0 obj << /Type /StructElem /S /LBody /P 296 0 R /K 81 0 R >> endobj 227 0 obj << /Type /StructElem /S /LBody /P 297 0 R /K 82 0 R >> endobj 228 0 obj << /Type /StructElem /S /LBody /P 298 0 R /K 83 0 R >> endobj 229 0 obj << /O /Layout /BBox [30.282 715.9581 155.571 783.6142] /Placement /Block >> endobj 230 0 obj << /O /Layout /BBox [26.567156 501.2511 586.70245 524.8833] /Placement /Block >> endobj 231 0 obj << /O /Layout /BBox [91.32825 485.45874 109.32825 493.61874] /Placement /Block >> endobj 232 0 obj << /O /Layout /BBox [90.35325 475.03748 109.31325 488.47748] /Placement /Block >> endobj 233 0 obj << /O /Layout /BBox [75.01575 464.63348 90.85574 481.19348] /Placement /Block >> endobj 234 0 obj << /O /Layout /BBox [102.69375 458.70398 112.29375 478.14398] /Placement /Block >> endobj 235 0 obj << /O /Layout /BBox [89.886 469.49423 96.366005 474.53424] /Placement /Block >> endobj 236 0 obj << /O /Layout /BBox [93.51525 469.0105 99.03525 471.6505] /Placement /Block >> endobj 237 0 obj << /O /Layout /BBox [73.55925 454.11923 101.15925 469.23923] /Placement /Block >> endobj 238 0 obj << /O /Layout /BBox [81.5595 461.63425 84.4395 466.19424] /Placement /Block >> endobj 239 0 obj << /O /Layout /BBox [95.31075 458.50748 100.59075 461.62747] /Placement /Block >> endobj 240 0 obj << /O /Layout /BBox [100.30275 447.61374 107.02275 469.21375] /Placement /Block >> endobj 241 0 obj << /O /Layout /BBox [92.0625 455.30573 101.1825 458.42572] /Placement /Block >> endobj 242 0 obj << /O /Layout /BBox [108.429 447.64972 111.309 457.96973] /Placement /Block >> endobj 243 0 obj << /O /Layout /BBox [101.4255 447.56497 104.0655 457.40497] /Placement /Block >> endobj 244 0 obj << /O /Layout /BBox [78.0855 447.63998 80.24551 455.8] /Placement /Block >> endobj 245 0 obj << /O /Layout /BBox [186.89499 471.00452 232.73499 490.6845] /Placement /Block >> endobj 246 0 obj << /O /Layout /BBox [183.53574 459.15228 236.09573 482.1923] /Placement /Block >> endobj 247 0 obj << /O /Layout /BBox [191.09573 451.49326 228.53574 467.81326] /Placement /Block >> endobj 248 0 obj << /O /Layout /BBox [341.95868 476.5611 346.75867 496.0011] /Placement /Block >> endobj 249 0 obj << /O /Layout /BBox [348.22644 476.5611 353.02643 496.0011] /Placement /Block >> endobj 250 0 obj << /O /Layout /BBox [338.40817 486.88034 341.52817 496.00034] /Placement /Block >> endobj 251 0 obj << /O /Layout /BBox [353.45544 486.88034 356.57544 496.00034] /Placement /Block >> endobj 252 0 obj << /O /Layout /BBox [332.38943 487.60034 336.94943 495.28033] /Placement /Block >> endobj 253 0 obj << /O /Layout /BBox [358.03494 487.60034 362.59494 495.28033] /Placement /Block >> endobj 254 0 obj << /O /Layout /BBox [341.34442 489.04034 343.74442 493.84033] /Placement /Block >> endobj 255 0 obj << /O /Layout /BBox [351.23993 489.04034 353.63992 493.84033] /Placement /Block >> endobj 256 0 obj << /O /Layout /BBox [326.37292 490.60034 336.93292 492.28033] /Placement /Block >> endobj 257 0 obj << /O /Layout /BBox [358.05142 490.60034 368.61142 492.28033] /Placement /Block >> endobj 258 0 obj << /O /Layout /BBox [324.09293 449.18457 344.49292 485.42456] /Placement /Block >> endobj 259 0 obj << /O /Layout /BBox [336.3712 461.26782 341.17117 477.3478] /Placement /Block >> endobj 260 0 obj << /O /Layout /BBox [331.63943 470.9946 340.51944 476.5146] /Placement /Block >> endobj 261 0 obj << /O /Layout /BBox [331.65518 455.85358 338.1352 472.65356] /Placement /Block >> endobj 262 0 obj << /O /Layout /BBox [328.6012 461.19733 336.0412 466.95734] /Placement /Block >> endobj 263 0 obj << /O /Layout /BBox [350.49142 449.18457 370.89142 485.42456] /Placement /Block >> endobj 264 0 obj << /O /Layout /BBox [353.81317 461.26782 358.61316 477.3478] /Placement /Block >> endobj 265 0 obj << /O /Layout /BBox [354.46494 470.9946 363.34494 476.5146] /Placement /Block >> endobj 266 0 obj << /O /Layout /BBox [356.84918 455.85358 363.3292 472.65356] /Placement /Block >> endobj 267 0 obj << /O /Layout /BBox [358.94318 461.19733 366.38318 466.95734] /Placement /Block >> endobj 268 0 obj << /O /Layout /BBox [341.4922 471.8841 353.4922 477.1641] /Placement /Block >> endobj 269 0 obj << /O /Layout /BBox [484.92923 446.75916 523.3768 495.50403] /Placement /Block >> endobj 270 0 obj << /O /Layout /BBox [24.8625 413.0487 586.7025 422.8887] /Placement /Block >> endobj 271 0 obj << /O /Layout /BBox [276.80908 191.34871 284.4163 402.6078] /Placement /Block >> endobj 272 0 obj << /O /Layout /BBox [26.567156 164.99681 588.40717 174.8368] /Placement /Block >> endobj 273 0 obj << /O /Layout /BBox [0.0 31.516817 612.0 60.796818] /Placement /Block >> endobj 274 0 obj << /Title (MVP affects up to 3% of people and is usually a harmless condition; however, it can be associated with marked mitral valve regurgitation, bacterial endocarditis, congestive heart failure, atrial fibrillation, and in severe cases, even sudden death.) /Dest [10 0 R /Fit] /Parent 14 0 R /Prev 135 0 R /Next 299 0 R >> endobj 275 0 obj << /Title (The two types of) /Dest [10 0 R /Fit] /Parent 14 0 R /Prev 299 0 R /Next 136 0 R >> endobj 276 0 obj << /Title (mitral valve prolapse \(MVP\):) /Dest [10 0 R /Fit] /Parent 136 0 R /Next 300 0 R >> endobj 277 0 obj << /Title (Additional notes:) /Dest [10 0 R /Fit] /Parent 136 0 R /Prev 301 0 R /First 302 0 R /Last 303 0 R /Count -3 >> endobj 278 0 obj << /Function 304 0 R /Extend [true true] /Coords [249.2 370.29999 392.5 370.29999] /ShadingType 2 /ColorSpace /DeviceRGB >> endobj 279 0 obj << /Type /Font /FontDescriptor 305 0 R /BaseFont /AAAAAA+LubDubHeavy /Subtype /CIDFontType2 /CIDToGIDMap /Identity /CIDSystemInfo 306 0 R /W [0 [600 0 0 190] 13 [700 0 0 0 590] 34 [939] 45 [624 0 0 0 594] 57 [690] 65 [676] 73 [653 510 0 0 0 596] 83 [432] 86 [285] 94 [337] 99 [634] 107 [653 0 0 411 491 0 0 447] 120 [576 0 599] ] /DW 633 >> endobj 280 0 obj << /Length 339 /Filter /FlateDecode >> stream x]n0E /EdN%BX|j8 CR ޙYTVO;핖n J R 3M.DR]$ ]vOX{7FЎrRTBOX֙nʼHNp-?e1@Cv#& N@r9/h^u]_> endobj 282 0 obj << /Length 346 /Filter /FlateDecode >> stream x]n0~ CdR.*3Pb,xH}3 **=8.>jptkaVC?hjl yU`t74\|B?.pi;x-Ap#ØA;.Y:&Ƽ5#panyZ p٣jl=TJ)3eYf tvwcQd<җJDҙ|yD9QHt%:#7ʑ"CT Ŕ3Nb͗ %D"ʙ2`[7sA˰j%cHȧ]FRFr?4躷RxLs)KneQ!syX=pF ϳ3YY endstream endobj 283 0 obj << /Type /Font /FontDescriptor 309 0 R /BaseFont /CAAAAA+LubDubCondensed /Subtype /CIDFontType2 /CIDToGIDMap /Identity /CIDSystemInfo 310 0 R /W [0 [605 0 0 210 554] 13 [589 0 610] 24 [615 243] 34 [733] 45 [486] 52 [602] 65 [525] 73 [519 420 0 525 0 471] 83 [306 517 511 216] 94 [248 0 770 511 0 501] 107 [519 0 0 295 374 0 0 326 516] 120 [417 647 0 510 0 0 400 0 505] 136 [476 364 475] 142 [475] 153 [244 242] 166 [362 0 302 301] 174 [331] 226 [653] ] /DW 474 >> endobj 284 0 obj << /Length 407 /Filter /FlateDecode >> stream x]n0~ Cw$DH8G}1qyH`w3Yfp{cאv$t[ݥW~utiY&A]>xgٞ`lܦ.dT"eO'/^Hzܶ{2npWU|'tcOשȶL"SJ\fUUU {,mSZ.s))b|*P=1Lϔ`fT0%:P/T2%8YRvL)҅ v z-@ EB)rK^Z{k!iZjIwC4I`K auζО@)/k|LHL"B&ٹ^ܼ=?VYK8/`L4wͿ_kن endstream endobj 285 0 obj << /Type /Font /FontDescriptor 311 0 R /BaseFont /DAAAAA+LubDubHeavy /Subtype /CIDFontType2 /CIDToGIDMap /Identity /CIDSystemInfo 312 0 R /W [0 [600 0 0 190 735] 15 [754 0 590] 24 [767] 34 [939] 45 [624 0 0 0 594 0 574] 57 [690] 65 [676] 74 [510 0 676 0 596] 83 [432 651 633 285] 94 [337 0 948 633 0 634] 107 [653 0 0 411 491 0 0 447 656] 121 [860 0 636] 166 [509] ] /DW 312 >> endobj 286 0 obj << /Length 368 /Filter /FlateDecode >> stream x]͎0{G=J) !qQe}%Y o?2tv >婷ps-#{+B-4jW߯.= "ˤ >_Ŷ,^]zDˎN"(^񭹐 8mUud}CQ$5;D7ulZr=ȔR*YYe.vZ#xjǣ\fJi ˄P VB1,cŸ3B^Ah%, -> endobj 288 0 obj << /Length 370 /Filter /FlateDecode >> stream x]n0 yCEZ !Q(h@0PH D_|NZd-w>X`<>L ]+yv#|C51'-r- nGE;5 I漛L;rKs4r72'}j`رh@.[ZZ&٥cT`*"Qy@7m]<<Bx%䟑$ʈ2Nzt2PH\'H꩜Rp#~"<3ՓW(%z)8`6쓿R&%16v+$`<1."uЃrŐRԔBL6&@W^:tIƀ88\;>> endstream endobj 289 0 obj << /Type /Font /FontDescriptor 315 0 R /BaseFont /FAAAAA+LubDubBold /Subtype /CIDFontType2 /CIDToGIDMap /Identity /CIDSystemInfo 316 0 R /W [0 [600] ] /DW 221 >> endobj 290 0 obj << /Length 228 /Filter /FlateDecode >> stream x]Mj0 >3tk %CPwJjhd8ܾ SBI{} S q[v#΁ص\9b㽾}-h"֒w8=81t͙q RMvA hTB/)>еEkBrA1$~Pln'RN4\am9#B3R-GN)J@co9 endstream endobj 291 0 obj << /Type /Font /FontDescriptor 317 0 R /BaseFont /GAAAAA+LubDubMedium /Subtype /CIDFontType2 /CIDToGIDMap /Identity /CIDSystemInfo 318 0 R /W [0 [600 0 0 248 678] 13 [742] 24 [760 290] 34 [903] 45 [592 0 0 0 585 0 531] 57 [633 0 0 637] 65 [653] 73 [649 520 0 653 0 579] 83 [367 644 632] 86 92 260 93 [517 298 0 956 632 0 626] 107 [649 0 0 355 455 0 0 395 637] 120 [506 793 530 633 0 0 494] 166 [435 0 362 362] 174 [443] ] /DW 294 >> endobj 292 0 obj << /Length 395 /Filter /FlateDecode >> stream x]n0E /E1` !Q>T 0IgKR{^2eS5v2xwSߒ$tޯ"(={DI|q<{w0Qon 7ڣ|*GyY/s9AK7v'=5Y?WE|^g944yzr=ȔR*Y]u.Bwã\fJi3Lq@֠ yQBdI ڂ mbqg@ AMSRtOL[;P*AȋYܡf*bV7 %`֕h>Lp>dտ Fl?8lv7,5SS8bt5 Ut,l}sd=9ڲd0O~XC endstream endobj 293 0 obj << /Type /StructElem /S /LI /P 221 0 R /K [223 0 R] >> endobj 294 0 obj << /Type /StructElem /S /LI /P 221 0 R /K [224 0 R] >> endobj 295 0 obj << /Type /StructElem /S /LI /P 221 0 R /K [225 0 R] >> endobj 296 0 obj << /Type /StructElem /S /LI /P 221 0 R /K [226 0 R] >> endobj 297 0 obj << /Type /StructElem /S /LI /P 222 0 R /K [227 0 R] >> endobj 298 0 obj << /Type /StructElem /S /LI /P 222 0 R /K [228 0 R] >> endobj 299 0 obj << /Title (Signs and Symptoms) /Dest [10 0 R /Fit] /Parent 14 0 R /Prev 274 0 R /First 319 0 R /Last 319 0 R /Count -1 /Next 275 0 R >> endobj 300 0 obj << /Title (mitral valve prolapse \(MVP\):) /Dest [10 0 R /Fit] /Parent 136 0 R /Prev 276 0 R /First 320 0 R /Last 321 0 R /Count -3 /Next 322 0 R >> endobj 301 0 obj << /Title (Secondary MVP) /Dest [10 0 R /Fit] /Parent 136 0 R /Prev 322 0 R /First 323 0 R /Last 323 0 R /Count -1 /Next 277 0 R >> endobj 302 0 obj << /Title (AHA/ACC guidelines recommend considering mitral valve repair in some patients with severe mitral regurgitation before symptoms develop.) /Dest [10 0 R /Fit] /Parent 277 0 R /Next 324 0 R >> endobj 303 0 obj << /Title (Visit heart.org/HVDEducation for more heart valve information.) /Dest [10 0 R /Fit] /Parent 277 0 R /Prev 324 0 R >> endobj 304 0 obj << /C0 [.6 0 0] /C1 [.8118 .1333 .1686] /Domain [0 1] /FunctionType 2 /N 1 >> endobj 305 0 obj << /Type /FontDescriptor /FontName /AAAAAA+LubDubHeavy /Flags 4 /Ascent 1014 /Descent -254 /StemV 203 /CapHeight 710 /ItalicAngle 0 /FontBBox [-486 -222 1368 967] /FontFile2 325 0 R >> endobj 306 0 obj << /Registry (Adobe) /Ordering (Identity) /Supplement 0 >> endobj 307 0 obj << /Type /FontDescriptor /FontName /BAAAAA+LubDubBold /Flags 4 /Ascent 1014 /Descent -254 /StemV 156 /CapHeight 710 /ItalicAngle 0 /FontBBox [-433 -220 1213 955] /FontFile2 326 0 R >> endobj 308 0 obj << /Registry (Adobe) /Ordering (Identity) /Supplement 0 >> endobj 309 0 obj << /Type /FontDescriptor /FontName /CAAAAA+LubDubCondensed /Flags 4 /Ascent 1014 /Descent -254 /StemV 94 /CapHeight 710 /ItalicAngle 0 /FontBBox [-330 -220 893 943] /FontFile2 327 0 R >> endobj 310 0 obj << /Registry (Adobe) /Ordering (Identity) /Supplement 0 >> endobj 311 0 obj << /Type /FontDescriptor /FontName /DAAAAA+LubDubHeavy /Flags 4 /Ascent 1014 /Descent -254 /StemV 203 /CapHeight 710 /ItalicAngle 0 /FontBBox [-486 -222 1368 967] /FontFile2 328 0 R >> endobj 312 0 obj << /Registry (Adobe) /Ordering (Identity) /Supplement 0 >> endobj 313 0 obj << /Type /FontDescriptor /FontName /EAAAAA+LubDubLight /Flags 4 /Ascent 1014 /Descent -254 /StemV 63 /CapHeight 710 /ItalicAngle 0 /FontBBox [-351 -220 1142 935] /FontFile2 329 0 R >> endobj 314 0 obj << /Registry (Adobe) /Ordering (Identity) /Supplement 0 >> endobj 315 0 obj << /Type /FontDescriptor /FontName /FAAAAA+LubDubBold /Flags 4 /Ascent 1014 /Descent -254 /StemV 156 /CapHeight 710 /ItalicAngle 0 /FontBBox [-433 -220 1213 955] /FontFile2 330 0 R >> endobj 316 0 obj << /Registry (Adobe) /Ordering (Identity) /Supplement 0 >> endobj 317 0 obj << /Type /FontDescriptor /FontName /GAAAAA+LubDubMedium /Flags 4 /Ascent 1014 /Descent -254 /StemV 109 /CapHeight 710 /ItalicAngle 0 /FontBBox [-387 -220 1111 945] /FontFile2 331 0 R >> endobj 318 0 obj << /Registry (Adobe) /Ordering (Identity) /Supplement 0 >> endobj 319 0 obj << /Title (MVP often causes no symptoms. When they do occur, they may include the following:) /Dest [10 0 R /Fit] /Parent 299 0 R >> endobj 320 0 obj << /Title (Most people with MVP do not need treatment. Your care team will help you understand your level of risk and how to prevent complications.) /Dest [10 0 R /Fit] /Parent 300 0 R /Next 332 0 R >> endobj 321 0 obj << /Title (People with an abnormal mitral valve may need mitral valve repair or replacement if:) /Dest [10 0 R /Fit] /Parent 300 0 R /Prev 332 0 R /First 333 0 R /Last 334 0 R /Count -4 >> endobj 322 0 obj << /Title (Primary MVP) /Dest [10 0 R /Fit] /Parent 136 0 R /Prev 300 0 R /First 335 0 R /Last 335 0 R /Count -1 /Next 301 0 R >> endobj 323 0 obj << /Title (Can occur as a part of other conditions, like certain connective tissue disorders.) /Dest [10 0 R /Fit] /Parent 301 0 R >> endobj 324 0 obj << /Title (Most people with MVP no longer need antibiotics before dental procedures. They are only suggested for people with certain high-risk heart conditions.) /Dest [10 0 R /Fit] /Parent 277 0 R /Prev 302 0 R /Next 303 0 R >> endobj 325 0 obj << /Length 5775 /Length1 8716 /Filter /FlateDecode >> stream xY |SU^6iiҔ+B-6нR(҂e06ߌ:Wԙ227(.ྌ"u({ tƙo=s=^^=E]`h?za'6wk=iGN𻎍}b=V-%wEʵ{1` ~2+N0\yE-=@@WWgtyV@EWWgTZ`[`BھMe!]l'F7pK ~|j9 ,5=ݽ}u+T=;{Hнp$ #Pbq)@^&. 6:_ Qͥq 6.u/ƙ'CoQo6xM+H篁n@mfKPJΐqB܏z!b7BS:?a1n;> F )| iгizCRv܃n6\+kр?c*U"D'J-^u"B рf*AE'>Az^7i?}֞æ'8s|ԡQt`5֡UI?/DLߠkA{%.=ct;AU\rUPH? 45)%$؈Gmq=搆mK0%[U *֠QlfNG/V SPb,Tf"BX(Vba_LĄu1a_t~J6[˒ZgZ.V:"`t庖xȵuk?JO%Bꑸv+XtD$H,F$]Y|k,b:(zAdD 2U];Z|ܹp'3*"Λ:r4}Jb:ѧ}N`f' *1>A%}Ǩ՘K#b4yj0F05tq,|:S #4>##4،F-c<41V:GGQ,FD(ڰ` ,UmtQ,#Xt*.G0Vc%:Ct>*q>t!ŅtTj:pXb/>QŋKc}lFzbzx6{.pWRzŕp9qkO觷q-q۸^\Ko\GoFoz ?͸bp#qď:f:`+-FSV6vBq'~Jogq]NzP={U~A}% nz{u<p_~z *x^װҫxѫxW(dzQW0 vaz# ~GeA?20DZ^.줗'^g^_E/*>?ыC/L/)Ƴ<<<Ox{y<9xKxG }xU1ڃQ|DO 'q#$$'Nx 8 0JO0J/[[. TW͝㯜=kiS+ʋx &&Hrf1-ՠONi512kȼK4R@x ŀS`,K55*Kb(Ge1z]GEy74qM&331SBg%q-j K|Scj{NjWb@nW{ ِA_%Uu=*r3 f3qHJUyW \nh yyOaHNUTJ֩&UA*5p )˥ 2x u-OIk:B: Mc~=%5.$|Kǎˉ&8Zs(MYS8O)lJbp} :L$$ E aEw78ŦGK6ʖasŮ̻dU)MstJ*Spð 5g:4DYa:jYm\OIlK㐟mi^0w wpj4w_r Wa*Q(֚;$U߱?VU2~0K:cܽL8IǀʈS8`zϣ~=tn:7:=tҒbK9e3;ﲗc=ȩA0d(wv8Fn E]j(Pu^6[R,痗UTxK3ux5-XK [:;?^W\Ըw[+pYnKӱ4.Wt- l 'ԉ!aJ!!';$X!&g5$x!A04/bH?/q_%mn7J ulO3&N1k{{n`5 ӈ?Mk2h5dKJWM|Ӧ%,y7K<n~qsOOgcOxnw)VN"վ9~cFHFAn̏HKaY3ZIJ<,_^6]T1͕xsVϚ8=),( &媸}(@??`\b2ײTMv^+dcB8Y⛽tI6X˜3JmlgOk͖TW_RlBgYSeKk,g{mvA.InaQn:+&ܔJȲZ˚.om0ZdU?ϫƏzC´ЧڒŲb۳ی716+7%0ҳM&3Bٯb%ݱʷm"/v屷M+)}<+l։Jt\Yl{d|ی.\|aӀ,xB]6%ӫ.\u[\A%0(w 췥[zLcTΨ =[^VUjZ%qK煶ldke뺳15 q#0#۟fL1DObUx2)d5Kf%{tx2#K'O ^%cYSc{s5oFxFk1۰`4,5 xVchhX압%Jܔeh%,&M&$D-F` I#ь'kP"o]`ؒ&5pNpړvwZe8g,6L.`5љ`Ę8HV$NrT_USsUs˕55W|SA?M l lQ\4] S\?ǿs7Xw>霫A%&k &b0Z+*+g'"ɬgp[Y8 .`@Y 55+iQ oͲL,i].ޥ/pvgsSL539|sfdw3RL5=͙5N׾Lm^EV-g #\886;wx!8A:F236~V;s+/6ۜSuJ@'yڝg]"_XܖrLuWWkLJ+w ]ŝC1pe,.%#-sҺB bqwoiRPI-`Ē8 +´[\Š*}kkYnϷ]Q49?%sڵr%8܊_:k`wpf)AL'i୉W ߴi%yue7sWga5W뚞+dMFc'  endstream endobj 326 0 obj << /Length 5675 /Length1 8940 /Filter /FlateDecode >> stream xZ |SUt%K%]^HWRZ҆ -& T[W8"FGQgGE_u2:"*(RTa潄|ws==y})h}+5 fmK=1?V q\ ?,Y|t@_ hs{{ ;/[8y"2lןxI(j sIJh\wӟ|;&, *X%tZ=gYoBK:z6Z< c=9J\ w+zЃGP&\tq).#R=3{Xn\}XtHٕXPM0 hEXe^}zvul{9[}'|y;1ܦJUZjҞQ}}n/*F g%GYdC>C*n9hGxHd*$X hP"օeX %(D QP%bR De Q°|]Ѿ,3ЁEXnq|cQ)Xم6=kѡSf{ыehCڒSЍnEDzQz+ЁvN/k-i٘+˶ݶF6Ζeou"|* -&.g G&,b5gEUb/J^qHfO[V=7yXFATY3[3ܞdML'deeܐIV4Cs3,\:6̣hGʟdt \):F )+xҧ":%X2,E,Rڏ>,Xe V>>J'LG q%.qWc%}U>B?p?*ڇbu F?>> >D?Xzp#؀l ?C&i/~Fڃ[6`&z>}܉[}n܅h7&ڍ{p;Ư ڍ_z*I>E᷸ >ĵ]<_ӻw{K ?>z~z~ . AڅG;څG{څ?6mޤ؃{mICM`v+HOm~m8x 6|e|!|H/ 죗qKR>%K %|Oi+ m1|F[ >E_Ћ8"N(xC"NKza|E/dtN=k2~wZ]TU=YU9y ƕ˵֬d^7"1>.6FQx!_X-6 n1X[/S;k ݢ' AA$UX[Ġ$)7( tF8ÜL/L$y QՈ i}CJ^rAbZ E+Y[-yVt܁|6]qw|HĞ6)n{Dy[RS]cZuFK)i\V)tɪc0\hݠ v=8'AA~wBK4ZF_QjACkܒ]1̖LR: CK F)(Ĺ$6g/GB!(xBPp^ $$zABObAzrEK@'ᕒg$:ox[hoy~h%id |!Z[cX5|ݳvP#pg;=cjgODN,ւ|o/$luKr J $!XFXŐ T^Y.ARJy $U$W#En,!Ik0 PQ$q@gEgԿ@(ȗj푄铜5[rsEw0 @WTH쑒(+j)Kˤd@[tTVΗj"*Ȳff8h@`yԁRkdf'}KB`X%_bA'{-JYQENwNR#lb:,o$-FlZ$*;D)H&bDt/Ť+f3:K| Vၬ[]嬔}RĹ$&3V΃E-ҥڨ_k꾿.2#z[BbTOH qł&}3Bb]{HlM(>rl^Y]?ip5-|7aL#\j@[,NT(y K{Q-@2RʸmAŜ1 r>Qi"~%!y蕫[(ډĉ$ҵ/*^kVk0ݹ(=@ҵ<񘖷hTr'Y VjO} pC'+=|ɭ`߽ۂd9GxMZs1FT9Ɗ"cEQR yhp$%~rj:m gd\"Մ .9ON3'y>Q'hxN} "ϋ#)I6ī7r6uyܩ0\©oX9 ytS d&)`kVqqk0"80y;16eÐ+fkLfزreo0 ξ`eʆQcjVztUWmrV7Ζ5c\7=2L^x6ך#ZUEu:<96hx5Z`R[ +뒌ӊ9ktʚn(srٔ}8J{c9miӘlL5zTs\6QHJÞ{a; ւ~S`Z0(rCHX?epr^3{)i&z_ɩ!`,x>#4r7U&8s,79xk kKK J+'5/tjGg+ƒxMcq1owq".w4S/lw7 :XLК<~^guY(ZˢPNϮxnj㹪t66UEN|h2Q>J\ȵqTb]UIJ>n% g'8mb"7՟iM%3{D,sIV ؉1o.{S#N`5i~.lN3MߩlyF:E{S߶MSX5 'h-’Z@ܨ촔4Kr)5Ͷl)=%YgJҧLd7p ӠU'*?VK{Iяz-Zɵ!-S䀼pkn>ʭRwto./:]Ž#EXS.xz$)'WpjY>թNV7~R ?蓋.