Cardiomyopathies Afib

Abstract AF-mediated cardiomyopathy (AMC) is an important reversible cause of heart failure that is likely underdiagnosed in today's clinical practice. AMC describes AF either as the sole cause for ventricular dysfunction or exacerbating ventricular dysfunction in patients with existing cardiomyopathy or heart failure Atrial fibrillation (AF) is the most common sustained arrhythmia in hypertrophic cardiomyopathy (HCM)

AF-mediated cardiomyopathy (AMC) is an important reversible cause of heart failure that is likely underdiagnosed in today's clinical practice. AMC describes AF either as the sole cause for ventricular dysfunction or exacerbating ventricular dysfunction in patients with existing cardiomyopathy or heart failure Cardiomyopathy is a general term that refers to diseases of the heart muscle. In cardiomyopathy, the heart muscle becomes enlarged, thick or tough, and cannot beat as well as it should. The heart is less able to pump blood effectively and prone to heart failure, heart valve problems, and to arrhythmias, including atrial fibrillation (Afib or AF) Atrial fibrillation as manifestation and consequence of underlying cardiomyopathies: from common conditions to genetic diseases. Mohmand-Borkowski A(1), Tang WH. Author information: (1)Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195, USA Older age, history of arrhythmia, high body mass index (BMI), moderate or severe mitral regurgitation (MR), reduced left atrial (LA) contractile percent and increased LA volume could predict major atrial fibrillation (AFib) endpoints in patients with hypertrophic cardiomyopathy (HCM), according to a study published June 30 in JACC: Clinical Electrophysiology You need to seriously pin down a heart doc for a true diagnosis period...i must be missing something here but atrial fibrillation is an issue with the electrical pathways of the heart and the way that your heart is firing off and because you flipped back into a normal sinus rhythm while in the docs office still leaves me wondering...if the doc said that you had atrial fib why didn't they file a treatment plan for you in keep it at bay

Posted By CCF CARDIO MD-APS on December 31, 1997 at 16:29:31: In Reply to: Atrial fibrillation and cardiomyopathy posted by Marty on December 28, 1997 at 20:35:13: : I am a 37 YOA male diagnosed with cardiomyopathy and atrial fibrillation in September 1997.A cardioversion attempt (4 shocks) in November failed to convert me to a sinus rythem Atrial fibrillation (A fib) is a common heart rhythm that occurs in people as they age and/or have heart conditions such as coronary disease, valvular heart disease, or cardiomyopathies. Once it develops, it can be a major hassle, as well as a health threat. Hospitalization is often necessary with multiple medications introduced: drugs to slow [ Abstract Atrial fibrillation (AF) is the most common arrhythmia among adults. While there have been incredible advances in the management of AF and its clinical sequelae, investigation of atrial cardiomyopathies (ACM) is becoming increasingly more prominent Cardiomyopathy refers to diseases of the heart muscle. These diseases have many causes, signs and symptoms as well as treatments. In most cases, cardiomyopathy causes the heart muscle to become enlarged, thick or rigid. In rare instances, diseased heart muscle tissue is replaced with scar tissue

Management of Atrial Fibrillation in Hypertrophic Cardiomyopathy 10/10/2019 Vase Bari, MD, B. Bryan Graham, DO Atrial fibrillation is 4-6 times more common in HCM patients than in the general population, and it carries an eightfold increase in the risk of stroke. A 46-year-old female presents by EMS with tachycardia and hypotension Cardiomyopathy, another risk factor for Afib, is a general term that includes diseases of the heart muscle. In cardiomyopathy, the heart becomes enlarged, thick or tough, meaning it does not beat as well. It is less able to pump blood effectively and more prone to arrhythmias, including atrial fibrillation Compared with drug therapy, catheter ablation may be a superior strategy for treating atrial fibrillation (AFib) in racial and ethnic minorities, according to a study published July 5 in the Journal of the American College of Cardiology.. Kevin L. Thomas, MD, FACC, et al., evaluated the efficacy of rhythm control AFib treatments in 1,280 symptomatic patients from the CABANA trial Cardiomyopathy represents a collection of diverse conditions of the heart muscle. These diseases have many causes, symptoms, and treatments and can affect people of all ages and races

