Multiply
- $\left( - \frac { 5 } { 9 } \right) \left( - \frac { 5 } { 9 } \right)$

question 262

Multiple Choice

Multiply.
- $\left( - \frac { 5 } { 9 } \right) \left( - \frac { 5 } { 9 } \right)$

• A) \(- \frac { 5 } { 9 }\)
• B) \(\frac { 5 } { 243 }\)
• C) 1
• D) \(\frac { 25 } { 81 }\)

---

Definitions:

Hypertensive Heart

A condition characterized by changes in the heart's structure and function due to high blood pressure.

Chronic Kidney Disease

A long-term medical condition where the kidneys no longer function properly, leading to the accumulation of waste in the body.

Without Heart Failure

A condition or instance in which heart function is maintained without the presence of heart failure symptoms such as shortness of breath, fatigue, and fluid accumulation.

Silent Myocardial Ischemia

A condition where blood flow to the heart muscle is reduced, causing no obvious symptoms, and hence "silent."