Do they just look like spikes or are they actual spikes?

Do they just look like spikes or are they actual spikes?

Bibliographic Details
Main Authors:	José Luís Martins, Jesus Viana, José Santos
Format:	Article
Language:	English
Published:	Elsevier 2018-12-01
Series:	Revista Portuguesa de Cardiologia
Online Access:	http://www.sciencedirect.com/science/article/pii/S0870255117305097

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