Atrial Fibrillation-Mediated Cardiomyopath

  1. Atrial fibrillation (AF) often complicates the course of inherited cardiomyopathies and, in some cases, may be the presenting feature. Each inherited cardiomyopathy has its own peculiar pathogenetic characteristics that can contribute to the development and maintenance of AF
  2. Cardiomyopathies can be classified as potentially reversible or irreversible. Tachycardia-mediated cardiomyopathy is one of the many potentially reversible forms. 1 Even though tachycardia-mediated cardiomyopathy is a real entity, it is not a common etiology among patients with cardiomyopathy and congestive heart failure
  3. Cardiomyopathies are diseases of the heart muscle, inclusive of a variety of myocardial disorders that manifest with various structural and functional phenotypes and are frequently genetic
  4. AFib makes the ventricles beat faster to push blood out of the heart. Beating too fast for a long time can make the heart muscle too weak to pump enough blood to your body. This is called..

Fibrotic atrial cardiomyopathy: a specific disease/syndrome supplying substrates for atrial fibrillation, atrial tachycardia, sinus node disease, AV node disease, and thromboembolic complications. Kottkamp H(1). Author information: (1)Department of Electrophysiology, Clinic Hirslanden, Zurich, Switzerland. hans.kottkamp@hirslanden.ch PMID Keywords: NLRP3 inflammasome, innate immune system, cardiomyocytes, cardiac fibroblasts, cardiomyopathy, atrial fibrillation. Citation: Chen G, Chelu MG, Dobrev D and Li N (2018) Cardiomyocyte Inflammasome Signaling in Cardiomyopathies and Atrial Fibrillation: Mechanisms and Potential Therapeutic Implications. Front

Atrial Fibrillation in Hypertrophic Cardiomyopathy

Cardiomyopathy is a progressive disease of the myocardium, or heart muscle. In most cases, the heart muscle weakens and is unable to pump blood to the rest of the body as well as it should. There.. The arrhythmia, ventricular fibrillation, seen on an ECG Symptoms of cardiomyopathies may include fatigue, swelling of the lower extremities and shortness of breath after exertion. Additional symptoms of the condition may include arrhythmia, fainting, and dizziness Atrial fibrillation is a common disease that affects many individuals. The prevalence of this disease increases with age with the most severe complication being acute CVA. Due to the irregularly of the atria, blood blow through this chamber becomes turbulent leading to a blood clot (thrombus). This thrombus is commonly found in the atrial appendage Cardiomyopathies are diseases of the myocardium associated with cardiac dysfunction, often resulting in the clinical syndrome of heart failure. Dilated cardiomyopathy is defined as an ejection fraction of lower than 40% in the presence of increased left ventricular dimensions. There are a number of possible causes

Learn and reinforce your understanding of Atrial fibrillation through video. Atrial fibrillation (AF or A-fib) is an abnormal supraventricular tachycardia characterized by rapid and irregular beating - Osmosis is an efficient, enjoyable, and social way to learn. Sign up for an account today! Don't study it, Osmose it Primary Cardiomyopathies. GENETIC ETIOLOGIES. Hypertrophic Cardiomyopathy. Hypertrophic cardiomy-opathy (HCM) is the most common primary cardiomy-opathy, with a prevalence of 1:500 persons. 8. It. Cardiomyopathies represent a group of disorders characterized by structurally and functionally abnormal myocardium in the absence of hypertension, pericardial disease, valvular, or congenital heart disease sufficient to cause the observed myocardial dysfunction.1, 2 They are an important cause of heart failure and are associated with a high incidence of arrhythmias including ventricular.

