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among the many most commonly encountered cardiac arrhythmias; however, there is a dearth of medical trials or case research relating to its occurrence in the setting of stimulants such as caffeine and nicotine in otherwise wholesome young sufferers. Described here is a case of a 29-yr-old bodily fit white man with out important previous medical history who offered in secure condition complaining solely of palpitations. He was discovered to have atrial flutter without fast ventricular response on cardiac monitoring, most likely due to concomitant presence of

 

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