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130,131 Three clinical trials have been registered to evaluate the therapeutic effects of EVs in patients undergoing percutaneous coronary intervention (NCT04327635), postcoronary artery bypass grafting (NCT05669144), and nonischemic dilated cardiomyopathy (NCT05774509)

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Immediate-early effects Rapid cellular responses to stimuli that do not require new protein synthesis, often occurring within minutes of activation

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As second-line management, secretagogue laxatives are recommended

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