Atrial Fibrillation-Mediated Cardiomyopathy Circulation

  1. While atrial fibrillation is common comorbidity in patients with cardiomyopathy and heart failure, diagnosis and management often focuses on tackling rate and rhythm control rather than elucidating pathogenic mechanisms related to underlying myocardial substrates. This review summarizes our current understanding of the natural history of cardiomyopathies presenting with atrial fibrillation.
  2. The number of patients with oncologic and cardiologic comorbidities is increasing. A growing number of evidence shows an inextricable link between cancer, atrial fibrillation, and atrial cardiomyopathy. Cancer itself and resultant inflammation, anticancer treatment, and other comorbidities lead to atrial remodeling and fibrosis, which increases the tendency to develop atrial cardiomyopathy and.
  3. Atrial fibrillation (AFib) is an abnormal heart rhythm that can cause heart palpitations and fatigue. At Stanford Medicine, our arrhythmia specialists have an international reputation for caring for people with this common arrhythmia. Our goal is to provide you comprehensive care and support to restore you to health, free from AFib symptoms
  4. Risk factors and complications of atrial fibrillation (AF) are based on the presence or absence of AF, not the burden of AF. AF burden is classified by type (paroxysmal or non-paroxysmal) and can be quantitatively defined by longest duration, number of episodes and proportion of time in the arrhythmia
  5. Dilated cardiomyopathy (DCM) is the most common type, occurring mostly in adults 20 to 60. It affects the heart's ventricles and atria, the lower and upper chambers of the heart, respectively. Frequently the disease starts in the left ventricle, the heart's main pumping chamber. The heart muscle begins to dilate, meaning it stretches and.

What Are Cardiomyopathies

  1. ate. Symptoms include dyspnea, fatigue, and peripheral edema. Diagnosis is clinical and by elevated natriuretic peptides, chest x-ray, echocardiography, and MRI. Treatment is directed at the cause
  2. Atrial fibrillation (AF) is an abnormal heart rhythm characterized by an irregular and fast heartbeat. AF can lead to stroke, heart failure, blood clots, and heart-related complications. Atrial fibrillation is classified into three types: Paroxysmal atrial fibrillation, persistent atrial fibrillation, and long-standing persistent atrial fibrillation
  3. Restrictive cardiomyopathy is the least common of the major cardiomyopathies, representing 2% to 5% of cases.34, 35 The restrictive category includes many underlying etiologies and is defined by.
  4. Cardiomyopathies are a mixed group of disorders affecting the myocardium that present with a variety of symptoms and signs caused by either structural or functional abnormalities. Part 1 in this two-part series on cardiomyopathies discussed classification, clinical signs and key types. In part 2, the focus is on diagnostic investigations.

Cardiomyopathy, or heart muscle disease, is a type of progressive heart disease in which the heart is abnormally enlarged, thickened, and/or stiffened. As a result, the heart muscle's ability to. Cardiomyopathy is any structural and functional abnormality of the heart muscle unattributable to specific causes or disease processes such as coronary artery disease (CAD), congenital heart disease, or valvular disease. Over the years, classification of this condition has been updated by the rapid advancement of genetic, imaging, and clinical investigation Other causes of atrial fibrillation should be considered and thromboembolic risk assessed. It is important not to miss conditions associated with atrial fibrillation, including cardiomyopathies, channelopathies, pre-excitation, hyperthyroidism and alcohol or drug misuse.2, 3 Energy supplements and performance enhancers should also be considered.2, 3 Data on stroke risk among athletes are.

Cardiomyopathy, cardiomyopathy definition and examples

Atrial fibrillation is a type of arrhythmia that can cause rapid, irregular beating of the heart's upper chambers. Blood may pool and clot inside the heart, increasing the risk for heart attack and stroke. For more information, see the atrial fibrillation fact sheet. Cardiomyopathy happens when the heart muscle becomes enlarged or stiff. This. Aims Defining the risk of atrial fibrillation (AF) in hypertrophic cardiomyopathy (HCM) patients is an important clinical and prognostic challenge. The aim of this study is to determine HCM phenogroups with different risk of AF occurrence at 5 years. Methods and results We applied retrospectively the Bayesian method, which can analyze a large number of variables, to differentiate phenogroups. For the Supplementary Data which include background information and detailed discussion of the data that have provided the basis for the Guidelines see Europea Cardiomyopathy refers to diseases of the heart muscle. In cardiomyopathy, the heart muscle becomes thick or rigid, which can weaken the heart. Learn more about causes, risk factors, screening and prevention, signs and symptoms, diagnoses, and treatments for cardiomyopathy, and how to participate in clinical trials Atrial fibrillation (Afib), a heart condition that causes a rapid, irregular heartbeat that increases a person's risk of stroke and heart failure, is fairly common among older adults. However, its.

