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Flows through each valve are determined not only by the properties of the valve itself, but also by the properties of proximal and distal chambers, which also undergo changes with age and diseases associated with the elderly, such as hypertension and coronary artery disease. Assessment of valvular performance should consider the effects of atrial\u2010ventricular coupling (for the mitral valve) or ventricular\u2010arterial coupling (for the aortic valve). 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