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In women where that medication doesn't work, additional L-Carnitine may help

A systematic review concluded that a history of cardiovascular disease, palpitations occurring at work, or palpitations that affect sleep have an increased risk of a cardiac cause (positive likelihood ratio [LR+] = 2.0 to 2.3)

Indeed, the TMAO levels in patients with chronic HF are independently predictive of both short- and long-term mortality [69]