Ԧyrյ;~a ̎esٲ܉Õ2h)>븬Lǟ{$/ E LGkٺinn|^\f,R=1׾T>)/MK䬤#؏GcJKBw+VTdfu.P>.QKbxh[Iq^>"?F̎#)HIT]uvJϤgW>zokEEO'. endstream endobj 327 0 obj << /Length 7207 /Length1 11156 /Filter /FlateDecode >> stream xzy\׵$@ #& dX6Ncgkh_%/MI^%C\;NھuB''q6'qLűdxo.s9sϽ3zHGWQno zڃ#mcbX>45 UkikWYo>Xp+YA2`X)ƧWvëB0@^ykQu)km\*bYR X܆U[vIudfڇE)G6vn@9 0 `z)-*[,L-_t;.3.^&{1$S]lZϾ/ute fPTvP0b&Ed'be=Gd{Ǣ$4-+ "fJ Xfl2gh~IDg@}B ˠ%; $ΐ#/:r[hF56` [@|KrA%8C\@#<`bb}P*2(F9ь(]pQ8 t@!zǢ*V\jV5~GY ܋[pG#hB, 80GY*4TNhA84bZDHֽd>Qb#Vb-B_Yz7bցy06cTnm˜,Pn4\![H |4}g|V{ѳ Sa0]rmsI­8_qsR,˵1{fae2V*ʍK)W>ҫU;T~WQǫ3KjteM'ޣL~a;+L{ۋv6?3x' < ?΋4dձ=:Խ#9Ή#".#  z/3(2hRB{T difbYBϒXrK6%tLga`#K,kkmԷ$Jn%ŭV[I\+i!->OfW>Vfq[ɴJ V򈕌X g%2SLCs> E 8~ I MOvw9mUtq ,5K>QyIB:4]Aq ]h[wECMȵe˖-#ݲbԱٱ1:BmR5:bKtñ":BƭQrۑ`L> h³Q$נه1鋼L,1~<iZrcH) ^B e'r!cHm(P- j0*f#< ?$Bȫ("&^A6yy?8SXizIyS)Dq"[m?) _)P0400tSE,=8SG<=%O=F7H@H'$CIa'aD SLO")kXJF ӑFFD mȤ_!  gB 2|jQE?E駨ajp~FO$f4O~/'Nc4ZK =6,DZ-8DZHh#ct~2"1Aze1EA@}a)zGX%#,!V H?D?R!B22Vb9C` Wc~5ѣ =*%Q!zc=uXMzn0}G2܄{z6c}[1lBw軸HcKK0Fp!}c+}㸈'RzW2zW*ոkcU } /M\+蛸W7q=o\Mv\COe3L7q-=do͸ϱ-N_/S:~q+nq#=_&z!7C5܁_p ¿W}mU-{k*~+ ^A_} wї1/~?nvv%DZLǰi>>2Ѳ,xy>x>$=+xO5Yݏ7d&O-@H8H;x>w2݇ ݇ex}>|SHp>&} }2Go'ޥOsKޣ{1^|t/ |'pFp>0t/X'{w:/lk,y=Mښ%E΂{6eLN2q:FR(XɀWd|Yy=/'DE" pbNHBs;ĉϡtG(ݳբVs>&A'rՑ#7<`9 8Y+I[+Ɔ'giUZg&fY,ǏLz"W8$v7Vq&}͢0'1<66q3(gn.r"3 ѭ԰$$lK}:a8&7a8Oqo9Z2`BNkUh(mp'ڌ6f䘴So#7>⛽`wL*3HskIQhU hp5$T%T9JOt%:\eoԩjO:“ sS@ r݉ZlNQ*EJ!% $78 J.2V IyY=qZTR̮ҊJ?u%KʲڊF6:yK;/%Ͼ銫nn0. ,XMOа$N,)F1%1IyY\%;:y{]u>fjm:uwSσR)ݭQMI_Yפ 4D!1ljx(j5DSהX\_ uiί)5N2J֮": ߦMRy]FI K2dׅ0SGI-"Nf ,;JNl()Nt^:J\L!xVSjbbԱQPUetE<+{YfKz3n';"^ 6JB[ ZM6'hو#uot%TȮX5msQsY3uPݰ;53X_ K~L$&e1WbsNecH(lmxZ{.\_O󺻺KҺɡ3s0G;9IL>hp>0>F୴()6ڳղAe8kA'T}zuk ř-ʂP[eZ%$ פ^|LÂl+&JV+Y+93^1[\]Z(-}Ɂq^Wd賐vآE62Iѩ>˞rI3'3;d*nJ5qI%DJLljhFV"hg8b-DS_VNTqS=2b6Zl̓C]j5]nBOڋ:]^zSk86&$!ѣ0[Iq"_*/!&>KN\& 16 {ZX g= `E*iV}|!99'$T* f'(ΚiQfVʓ#ʹ,uٳCۼtOQ]ciOM_Ii_MIY?5d&YԘop7l t5ԗ . Ho#Js Ud)t&)EԒӑ7Y*cdݐM:Bm%@eCCῒ+odOHYCzS};:<7bZ] S&䔗UHLR*4[23-yLgpX 7=4t0>'L:󓦀-טz;SDa83RVu5'pVE0Kt5DmL:3>Ku&M$ikp1[:B,h ;ALjj[Ն=jaF2S &ZZ6E,=:?9׵DW~F>**sV7'='C 4%j|:{cmCKzz AθMH@qzUBBOH0c̸999wYoQQ|?5H;fnXgXO3Ɓ}yWg2qHuiUqqOӫ*f)/Zi$6o^BGѕCXdEfL[ !K;ns\&hfͬ="͉-BL^\T sNnBFi*j]K#$3HP15 ߵk1{4!KUXpK:;;c qW@!}uDfaW d.7aye%;wLXKfk͒qsA,2U1J=c:ss5\tDf$.qWhEUe>DX⼁,|>I\ACdic}6=6V ii9;"?e#HR,k9-v,e?mYZVz5moo ?sa>O0z z2 8AizVhZ.]WId+Om&|RǓM7S*Fe#]72$K~)3^t3OQ,>Ar&?IssIJ+V ֔VWkwz`vl~ ?I'}<5Ln a*& 碒D#oT+*.o]MiC*]baY b6L2H@:DStBO'ܨyU|ka򪅝W|m˫K*ݞaEW7,IR\2[r iw:Ys!-'}AyNrMQ]m&^u߿Zii-*t-z2]3ssBK!k;>:2) < Kzd[XOU)yL9GӏlTݠvchI) j~gVyeFc“RlHOt'IG>001G& j\U>ѢRD3iUQ咞mur`}ϊ' x3OW.Zteg ##^=|Q KkJR ))6x]K%AW׷F`rq,>gdp%'U endstream endobj 328 0 obj << /Length 6584 /Length1 10048 /Filter /FlateDecode >> stream xY |Ǖ|nے,K>d, ,%[m08m`6I'4mZ&iM[α5ݖ)M9 7 fƤ4~;o͛7o{f~23@@_tͯm]s^@sl>p@,4 oT+VđutUwp8 j߼H$(=+ݏ }*{{{uiӻv{g"޳f a+@v_' ^ۓxU hH:޷0"f`jߠ :L{X3]ʼH!pQ@su$5!.cb ;_,|i3ڶHքЁfUOt@cKdQTq4 (+k)D}e Q/ 3v*JȊTHa`$)`RN܏(܌kkц'Q=}~E< $!0~ԣmFVq63\Ĺjc\s9rlrwtAv w1Aټ'Ŷ1rb;kaE).B^ ΂oW}y;(0[ ͨ"PQ~GQsW}t[ϿUaQryjmL=會 rc\ߙ;ivLQsfWkK0]K]׺vrIޘ3S'i2-I|dEȊ|LuBgLRDgHD iO.)^I̜ٚxƁ hi f_fFqƵe )enHLv`N`{`?00?q۽qFR/QKL*FNT;QJSTjY7.XE%;WB3z=, L}Y&9!C<9$ fvXYXaegDv6Y$!v-pod-R8"}?dN87˅}IľA27D&$5žF6G r;\yeg p  b`,vKR]X̎Kq,R1s\n1z}X>*,g=#J.xVCťCч5\ul؏ }&W+1flb*\+{!bj.]?d:\c {7:6nml mq7p nboV۰`mv;p+;b;OQ 9;Q3~ʎ;;3vw?7 /q'{;q{p7{{{ N.:~7{^:}5+g!ok`x! bbeaG; +x {f/cG<^ƿ1vgxanvg;Ÿ!gO[g{{bO/pA89onG{[kKsScC.௭3W=kӼS*+J r]9rvVfJbN7 zV# @RH_\5-ɟ[[X]-).E̕9IV.IV .-)+r9E<[+K#dA{HmrXRNv3o_+ $Wz]ddkz6jSa|o"Aӆ)겊wPCZgVV $ȵ|5\Qt\ZUH{o`Y;n{QHÅp&V&˵M),(r_qR;i<$Q4., ~t'>h]6ZPZ958``۲L,p\`KRRH-N%pkXti}aHۭ.EpUYSYq7 EWhU gefećeYʖP/aaav#{FȖ]rVaAР"+djwKe"u_:F( Y`UwmMQ, zwԁBV+%~ݥյ Jܧ$sƽ"1znOMSjt-RA9µ`GMHr+. EZ)Y/ %[ǜ<<ʍ BScJO e.I (Kh\zu*:$$Etꪩ$u[)RHrB|ñcfwAo. wT]9QwՈS&:N FUgƹrLO(eU+x@}w]l=cҠ\1( prt~Ja"I9Ôa:wAhbn mzZ5'*r/!4`,хrB>P,#1nGQNe]G"WnT3_Z½]a5PK.y*&T9IҫUzuU:yB_;٢HiO9-'TS݅ NCcZ@'8Q.+-eY\,kM?.9飣ggʳAߖtt0"g1ưbFAtB*"[.-q:Bq<{ja0x t߹i$A߁a ɾ8.lua}"Hv'ir5+z"gvT.>6,e)*Vn[^ ^淔W̘Y+hiҭe%3nJ(4ni  V A۾"5s,9\U ;ɋفϽؗ:IDFZLrNܿ:6TGg !AbH ! "BD b8IkYtN1ԭtJ*IM%9XqT)NDcHEbưo |Sŋ#:ŋ/w/&z|,s{hydW:1}]9Y.i5WlǝYz*L 1zs$Fa,p<5WGMTWzTl7]vUu[zi;"?|G:奛Nkjjv jћ@j_i"6$hDSCXLⱋ`BLkhʪؠucNC9ֱh=%$uimIIŴvSCæB9/RʢʩEU 4HGaE/gհgWvT-5ڭ\ *=iCCVQCA_POG#׃|&&QK75&Z`"ٴ4dLZ=!Q]ZVu{VyJwdwrhhΈ6'{gE2H ?0¦XoǚzຒmޅSizk5L8]5:DVv5aʂ!9^:U=aS}!