Supraventricular tachycardia

Atrial fibrillation as manifestation and consequence of

Cardiomyopathies Atrial fibrillation (AFIB) is a common arrhythmia whose incidence is high in the elderly population above 75 years of age. VFIB Ventricular fibrillation (VFIB) is a very rapid and irregular ventricular activation with no mechanical effect Blood pressure medication adherence should continue for patients with novel coronavirus (COVID-19) infection, and atrial fibrillation and atrial flutter can worsen outcomes in hospitalized COVID-19 patients, according to two posters presented at the virtual American Heart Association Scientific Sessions 2020 Cardiomyopathy is a group of disorders in which the heart muscle is structurally and functionally abnormal in the absence of other diseases that could cause observed myocardial abnormality. The most common cardiomyopathies are hypertrophic and dilated cardiomyopathy. Rare types are arrhythmogenic right ventricular, restrictive, Takotsubo and left ventricular non-compaction cardiomyopathies Following are the existing guidelines, with the MRB s recommended changes in bold. Section 1: Drivers without known heart disease. The Medical Expert Panel (MEP) recommends that the currently used definition for abnormal exercise tolerance testing (ETT) should be revised so that it is defined as an inability to exceed 6 METS (metabolic equivalents) on ETT

CARDIOMYOPATHIES DEFINITIONS AND CLASSIFICATION Uncontrolled ventricular rate in patients with atrial fibrillation as well as other forms of tachyarrhythmias predispose patients to the risk of a form of dilated cardiomyopathy known as tachycardia cardiomyopathy; it can be reversed with control of heart rate.. Key Difference - Cardiomyopathy vs Congestive Cardiac Failure Congestive cardiac failure and cardiomyopathies are two extremely common conditions that are responsible for millions of cases of mortality and morbidity all around the world. Cardiomyopathies are a heterogeneous group of diseases of the myocardium associated with mechanical and/or electrical dysfunction that typically exhibit. Atrial fibrillation (AF) is the most common type of arrhythmia. Epidemiological studies have documented a substantial genetic component. More than 160 genes have been associated with AF during the.

Registry Identifies Key Predictors of Major AFib Events in

Atrial fibrillation and stroke prevention : The challenge of pregnancy in grown-up congenital heart disease and cardiomyopathy Pregnancy and heart disease Diagnostic challenges in cardiomyopathies: Genetic diagnosis should always be considered for cardiomyopathy. PRO : Genetic diagnosis should always be considered for cardiomyopathy. CONTR AFib Dilemma: Stroke vs. Bleed with Dr. Yoaav Krauthammer. Dr. Alain Bouchard is joined by Dr. Yoaav Krauthammer in a discussion of stroke prevention in patients with atrial fibrillation and high bleeding risk. Subscribe to the MyHeart.net Podcast on Apple Podcasts , Spotify, or Google Podcasts


AFIB and Cardiomyopathy - Heart Disease - MedHel

Cardiomyopathies are a group of disorders that affect the ability of the heart muscle to function properly. Types of inherited cardiomyopathies are hypertrophic (thickened), dilated (enlarged), arrhythmogenic (replaced by scar tissue), non-compaction (heart muscle fails to fully form during early embryo development) and restrictive (hear Cardiomyopathies are a heterogeneous group of heart muscle diseases and important cause of heart failure with reduced or preserved ejection fraction. Although there is an increasing body of evidence on the incidence, pathophysiology, and natural history of heart failure (HF) in cardiomyopathies, certain aspects of the therapeutic strategies. Heart failure and cardiomyopathies. Natriuretic peptide level at heart failure diagnosis and risk of hospitalisation and death in England 2004-2018. Clare J Taylor, Sarah L Lay-Flurrie, José M Ordóñez-Mena, Clare R Goyder, Nicholas R Jones, Andrea K Roalfe, FD Richard Hobbs. doi: 10.1136/heartjnl-2021-319196 Difference Between Afib and CHF Afib is atrial fibrillation in which the atria contract irregularly. Chf is Congestive Heart Failure where the improper pumping of the heart causes fluid buildup in the body. What is Afib? Definition of Atrial Fibrillation: Afib is atrial fibrillation, which is the condition in which the atria beat in an irregular rhythm Atrial fibrillation Atrial fibrillation (AF or A fib), is a supraventricular arrhythmia characterised electrocardiographically by low-amplitude baseline oscillations (fibrillatory or 'f' waves) and an irregularly irregular ventricular rhythm. The 'f' waves have a rate of 300-600 bpm and are variable in amplitude, shape and timing. The.

