Nocturnal angina

In 16 of 17 nocturnal episodes and in all the daytime episodes the heart rate increased before the onset of ST-segment depression. There were no significant differences in the sequence and magnitude of changes in daytime, nocturnal, painful, or painless episodes In most clinical situations nocturnal angina is associated with day time angina as well . Various mechanisms are proposed. It is primarily due to increased demand (Holter monitoring has documented brief bursts of HR acceleration just before nocturnal angina with manifest ST depression ) Increased demand during REM sleep Angina usually occurs on exertion during the day andis regarded as beingsecondaryto anincrease in myocardial oxygendemandthat cannotbemetbya simultaneous increase in blood flow because of obstructivecoronaryarterydisease. Itcanalsooccur at rest andduring sleep at night. Theoccurrenceof nocturnal angina in patients with daytimepainwa This evaluation included questions concerning angina on exertion, nocturnal angina, and clinical symptoms of congestive heart failure. Nocturnal angina was defined as anginal pain which aroused a patient from sleep and was usually similar to the daytime chest pain

1. Nocturnal sleep and electro cardiographic patterns were continously investigated in 20 male patients suffering from nocturnal angina attacks. Sleep pattern was severely disturbed regardless of the presence of ischemic episodes. Sleep Time was reduced because of a large Awakening Time and an Early Final Awakening 1. Prog Neuropsychopharmacol. 1981;5(1):99-104. Nocturnal angina and sleep. Cassano GB, Maggini C, Guazzelli M. PMID: 7280131 [Indexed for MEDLINE Nocturnal angina is angina that occurs at night, during sleep. Stable angina is chest pain or discomfort that typically occurs with activity or stress. Episodes of pain or discomfort are provoked by similar or consistent amounts of activity or stress Vasospastic angina is also known as prinzmetal angina, variant angina or coronary artery spasm. It develops when a coronary artery supplying blood and oxygen to your heart goes into spasm and suddenly narrows. People experiencing vasospastic angina do not typically have episodes of angina during exercise

Angina (an-JIE-nuh or AN-juh-nuh) is a symptom of coronary artery disease. Angina, also called angina pectoris, is often described as squeezing, pressure, heaviness, tightness or pain in your chest. Some people with angina symptoms say angina feels like a vise squeezing their chest or a heavy weight lying on their chest To the Editor:— A major precipitating factor in nocturnal angina pectoris has not been stressed. I am impressed that angina occurring during sleep is the result of the tremendous physiologic response to dreams. Several authors have noted increases and irregularity of heart rate, respiration, and arterial pressure occurring in nearly all instances of D-sleep (sleep associated with dreaming. And if you suffer from unstable angina, which is chest pain that can occur at rest or with exertion, you may have found that nocturnal angina, which is chest pain while you sleep, is keeping you from getting a restful sleep It is highly unlikely for a 19 y/o to be having angina (unless you have a strong FHx or using drugs like cocaine). Typical symptoms can be common with symptoms in other conditions. It may present with chest pain, or upper abd pain, or neck pain radiating to the L side. Patient may have difficulty breathing. Worse with exertion In 30 patients with nocturnal angina, the night-time ECGs were continuously recorded, and the time and duration of attack, cyclic character of attacks, the relation of chest pain to ischemic ECG changes and arrhythmias during attack were compared between 18 cases with ST elevation and 12 cases with ST depression during attack

Mechanisms of nocturnal angina pectoris: importance of

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  2. Variant angina, and less commonly Prinzmetal angina, vasospastic angina, angina inversa, coronary vessel spasm, or coronary artery vasospasm, is a syndrome typically consisting of angina in contrast to stable angina which is generally triggered by exertion or intense exercise, commonly occurs in individuals at rest or even asleep and is caused by vasospasm, a narrowing of the coronary arteries due to contraction of the heart's smooth muscle tissue in the vessel walls. In comparison, stable angi
  3. Prinzmetal's or Prinzmetal Angina, Variant Angina and Angina Inversa Unlike typical angina - which is often triggered by exertion or emotional stress - Prinzmetal's angina almost always occurs when a person is at rest, usually between midnight and early morning. These attacks can be very painful. Prinzmetal angina may also be referred to as