쁰bvf i<nJ~iF믛;G?W1efMMWwN/)&u*VDR=,\_!Ag8a%lr&ºت-y_yc;o;(ҒPX #ۦO2-#jK07hM&Z6ufճb$ 6QPyt);E>{mklv+U\6HJF}gӌ 1>]bM7ZR2Iqx$#5SF}Wnި]{X+ Z|ms;Rǝ:f;:8gD9l=6/zR&^tTnD]~{]t,N dfL3-]:irB_2`tLx)-5K̩6]\RBr̲i#{`4qFl 4f%Nd4ZUTY֣W5%12= >%I/.y> stream xZy\\E{}  PX.G{ޕBx'ɪv%$pu8zOG뺻BFͶ_@qwwWHkwl>is's/ݰ2 Q=.tM/w?[xкK4`?OX0<߻h~ S`8$CO=d[Т*ekjЕ2ϯ) ljT;Sj@qqyUn;yñgO/>4M5\ta4FZ e8*T9..F)Gq( vȖύ"vD @Qd<_/C~)6GKqXHBTzՓ˭ OȆ8aȇsЀX+Ѕb3%RaWhBX5(ЛxX5#D7:r/N9L+рy2JzlF\Pi.k0F Sp!ElJ >KZSF]S8 ֟}C2:nfGQx}ħ\Rf~3?͟V͸nTNS7Mu{_i^scPӼ_eX'-ӖSfkXuml*-ӶmNrۃ -&nZWfo-$ ^qP⨨.۲ʄ6WvB`byIxVPee-؞/?g0ؒqgehti625Y| 3c$kF!+3XٳV&X{œfHϘmNl8Up$~l5b7hQ]DbHz%-ڗ#oGUzT◂F/y`_2[Pdަe}e}Jۿ.eMY)BP1y}hM3Q9Bo o\Bf5zFxkЉMdi}Yt*2-$ydObz_(P<5+ Eg@'ˀ;O_mD9k݋ He ,-X #q::xy$ #tz< 9as0H`! f:d$ї D ,/TSF_)*0VJ_ 9f!>_9Ddgl 6r0>CFbrSD.} ;ӧp`}<̤qNpA(@/$G!tnYx1P̂>A)F1}9(O0c>F9fǨ^̥Q2U(P 5GE%}*iuQԣFр<4Gg0ut POg t0>b4҇h|X@ CbFb:+DG3F-J` ,:p%2#@D;BKV`)щe> }FC7BzUXIa :=E:[Nb$zCj\Eb#лZz ܄uflwp z\\6}6~~zc0@oc 6[5nĵћI?Л~@op=q[1Ho`7Km~CzwG: 7 ܍[~ T?=qq;ǽ>I~E^ O?cx1zU+~Ax^z +7Ż $xv O;%NNqCX9oI{ܴx5jk*es.UR\TsLͱM2S}b..6FQx!H,X+6 b>!Ԧv9jE_PB J^A!I RNHB7$H.F( \y QԈkot{JW(1diZ7=Tsa]\XpZ9 M{rt鵳9$J6)-nXy)QQP4ՒVa)ȢVam#;Rćy!vhfhf5ҌJsvIV\'i%6( Ă.ńprW%ϒ'CC>Q B#4B p|PomP/=}U n6;U(%Cox[5˚eYMӐՒFpVl[GXȒ֭: 3N$33˃bV?$l bm5$ UcD8nLF6NWyq`_7tpV %Q 9^)I DO_Y]&%UKyj`VtmyFtb#XAFflK|N퐿svJBpfIހBCK4H3NX(olB_ʜ OR*ImI)&H*[٪V,Ā-H~YywE^Q^2H<Ɂ,[/]SrI\(u_ (nx>Z.ml*Ũ8Ql W OhKPtB:\bfd MhdUyaU 얦a/?̡) 1:Xni?%^X)y skobzS^`PU)erALVp!QV"3 jVDp N)Ð%k!nQȵB ?tr "q618|qx)N쪒tbFk*Y__; SvZ eSy!yʷFCoFk<[QQa,uKs1f2fpSϿ{s>G#7U`v( @<2FUccy.Ƅ wT4ݮfL1>_<,YefUZ{* *,--ز68s84b0&N2@9$)\"Me܋m˲YӲ⳦EdͲLr˃5K9bת0Jᖳٳ%G9ȹU;\9҂}hю_#O֩x=*F,dzԺ⚴49-<93FaA7ۘSHD}CBV|CBY\DΐU&\QI:%s# B5K=VFQtͣhxډZA:(t0..n$"ۘd*twZjN i,lx1ts] ; XSzUln~'6JhyU_]reW9 fI*dϰ%%=g='XKG4Kfa葉o6>ͳ2/ < TU 46*lyQ2Eb9 @..Z.KK"}$|DbvH&$r@^/]TKVRx˕T^κ,-|?[̔ͤqv #ޔĴ,3KJ9.`1_vAJK2`<9\En$KJ'6KcܪJavmM1ٚ"7$7$&XUBBnZMK3iZ\SW~TIDzXyOgkD=_?ŕkYaM~E{tͯX*յ3\Y-(q7/ILXVD941:N̈$ ii&SZ).Ҙς _WA[+Tl<<SnFR:>V z}<{..'/mwfÇp7Y7$.>!Np&+gݝЊ-VڽL2NNZ:"Ly769fSwQ Dؑ5rut]4MYR.9HKNTKf#f''q8몫dKUX++*.`Wuvȿlp.WolÀ endstream endobj 330 0 obj << /Length 3331 /Length1 5004 /Filter /FlateDecode >> stream x xT! ɉp,c IH38CH,\꒶ZqZ ..ZȾDd{{ϗbks3{~9`ɴbTV7t֮; o)z] !!Q3'DOXo_uǁf6͚}G-g͊47ћl0Y9 `FEjξˀuni0sZ#47~vcMs"w721FM^ h0hjln)Lĵ7Y״d}cXt'$EH6nتࡔxFڕLzzȭnXbg2yStxt:;{-҅+qS4+=ydkKoV.Iϛ@.Q1,j 7l3S3}f.4΍-[o Jfc:<0,c'1lR~ll b;c1Ӱc$Nk$(m.(\h"$x+5ܯ)7"9=)OwbL6Hɘlғ1b91sO7ҺNӝ8z73i,r uI3 42! bFZ&같"̢\jM.v,n_JhnLYc63 a672G@ g u:E[i[KΗz9fQO ZYgO tOOP3 3|}}$2|d_v߃5ԗS䘣sc9Kq<8)N(9wfU9Ʈn1Qfv( e'cLzuY[ӭFy2L_.qIWU{$#Β{U{dhdmZ +ϺjX-ˬUZ\qSqaŒj85)^cװM^O)ՒlTK%j"_[݌vx\OUt_1E-PTOl3B/^LAR52B2ZT)Pjnݒ2/;;;efWȞ5̛-ZI1 zp:AH A._c@$<=!繌<=)I&YΓB#T9G/z9.r9GoWp},Wr%MUYj9~3OΐA|1[>ii|difg _ f|FdK'ȑNȕNkBtobC O)ɗO$#4dd#$70RN2r198 odqrBr"n(S(cr/G)x3%r$GDR9B97*$GLRcrj*0P)Uc*9Lj9nCLV94rAkr0 n69@ u8zjd? ~5f~f3K1\!hk3[r'sd/̕({Ga>Ѳp7Ͳ{4K̗]5>ݲG>'㷸Om<ă5~V#|SvoN۲(N`|Gv dKxTv8J%*<"{,bxL$Kd;?仲i|'d?{}OlyR3~([yV)c|̳Oc~c~i5G<#~óY B;~)[xd /lFkLf^7Wl x&?l%XJl5l ~/yWe ,㏲?T6zkmޔÛ'Yǻ%X2Y ,X_d-WY*&kye-yG>d @ㇼ+!X)^ޓ*M5lָ5@1ke [Y+:Yvj: FylfyO4f>UeblUCVq4fv{e쑕`$d%_VpN >㐬4e9sDsqLs.8)".O VWUN(/4қ&/7vFq 3,_̌ީ)=/KJc92ep"%9v (7'UqXyM9emQv:[Obf[±ժ"n7T[-.rB:Zdi"'cn*_ rsB.17ĤB0)75ij35`j3I-,_ R+"off(7gi:+T:B-gYtQ{ 3=jȴ"ܜFQjSIZnNN8Ef-|N?K/űPF9|L$RN,T`;Nq8-vh8iDz6¶,|ԋ>Ɍ/Tq6v (ӛ( d֊= mfx_ƟRfص,rEkiEv2ssJ+QMu ʿ0Zg(;r{@NtRy!v1VݲTuid!{ʓ#<'קvn*UA/\mp^ D7CUyN\Aeeڙ*#Uvxf*H IQ; V:S#b\zMv͗\⺸&g+/AMw:uNȩxUIve^2߱^5C'tu# Nieى2}MV_e*$f΄ڨS{09x^w(5J rsL1TSm&KS^P|4pA"fMuIW]69KЪMh@s _p5fU(KcRPӞŵjN6rW^zjZC2}pƢLglaPN]Jr \~ˏ\>)PFÿ|vN^-?GSv?> endstream endobj 331 0 obj << /Length 6709 /Length1 10384 /Filter /FlateDecode >> stream xZy@\չs`f ;\5b Ð\ÒI4MjDھV[^\X}5ՊFkywx߽;|;;f@1 ysV&];tU- \@t>ug]p@}@oz!^#6jܴb`座Rlԟ  L+^䳟r`z u ]Q#k7lmZt"* z 6 v,H>oҲ_@@A = 02#d]܋:hPRK2l¯)],EnQ@v6Cu^Bn~號4?#p`T7CYbn42REkDAE#;h5ǩ8JUa9N_[8B|cfq:Fz v9,lRid2rˠ' L6A \KGa+h@|b,u L yXJ hAD `+cf!;^7+Ald0 {=[;w*8, -=wn,4h2,GD`=6`#q).V+|#rA||n!,HB>TB);߸x.[6]vr,3ZcêQQQQ;)+ګ!˘ MU)O&ݚ.X&5Zp,RO5*͸;L"3&GUgB"#j%xaQb І>ʫ(@>+ e@xA*J=|d؄UX^g>ф>> (XH =*֠O0bЃUb(쳤[X ^ Rày2s BmkgI*S̩2:SNsv:pުЏ9B+ *| G& aX¸ѥ-Z V<]p'<O'^))ObRSRHٕRIKUs,5Ҫ*Z ܭܽ~.*]ܣ\qQ &?F]~.dIy-ɫ%K$#>bJwnjj VbYLK ;d'{섷ةj*42#!h܋cP~f>l#Qd7aְ&kX*YFOc!}i`ū3Ҝ5SK#? 7$Q*M!kpphhhk1PMC:&|uD mr;@t<=;`@?6&i~gg}Y= t~~zr|נj}ǐ W"^6B}MF$׹G&Wxn~9Gͨg (ZlC#;Ď"v"ZghG+ K>2\>rا>E'٧R) v}{>A'XJtя1V} Ak}u G?