Atrial fibrillation and cardiomyopathy - Heart Disease

Atrial fibrillation is a common arrhythmia whose incidence is high in the elderly population above 75 years of age. Young adults are more likely to be affected by the paroxysmal form of the disease. valvular heart diseases, cardiomyopathies, myocarditis, and pericarditis. Noncardiac causes include thyrotoxicosis, phaeochromocytoma, acute or. Restrictive CM • Restrictive cardiomyopathies are Rare condition. • They may be idiopathic, but can be associated with systemic disease. • Ventricular filling is impaired because ventricles are stiff. • Lead to high atrial pressure with atrial hypertrophy, dilatation and later atrial fibrillation Summary. Cardiomyopathies are diseases of the muscle tissue of the heart.Types of cardiomyopathies include dilated, hypertrophic, restrictive, and arrhythmogenic right ventricular cardiomyopathy. Dilated cardiomyopathy is the most common type of cardiomyopathy.Although most cases are idiopathic, a number of conditions (e.g., coronary artery disease, wet beriberi), infections (e.g., Coxsackie B.

Patient Educational Resources. PACES provides reliable, easy-to-understand reading material for patients and parents on a variety of arrhythmia conditions as well as diagnostic and therapeutic procedures. Our reading materials are thoroughly reviewed for accuracy and frequently updated to reflect the rapid changes in our field Dilated cardiomyopathy (also called idiopathic dilated cardiomyopathy) is a condition in which the heart becomes weak and the chambers get large. As a result, the heart cannot pump enough blood out to the body. It can be caused by many medical problems. Hypertrophic cardiomyopathy (HCM) is a condition in which the heart muscle becomes thick Development of a novel peptide tracer for detection of cardiac fibrosis and atrial fibrillation using mouse models of cardiomyopathies. Abstract from ISTH 2019: The XXVII Congress of International Society on Thrombosis and Haemostasis and 65th Annual Scientific and Standardization Committee (SSC) Meeting, Melbourne, Australia Atrial fibrillation (Afib) is a common type of supraventricular tachyarrhythmia characterized by uncoordinated atrial activation that results in an irregular ventricular response. While the exact mechanisms of Afib are poorly understood, associations with a number of cardiac (e.g., valvular heart disease, coronary artery disease) and noncardiac. Other cardiomyopathies. I42.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM I42.8 became effective on October 1, 2020. This is the American ICD-10-CM version of I42.8 - other international versions of ICD-10 I42.8 may differ

How NOT to Have Atrial Fibrillation The Undoctored Blo

Cardiomyopathies Cardiomyopathy is defined as a structural or functional abnormality of the myocardium that is not secondary to structural heart disease, hypertension, or pulmonary vascular disease. Dilated cardiomyopathy (DCM) - in which the left ventricle is dilated and has poor systolic function In textbooks and guidelines, the epidemiology of the inherited cardiomyopathies is usually presented in a short paragraph that can be summarized as a prevalence in adults of 1/500 for hypertrophic. ‍Pathophysiology. Atrial Fibrillation (AF) can be associated with abnormal atria due to underlying cardiac diseases, such as ischemic heart disease, hypertension, valvular heart disease and cardiomyopathies, or non-cardiac causes such as electrolyte disturbances, pulmonary embolism, and acute infections Atrial fibrillation with RVR leads to loss of atrial kick, shortened ventricular filling time, increased myocardial oxygen demand, and potentially tachycardia-induced cardiomyopathies . To date, the optimal pharmacologic approach to atrial fibrillation with RVR in the ICU has not been well defined

Atrial flutter and atrial fibrillation (AFib) are both types of arrhythmias. They both occur when there are problems with the electrical signals that make your heart chambers contract This is the first attempt to utilize adult zebrafish to model atrial fibrillation-like diseases of humans. New Inherited Cardiomyopathy Genes More than 100 genes have been linked to cardiomyopathies, but these genes can only explain about 75% of HCM, 50% of DCM, 40% of RCM, and 60% of ACM ( Groeneweg et al., 2015 ; Harakalova et al., 2015.

