Abracadabra: Key messages to take home
So, guys, whenever a similar case comes to your attention, please, remember two important things. Firstly, causes of TR in the presence of pacemaker can be both mechanical (the PM lead itself is responsible for leaflet damage or inappropriate leaflet coaptation) and functional (TR is due to interventricular dyssynchrony). Secondly, “abracadabra” – in Aramaic avada kedavra - is an ancient spell meaning “let the thing (illness) be destroyed”. Shout it loud whenever you need some supernatural presence: it may help!
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