Ahmed Damas, FRCP(C),FACP ,FACC , FASE Cardiologist / Internal Medicine
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Well aarhythmia can cause tachymyopath but this is excluded
(( bedridden)) is not clear if this is because of palpitations or dyspnea or obesity
Have a smart GP take good history and stop reading about arrhythmia as even meny GP or GIM or even general cardiologist understand it
Again lung investigation is worthwhile special PE