Angina provoked at a lower threshold. Increased angina frequency, severity, or duration. New-onset angina with onset two weeks to two months before presentatio Nocturnal angina: precipitating factors in patients with coronary artery disease and those with variant angina. Quyyumi AA, Efthimiou J, Quyyumi A, Mockus LJ, Spiro SG, Fox KM. Br Heart J, 56(4):346-352, 01 Oct 1986 Cited by: 24 articles | PMID: 3768213 | PMCID: PMC1236869. Free to rea

What are the mechanisms of Nocturnal Angina ? Dr

Hypoxaemia occurs with sleep apnoea and might induce nocturnal angina. Sleep apnoea was found in 9 of 10 patients with nocturnal angina pectoris. Nocturnal angina diminished during treatment of sleep apnoea by continuous positive airway-pressure, and the number of nocturnal myocardial ischaemic events measured by computerised vector-cardiography was reduced angina at rest: A type of unstable angina, which may be subacute (class II) or acute (class III) When the heart muscle doesn't get enough oxygen-rich blood, discomfort or chest pain occurs. This is pain called angina. Angina isn't actually a disease; it is a primary symptom of a heart problem like coronary heart disease or coronary microvascular disease. (The pain or discomfort experienced can be a burning or fullness sensation or it may feel more like a generalized pressure like. To the Editor:— The answer by George Griffith, MD, to the question, Nocturnal Angina Pectoris (JAMA197:519, 1966), appears excellent as far as it concerns the prevention of such attacks through avoidance of food and fluid intake in the evening and positioning of the bed during the night.As supportive measures may be added digitalization, salt-free diet, and diuretics

Anti anginal drugs

Significance and treatment of nocturnal angina preceding

Maybe you know that unstable angina can occur at rest, even during sleep and awaken the patient. But this type of angina (caused by plaque buildup in the coronary arteries) will also strike when the patient exercises or induces physical exertion such as carrying a heavy box to the car or running up a flight of stairs Clinical trials. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.. Lifestyle and home remedies. Because heart disease is often the cause of angina, you can reduce or prevent angina by working on reducing your heart disease risk factors Unstable angina means that blockages in the arteries supplying your heart with blood and oxygen have reached a critical level. An attack of unstable angina is an emergency and you should seek. Angina decubitus is a variant of angina which is related to supine or horizontal body position that is caused when a person lies down. The condition is characterized by typical angina pain which is associated with stitching pain around the region of the heart and tightness in the chest

Angina in Women Can Be Different Than Men. Angina (chest pain) is a warning sign of heart disease, and recognizing it and getting treated early may prevent a heart attack. Heart disease occurs when fatty build-up in your coronary arteries, called plaque, prevents blood flow that's needed to provide oxygen to your heart muscle Angina pectoris is a clinical syndrome usually characterized by episodes of paroxysms of pain or pressure in the anterior chest. The cause is insufficient coronary blood flow, resulting in a decreased oxygen supply when there is increased myocardial demand for oxygen in response to physical exertion or emotional stress Synonym: Angina nocturna. 1 Definition. Als Angina decubitus bezeichnet man anfallsartige Herzbeschwerden (Angina pectoris) oder Dyspnoe, die durch flaches Liegen im Bett ausgelöst werden bzw. nachts im Schlaf auftreten.. 2 Hintergrund. Eine horizontale Lage verstärkt den venösen Rückstrom des Blutes zum Herzen und führt zu einer erhöhten Volumenbelastung, welche die Beschwerden auslöst A high index of suspicion for this diagnosis must be considered in patients awakening with recurrent brief episodes of nocturnal angina, promptly relieved with sublingual nitrates. The diagnosis must also be considered in patients with recurrent rest angina associated with syncope or even cardiac arrest, since patients with variant angina may. NOCTURNAL ANGINA: it is another type of angina usually seen during night time. In this type, the patients suddenly wake up from sleep due to pain which is considered to be aggravated due to some dreams etc. WALK THROUGH ANGINA: It can be considered as transitional stage from healthy state to exertional angina. In this type, the patient feels.