}fab#ֲ1uC ) ،.U2ld`+6M ^K{V~/;a;+Uq;1kػ؉+;Vp{nv?50~v0nĵ~!gsbp7mB__wƯp#{ [?go6¯ nfo?K&nWw&naoN] fnu܃߲q/~^;kkwpU<٫=UƽU<{A;1p?{<+أ_' n2Wox'g2{ O* { O+ ,^><^s <1^ x {xO a eU<5c:xC7q[xx!0^b^f]ë9s}}o}o}DO6{0{Ggq G3W Ǟx=!{_C4#4&1{ l/gl/Q)x8qB 2|x֖Ɔ%Eʊ/WZ2(?/7'{Vf3]Hs&ƛMXC^ըT%%U-qN B&'Nɮ]%ojj.^J| r Ҋszz===/ݤ1 uUKGʳ*Cdijɻ*'F+>}N6FѕBetN6Y(UF:z( O+q`;bNO&T*,%uQXdѱ3rn\1BopY@bNW=2rdvI*islZr\MOOI(IGC"]Φ#tD+%pȗ+xFF foFFcbFx w?KkEO扑{R\ҀD^?(qNs <ݧjԲY ;w{Н퐆:n}Dv-{ZrT.oH*W^%yvn # C]˧K͘3|:ӧ+M >]jo>X}TO`,Fn~OWth GՊRܖ:c33,>3c|h7RW֩].rWDNyfdf Jruks<%k^q?1[sx{% ߢ["v:h!Z#ɡEYM4fp*/:8KKdSѨJM.pؽ>և]8444tw75((.c\^>>{Emi"'` A1W4F:%rdLMLfα ȉ!L %HG'j۬1b:D4[VfFxw>]%(nH/N{j e% kW\ʞtOB8)5-efVhc:lcDŨT5.gq%3);Hn9[;5[nTj7n-+nA=d ruzyGH~sfUQu $5$7vuH 29u| !L<+>/dHG&COe.L"vO ŨZ-R6٭@E|j}ܾۗ})~LȵKJ$a舆FY#LNđߵ扇=D|~N$R^z}dWLNNsT/x|&3Y<7[kZ4,s7 \=o咺Ƌ׬"3B_zk fPƭv\C&1iQ5騮&#<:a%dOh !W&2U١kzD#A% !DNT%F>p0LY> 5e=}_C_z7hhL0ń3ߘu̼7%AR侂tMB7N=Q٠grʛMĆh?26LcЫ[vǞD aMWkF'(QA(cYuu;B%cw޵'C 'dCjD@^y';HߏQ endstream endobj 332 0 obj << /Title (If medication is prescribed, take as directed.) /Dest [10 0 R /Fit] /Parent 300 0 R /Prev 320 0 R /Next 321 0 R >> endobj 333 0 obj << /Title (Symptoms are getting worse) /Dest [10 0 R /Fit] /Parent 321 0 R /Next 336 0 R >> endobj 334 0 obj << /Title (Heart function \(ejection fraction\) decreases) /Dest [10 0 R /Fit] /Parent 321 0 R /Prev 337 0 R >> endobj 335 0 obj << /Title (Characterized by myxomatous degeneration \(abnormally stretchy valve leaflets\).) /Dest [10 0 R /Fit] /Parent 322 0 R >> endobj 336 0 obj << /Title (Mitral regurgitation becomes severe) /Dest [10 0 R /Fit] /Parent 321 0 R /Prev 333 0 R /Next 337 0 R >> endobj 337 0 obj << /Title (The heart chambers become enlarged) /Dest [10 0 R /Fit] /Parent 321 0 R /Prev 336 0 R /Next 334 0 R >> endobj xref 0 338 0000000000 65535 f 0000000015 00000 n 0000000472 00000 n 0000000530 00000 n 0000003741 00000 n 0000003851 00000 n 0000003885 00000 n 0000003953 00000 n 0000004026 00000 n 0000000207 00000 n 0000004208 00000 n 0000005037 00000 n 0000005111 00000 n 0000005734 00000 n 0000005766 00000 n 0000005892 00000 n 0000009000 00000 n 0000009047 00000 n 0000009082 00000 n 0000009412 00000 n 0000009739 00000 n 0000010067 00000 n 0000010396 00000 n 0000010726 00000 n 0000011056 00000 n 0000011386 00000 n 0000011716 00000 n 0000012045 00000 n 0000012374 00000 n 0000012704 00000 n 0000013034 00000 n 0000013363 00000 n 0000013693 00000 n 0000014023 00000 n 0000014352 00000 n 0000014681 00000 n 0000015011 00000 n 0000015341 00000 n 0000015670 00000 n 0000016000 00000 n 0000016330 00000 n 0000016658 00000 n 0000016986 00000 n 0000017315 00000 n 0000017645 00000 n 0000017974 00000 n 0000018303 00000 n 0000018632 00000 n 0000018963 00000 n 0000019292 00000 n 0000019621 00000 n 0000019952 00000 n 0000020279 00000 n 0000020609 00000 n 0000020941 00000 n 0000021270 00000 n 0000021383 00000 n 0000104975 00000 n 0000105598 00000 n 0000105698 00000 n 0000105790 00000 n 0000105881 00000 n 0000106130 00000 n 0000106230 00000 n 0000106311 00000 n 0000106392 00000 n 0000106521 00000 n 0000107025 00000 n 0000107134 00000 n 0000107616 00000 n 0000108200 00000 n 0000108282 00000 n 0000108402 00000 n 0000108550 00000 n 0000108664 00000 n 0000108812 00000 n 0000109172 00000 n 0000109354 00000 n 0000109612 00000 n 0000109753 00000 n 0000109912 00000 n 0000110069 00000 n 0000110250 00000 n 0000110609 00000 n 0000110996 00000 n 0000111120 00000 n 0000111242 00000 n 0000111454 00000 n 0000111702 00000 n 0000111816 00000 n 0000112068 00000 n 0000112163 00000 n 0000112258 00000 n 0000112353 00000 n 0000112448 00000 n 0000112543 00000 n 0000112638 00000 n 0000112733 00000 n 0000112828 00000 n 0000112923 00000 n 0000113018 00000 n 0000113114 00000 n 0000113210 00000 n 0000113306 00000 n 0000113402 00000 n 0000113498 00000 n 0000113594 00000 n 0000113690 00000 n 0000113786 00000 n 0000113882 00000 n 0000113978 00000 n 0000114074 00000 n 0000114170 00000 n 0000114266 00000 n 0000114362 00000 n 0000114458 00000 n 0000114554 00000 n 0000114650 00000 n 0000114746 00000 n 0000114842 00000 n 0000114938 00000 n 0000115034 00000 n 0000115130 00000 n 