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(2009) 6:e1000100

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[59] Pathophysiology [edit] The normal electrical conduction system of the heart allows electrical impulses generated by the heart's own pacemaker (the sinoatrial node) to spread to and stimulate the muscular layer of the heart (myocardium) in both the atria and the ventricles

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The cause is unknown but is most likely associated with smoking or other tobacco use and alcoholic beverages