Angina Pectoris Despite Normal Coronary Angiography: Need

DEFINITION The term angina pectoris is applied to various forms of transient chest discomfort that are attributable to insufficient myocardial oxygen. 4. TYPES STABLE OR TYPICAL ANGINA PRINZMETAL'S VARIANT ANGINA (VASOSPASTIC) UNSTABLE OR CRESCENDO ANGINA ANGINA DECUBITUS (NOCTURNAL ANGINA) 5 Factors precipitating nocturnal myocardial ischaemia were investigated in 10 patients with frequent daytime and nocturnal angina pectoris. Eight patients had fixed obstructive coronary artery.

Nocturnal angina may occur if a dream causes striking changes in respiration, pulse rate, and BP. Nocturnal angina may also be a sign of recurrent LV failure, an equivalent of nocturnal dyspnea. The recumbent position increases venous return, stretching the myocardium and increasing wall stress, which increases oxygen demand Angina, also known as angina pectoris, is chest pain or pressure, usually due to insufficient blood flow to the heart muscle.. Angina is usually due to obstruction or spasm of the arteries that supply blood to the heart muscle. Other causes include anemia, abnormal heart rhythms, and heart failure.The main mechanism of coronary artery obstruction is atherosclerosis as part of coronary artery.

Nocturnal angina and sleep - ScienceDirec

Nocturnal angina and sleep

9 Surprising Home Remedies for Angina. The home remedies for angina include the use of garlic, lemon, basil, honey, grapes, onion, and citrus fruits. These remedies help in the initial stage of relaxing the pain, however, if the pain increases, one should seek immediate medical attention In 12 patients with nocturnal angina pectoris, all-night continuous polygraphic recordings were made, including electroencephalogram, electrooculogram, electromyogram, impedance pneumogram and electrocardiogram, and ECG was analyzed in relation to heart rate and sleep stages. Out of 58 episodes of ischemic ST, T changes which were recorded with the peak frequency between 4:00 and 6:00a.m., 24. İngilizce Türkçe online sözlük Tureng. Kelime ve terimleri çevir ve farklı aksanlarda sesli dinleme. nocturnal gece oluşan have nocturnal emissions şeytan aldatmak ne demek Angina decubitus. ICD-9-CM 413.0 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 413.0 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes) Dry-cough & Nocturnal-angina-pectoris Symptom Checker: Possible causes include Gastroesophageal Reflux Disease. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search

The pain may occur at night and awaken the patient from sleep (nocturnal angina). NSTE-ACS may be painless or be atypical, with so-called anginal equivalents—dyspnea, nausea, diaphoresis, abdominal pain, weakness, or syncope Of 5 episodes of nocturnal angina, 4 were preceded by apnea and the fifth by increased heart rate during REM sleep. A total of 32 episodes of ST depression occurred during the baseline study in 6 of the 10 patients. After initiation of continuous positive airway pressure, apnea was eliminated, nocturnal angina occurred in just one patient, and. Microvascular angina is an especially worrisome source of cardiac chest pain, and it's often misdiagnosed because it doesn't show up as a blockage in the larger heart arteries during testing. This fact can cause doctors to miss the underlying cause

Angina also known as angina pectoris is a medical condition characterized by chest pain usually left sided due to inadequate blood supply (ischemia) to the heart muscles due to obstruction (like presence of blood clot), narrowing or contraction (vasospasm) of the supplying coronary arteries ICD-10-CM Diagnosis Code I20.8 [convert to ICD-9-CM] Other forms of angina pectoris. Angina decubitus; Decubitus angina; Nocturnal angina; Angina equivalent; Angina of effort; Coronary slow flow syndrome; Stenocardia; Stable angina; code (s) for symptoms associated with angina equivalent. ICD-10-CM Diagnosis Code I20.8 In the ten patients who presented nocturnal angina, the incidence of positive response to pacing and the pacing ischaemic threshold, tested on three different days, were similar to those seen in the remaining patients. In contrast, the ergonovine test was positive in all patients with nocturnal angina (100%), who required a low dose (0.28±0.2.