Atrial Fibrillation and Atrial Cardiomyopathies - Baman

Dilated cardiomyopathy is the most frequent form of cardiomyopathy. The cavity of the heart is enlarged and stretched, compromising the heart's ability to pump normally and relax appropriately: This occurs most often in adults ages 20 to 60. It is more common in men than women, but has been diagnosed in people of all ages, including children Control of the heart rate (rate control) is central to atrial fibrillation management, even for patients who ultimately require control of the rhythm. We review heart rate control in patients with atrial fibrillation, including the rationale for the intervention, patient selection, and the treatments available. The choice of rate control depends on the symptoms and clinical characteristics of.

What Is Cardiomyopathy in Adults? American Heart Associatio

Atrial fibrillation (AF) is the most common non-sinus tachycardia Typically, AF is caused by rapidly firing foci. Usually, the primary signal would emanate from the sinus node, and then spread across both atria in a controlled manner, before reaching the atrioventricular node, as normal. In the case of atrial fibrillation, the firing of disorganised impulses originatin ### What you need to know Cardiomyopathies are structural and functional disorders of the heart muscle. They are often inherited and represent an important cause of sudden cardiac death. General practitioners play a key role in early diagnosis by recognising symptoms and clues from the family history to initiate investigations. In this clinical update, we provide an overview of diagnosis.

Management of Atrial Fibrillation in Hypertrophic

What Causes Atrial Fibrillation (Afib or AF)

Atrial Fibrillation is a heart arrhythmia. It occurs when multiple foci of electrical activity in the atria initiate depolarization at the same time. The multiple depolarizations disrupt the regular signal from the SA node, the heart's regular pacemaker. This causes uncoordinated contractions of the atria Explore the latest advances in PCI and device therapy, treatment of myocardial infarction, dyslipidemia, heart failure, afib & rhythm disorders, TAVR, and more

heart disease, cardiomyopathies, and [heart failure], and these conditions tend to increase [left atrial] atrial fibrillation had one or more risk factors, hyper-tension being the most common.18 Besides advancing age, hypertension, and the aforementioned cardia Traditionally, one-fourth of the patients with ischemic stroke have no identified etiologic cause despite intensive investigation and have been deemed to have cryptogenic stroke. In an effort to understand this group of patients better, a subset of these patients with cryptogenic stroke has been studied: those with nonlacunar cryptogenic stroke suspected of having embolism Atrial fibrillation, familial, 12 Hypertrichotic osteochondrodysplasia (Cantu syndrome) CMD1O; Intellectual Disability - Myopathy; Mouse Myopathy. ABC disorders. ABCC9. Regulatory subumit of ATP-sensitive potassium (K ATP) channel (Kir 6.1 or 6.2) Inhibition of channel opening when ATP concentration at cytoplasmic cell surface is increase Atrial fibrillation is an irregular heart rate that can lead to stroke and heart disease. To treat such cases, the Cardiac Arrhythmia Center performs an extensive ablation, a procedure which destroys the cardiac tissue responsible for the abnormal heart rhythm

Does Catheter Ablation For AFib Improve Outcomes For

Cardiomyopathy cdc

Atrial fibrillation in patients with inherited

Symptoms of cardiomyopathies may include fatigue, swelling of the lower extremities and shortness of breath after exertion. Additional symptoms of the condition may include arrhythmia, fainting, and dizziness.. Causes. Cardiomyopathies are either confined to the heart or are part of a generalized systemic disorder, both often leading to cardiovascular death or progressive heart failure-related. Atrial Fibrillation Biobank Ludwig Maximilian University Study: Mortiz Sinner, Stefan Kaab: Genetics of Cardiometabolic Health in the Amish: Braxton D. Mitchell: Atherosclerosis Risk in Communities Study VTE cohort: Eric Boerwinkle: Molecular Mechanisms of Inherited Cardiomyopathies and Arrhythmias in the Australian Familial AF Study: Diane Fatki I42.8 is a billable diagnosis code used to specify a medical diagnosis of other cardiomyopathies. The code I42.8 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code I42.8 might also be used to specify conditions or terms like arrhythmogenic.

Reversible Cardiomyopathy Due to Atrial Fibrillation in a

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