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The high-high and low-low agglomeration effects were the most common, and there were assimilation impacts of counties with strong agglomeration on adjacent units over time. The results implied the utility of differentiated EFI reduction control measures and promotion of low-low agglomeration and suppression of high-high agglomeration in EFI-related ecology policy.Our objective was to describe the long-term effects of endoscopic mitral valve (MV) repair on outcome in patients with heart failure with preserved ejection fraction (HFpEF) and