Postprandial angina pectoris is anginal chest discomfort that occurs following meals. It is thought to be due to an increase in vascular tone or a reduction in coronary blood flow. Pathophysiology. Any type of angina can occur after meals as a result of increased coronary vascular tone and a decrease in coronary blood flow. However. By contrast, people who have nocturnal (nighttime) angina should apply the patches at night and remove them in the morning. Nitrates and tolerance — Continuous nitrate treatment leads to tolerance of the drug within 24 to 48 hours; at this time, normal doses of nitrates are less effective. Tolerance is a problem with long-acting nitrates.

Angina - Heart and Blood Vessel Disorders - MSD Manual

Patients experiencing angina when doing certain physical activities can often prevent symptoms by taking nitroglycerin 5 to 10 minutes before the activity. Luckily, a rhinoplasty can correct the deviated septum, and help prevent the nocturnal angina Angina can feel like a heart attack, but often it's something else causing your chest pain. Learn more about the symptoms, causes, diagnosis and treatment of angina at WebMD İngilizce Türkçe online sözlük Tureng. Kelime ve terimleri çevir ve farklı aksanlarda sesli dinleme. nocturnal angina geceleri gelen angina ne demek ICD-9-CM 413.0 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 413.0 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes)

Angina pectoris - commonly known as angina - is chest pain due to ischemia of the heart muscle, generally due to obstruction or spasm of the coronary arteries.The main cause of Angina pectoris is coronary artery disease, due to atherosclerosis of the arteries feeding the heart. The term derives from the Latin angina (infection of the throat) from the Greek ἀγχόνη ankhonē. The therapeutic agent is effective in treating the circulatory diseases of hypertension, congestive heart failure, angina pectoris, paroxysmal atrial fibrillation, ventricular arrhythmia, sleep apnea syndrome and renal failure; and is the agent for treating, in particular, such hypertension as therapy resistant hypertension, nocturnal. Stepwise analysis showed that moderate-severe nocturnal leg cramps were associated with (in decreasing order of partial R2): leg jerks, poor overall health, arthritis, difficulty falling asleep, age, nonrestorative sleep, red blood cell count, lower education, angina, and difficulty maintaining sleep Angina pectoris. Chest pain. Disorder characterized by pain (disorder) Ischaemic heart disease. Pain of cardiovascular structure (finding) Name: Angina pectoris See more descriptions. - Angina. - Cardiac angina. - Angina pectoris

The prevalence of anginal symptoms varies and is thought to be lower among community-dwelling patients than trial participants . (See Angina pectoris: Chest pain caused by fixed epicardial coronary artery obstruction, section on 'Diagnosis'.) Other patients may have stable disease but not experience classic anginal symptoms Nocturnal angina ; Question 3 of 10 . A client is seen in the emergency department complaining of chest pain. The ED provider sees him briefly and then states he will consult a cardiologist. The client becomes very upset and asks the nurse if he is going to die. Which response from the nurse is.

A 68-year-old man has been successfully treated for exercise-induced angina with short-acing nitrates for several years. He recently has been complaining about being awakened at night with chest pain. Which of the following drugs would be useful in preventing this patient's nocturnal angina ICD-10-CM Code for Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli] D59.5 ICD-10 code D59.5 for Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli] is a medical classification as listed by WHO under the range - Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism Angina pectoris. A chest pain or shortness of breath occurring with lesser degrees of arterial blockage. An inflammatory infection of the throat, such as quinsy. Cramp-like pain that comes and goes, and is made worse by physical effort It is a sign that the tissue or organ supplied by a narrowed artery is not getting enough blood or oxygen A patient has been treated for exercise- induced angina for several years. He recently has been complaining of being awakened at night with chest pain, which one of the following drugs would be useful in preventing the patient's nocturnal angina? Select one: O Amyl nitrite O Nitroglycerin (sublingual) O Inderal O Nitroglycerin (transdermal

PPT - Respiratory Emergencies: CHF, Pulmonary Edema, COPD

Pathophysiology. Coronary artery disease is almost always due to atheromatous narrowing and subsequent occlusion of the vessel. Early atheroma (from the Greek athera (porridge) and oma (lump)) is present from young adulthood onwards. A mature plaque is composed of two constituents, each associated with a particular cell population Nocturnal Angina/Angina pectoris (Latin for squeezing of the chest) - is chest pain, discomfort, or tightness that occurs when an area of the heart muscle is receiving decreased blood oxygen supply. It is not a disease itself, but rather a symptom of coronary artery disease, the most common type of heart disease