0000115226 00000 n 0000115322 00000 n 0000115418 00000 n 0000115514 00000 n 0000115610 00000 n 0000115706 00000 n 0000115802 00000 n 0000115898 00000 n 0000115994 00000 n 0000116090 00000 n 0000116186 00000 n 0000116282 00000 n 0000116378 00000 n 0000116656 00000 n 0000116790 00000 n 0000116831 00000 n 0000116879 00000 n 0000117006 00000 n 0000117041 00000 n 0000117102 00000 n 0000117137 00000 n 0000117198 00000 n 0000117233 00000 n 0000117294 00000 n 0000117329 00000 n 0000117390 00000 n 0000117425 00000 n 0000117486 00000 n 0000117521 00000 n 0000117582 00000 n 0000117617 00000 n 0000117678 00000 n 0000117713 00000 n 0000117774 00000 n 0000117809 00000 n 0000117870 00000 n 0000117905 00000 n 0000117966 00000 n 0000118001 00000 n 0000118062 00000 n 0000118097 00000 n 0000118158 00000 n 0000118193 00000 n 0000118254 00000 n 0000118289 00000 n 0000118350 00000 n 0000118385 00000 n 0000118446 00000 n 0000118481 00000 n 0000118542 00000 n 0000118577 00000 n 0000118638 00000 n 0000118673 00000 n 0000118734 00000 n 0000118769 00000 n 0000118830 00000 n 0000118865 00000 n 0000118926 00000 n 0000118961 00000 n 0000119022 00000 n 0000119057 00000 n 0000119118 00000 n 0000119153 00000 n 0000119214 00000 n 0000119249 00000 n 0000119310 00000 n 0000119345 00000 n 0000119406 00000 n 0000119441 00000 n 0000119502 00000 n 0000119537 00000 n 0000119598 00000 n 0000119633 00000 n 0000119694 00000 n 0000119729 00000 n 0000119790 00000 n 0000119825 00000 n 0000119886 00000 n 0000119921 00000 n 0000119982 00000 n 0000120017 00000 n 0000120078 00000 n 0000120113 00000 n 0000120174 00000 n 0000120209 00000 n 0000120270 00000 n 0000120305 00000 n 0000120366 00000 n 0000120401 00000 n 0000120462 00000 n 0000120497 00000 n 0000120558 00000 n 0000120707 00000 n 0000120855 00000 n 0000121008 00000 n 0000121157 00000 n 0000121306 00000 n 0000121454 00000 n 0000121604 00000 n 0000121709 00000 n 0000121798 00000 n 0000121870 00000 n 0000121942 00000 n 0000122014 00000 n 0000122086 00000 n 0000122158 00000 n 0000122230 00000 n 0000122323 00000 n 0000122421 00000 n 0000122520 00000 n 0000122619 00000 n 0000122717 00000 n 0000122817 00000 n 0000122914 00000 n 0000123010 00000 n 0000123109 00000 n 0000123205 00000 n 0000123304 00000 n 0000123404 00000 n 0000123501 00000 n 0000123597 00000 n 0000123695 00000 n 0000123788 00000 n 0000123887 00000 n 0000123986 00000 n 0000124086 00000 n 0000124184 00000 n 0000124282 00000 n 0000124382 00000 n 0000124482 00000 n 0000124582 00000 n 0000124682 00000 n 0000124782 00000 n 0000124882 00000 n 0000124982 00000 n 0000125082 00000 n 0000125182 00000 n 0000125280 00000 n 0000125378 00000 n 0000125477 00000 n 0000125575 00000 n 0000125675 00000 n 0000125774 00000 n 0000125872 00000 n 0000125971 00000 n 0000126071 00000 n 0000126167 00000 n 0000126266 00000 n 0000126361 00000 n 0000126459 00000 n 0000126558 00000 n 0000126648 00000 n 0000126992 00000 n 0000127104 00000 n 0000127217 00000 n 0000127356 00000 n 0000127497 00000 n 0000127865 00000 n 0000128280 00000 n 0000128637 00000 n 0000129059 00000 n 0000129554 00000 n 0000130037 00000 n 0000130442 00000 n 0000130886 00000 n 0000131290 00000 n 0000131736 00000 n 0000131915 00000 n 0000132219 00000 n 0000132681 00000 n 0000133152 00000 n 0000133224 00000 n 0000133296 00000 n 0000133368 00000 n 0000133440 00000 n 0000133512 00000 n 0000133584 00000 n 0000133737 00000 n 0000133903 00000 n 0000134052 00000 n 0000134270 00000 n 0000134415 00000 n 0000134510 00000 n 0000134712 00000 n 0000134788 00000 n 0000134989 00000 n 0000135065 00000 n 0000135269 00000 n 0000135345 00000 n 0000135547 00000 n 0000135623 00000 n 0000135824 00000 n 0000135900 00000 n 0000136101 00000 n 0000136177 00000 n 0000136380 00000 n 0000136456 00000 n 0000136606 00000 n 0000136825 00000 n 0000137031 00000 n 0000137178 00000 n 0000137329 00000 n 0000137575 00000 n 0000143441 00000 n 0000149207 00000 n 0000156506 00000 n 0000163182 00000 n 0000169509 00000 n 0000172931 00000 n 0000179732 00000 n 0000179875 00000 n 0000179984 00000 n 0000180113 00000 n 0000180262 00000 n 0000180394 00000 n trailer << /Root 1 0 R /Info 9 0 R /ID [ ] /Size 338 >> startxref 180525 %%EOF