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Kahn: A simple checklist most cardiologists consider is whether there is: A blood pressure issue An overactive thyroid Lung disease, such as emphysema An electrolyte imbalance like a low potassium or magnesium level Sleep apnea A heart valve disorder Stress Congestive heart failure A prior heart attack Additional factors like age, hormonal changes (pregnancy, menopause, menstruation) anxiety, extreme fatigue, excess alcohol, excess caffeine, and stimulant medications like cold medications (i.e

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