Angina attacks are usually short in duration (2-5 minutes, but sometimes only 30 sec) and may recur in clusters of more episodes within 20-30 minutes. Angina usually responds promptly to sublingual nitrates and may show a circadian pattern with a prevalence in the early morning or nocturnal hours What do you understand by the terms nocturnal angina, crescedndo angina, angina decubitus, unstable angina, Syndrome X. The answer. Nocturnal angina: Angina may occur at night (nocturnal angina) preceded by a dream ; Crescendo angina: Attacks of angina increase in frequency to a fatal outcom Symptoms. Angina tends to appear during physical activity, emotional stress, or exposure to cold temperatures, or after big meals. Symptoms of angina include: pressure, aching, or burning in the middle of the chest. pressure, aching, or burning in the neck, jaw, and shoulders (usually the left shoulder) and even down the arm

Chest Pain And Discomfort - Health-Info

SRBD may contribute to nocturnal angina in patients with heart failure, presumably due to hypoxemia and catecholamine surges . In addition, recurrent arrhythmias may occur, such as atrial fibrillation or ventricular tachycardia [9, 22]. These arrhythmias often occur in the absence of any symptoms or signs of SRBD 4. Angina. Angina pectoris is a condition in which the coronary arteries, which carry blood to the heart muscles, become constricted or narrowed. This causes damage to the heart muscle, which forces the heart to work harder, even while you are asleep. About Complete Care Emergency Center

Vasospastic angina - Causes, Symptoms & Treatment

Nocturnal angina and ST depression are diminished during treatment of sleep apnea by CPAP. 186,265 Similarly, Hanly et al 266 noted the ST depression occurred in about a third of patients with severe OSA. ST depression was markedly attenuated during nasal CPAP. However, these patients did not have proven coronary artery disease, and artifactual. Paroxysmal nocturnal dyspnea vs. sleep apnea. PND is a symptom that can be caused by a number of different respiratory and circulatory conditions. Sleep apnea, most commonly obstructive sleep.

Angina - Symptoms and causes - Mayo Clini

The tempo of angina is characterized by an assessment of changes in the duration of episodes, their frequency, and the anginal threshold. Tools for Risk Stratification Although imperfect, the 12-lead ECG lies at the center of the decision pathway for the evaluation and management of patients with ischemic discomfort Angina is a specific form of chest pain that happens when the blood flow to the heart decreases. This usually comes about due to partial obstruction of one of the coronary arteries and results in pain, sensation of pressure, or having the chest squeezed.. Pain from angina is easy to mistake for a heart attack, but angina fades quickly and does not cause the lasting damage a heart attack is. Angina variations include nocturnal angina, which occurs only during the night but is not related to whether the person is awake or asleep, and angina decubitus, which occurs only when the person is lying down and recedes when the person stands or sits. Treatment for stable angina

Nocturia has a profound impact on quality of life, being comparable to gout, hypertension, diabetes and angina in terms of disease burden 2; Nocturia typically becomes bothersome to patients when it occurs more than two times per night 3; The severity of sleep impairment increases with the number of nocturnal voids Nocturnal polyuria (NP) is a syndrome involving the production of an abnormally large volume of urine during sleep. 8 While NP is commonly implicated in the etiology of nocturia, it is often unrecognized, even though its prevalence increases with age and has been reported to be as high as 77% and 93% in elderly women and men, respectively. 9. In some patients with nocturnal angina, however, the nitrate-free interval may need to be scheduled during waking hours. Other Precautions With Nitrates Nitrates should not be used in patients with hypertrophic cardiomyopathy (in whom nitrates can cause a dangerous obstruction to blood flow within the heart), or in patients who are taking. Prinzmetal's variant angina (PVA) is characterized by recurrent episodes of chest pain that usually occur when a person is at rest, between midnight and early morning.Typical angina, by contrast, is often triggered by physical exertion or emotional stress. Episodes of PVA can be very painful, and may last from several minutes to thirty minutes

Doctors Gates: May 2011Fever (increased body temperature) information | myVMC

Nocturnal angina ; Question 4 of 10 . A 60-year-old client is seeking care for chest pain and the nurse has an order to place a nitroglycerin patch. Which implications must the nurse consider when administering this medication? Select all that apply. The client should have a period of at least 10 hours a day when he does not wear the patch. Angina provoked at a lower threshold New-onset angina with onset 2 wk to 2 mo before presentation Nocturnal angina New-onset or progressive Canadian Cardiology Society Class III or IV angina in the past 2 wk without prolonged (>20 min) rest pain but with intermediate or high likelihood of CAD; Clinical finding Other: In addition to the forms of angina described above, patients may experience angina decubitus, also called nocturnal angina. This occurs in the recumbent position and is not related to rest or exertion. Heightened ventricular volume increases oxygen requirements and produces angina, possibly indicating cardiac decompensation

Nocturnal Angina Pectoris JAMA JAMA Networ

Cluster headache causes severe unilateral temporal or periorbital pain, lasting 15 to 180 minutes and accompanied by autonomic symptoms in the nose, eyes, and face. Headaches often recur at the. Clinical evidence of myocardial ischemia induced by OSA has been addressed in several studies. Symptoms in some forms of ACS, such as nocturnal angina, can be triggered by OSA . Similarly, nocturnal ST-segment depression is observed among patients with known CAD and OSA but is also reported in patients with OSA without known CAD [60, 61] Smaller numbers had G311 (preinfarction syndrome: n=115), G3300 (nocturnal angina: n=1), G331 (Prinzmetal's angina: n=2), G332 (coronary artery spasm: n=1), G33z1 (stenocardia: n=1), G33z3 (angina on effort: n=14), G33z4 (ischaemic chest pain: n=3), G33z6 (new onset angina: n=1), and G33z7 (stable angina: n=1). Although we did not include. mcq on cardiovascular function system for medical and staff nure 1. Relationship between arterial blood pressure (BP), cardiac outpur (CO) and peripheral vascular resistance (PVR) can be described as (A) BP = COxPVR (B) BP = CO/PVR (C) BP = PVR/CO (D) None of the above 2. If a fibrinolytic drug is used for treatment of acute myocardial infarction, the adverse drug effect that is most likely to. nocturnal angina. which angina is associated with underlying CHF. atypical angina. Unusual symptoms (i.e. toothache, earache) related to physical or emotion exertion Symptoms subside with rest or nitroglycerin. new-onset angina. chest pain that developed for the first time within the last 60 days

Nocturnal angina definition of nocturnal angina by

Group 6 - Medical Surgical NursingIschemic heart diseaseHeart failure learning module 2: diagnosis - The British

Angina is a symptom of coronary artery disease (CAD), the most common heart disease. CAD happens when a sticky substance called plaque builds up in the arteries that supply blood to the heart, reducing blood flow. There are three types of angina: Stable angina is the most common type. It happens when the heart is working harder than usual What is nocturnal angina?-(angina) will wake up, associated with CHF. Explain what is happening during a myocardial infarction-occurs when the blood flow through one or more of the coronary arteries is severely reduced or cut off completel Understand Angina/Chest Pain Angina, or angina pectoris, is a medical term for the symptoms caused by the heart not getting enough oxygen from the arteries that supply the heart with blood.When these arteries become narrowed or blocked over time, it is called coronary artery disease (CAD), and it can cause angina.Most commonly, people describe their symptoms of angina as chest discomfort or pain But nocturnal angina is not that common, so you can't leap to such a conclusion. Nor is the coldness you report a common feature in a heart attack, no matter what you have read. The symptoms you experience on awakening and moving your arm are more typical of either nerve or muscle compression. Perhaps it results from your sleeping posture Vasospastic angina, previously referred to as Prinzmetal angina, is defined as episodes of angina that are promptly relieved with nitroglycerin, are associated with transient EKG changes, and have angiographic evidence of coronary spasm.1 Provocative testing can be performed to confirm the diagnosi

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