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As the endoscopic dilation of ureters with an intraluminal device would be expected to be related to a principal diagnosis of hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease, not elsewhere classified (diagnosis code I13.0), it is clinically appropriate for the procedures to group to the same MS-DRGs as the principal diagnoses

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Obesity induces structural and functional changes in the atria and ventricles, including atrial enlargement, myocardial fibrosis, and adipose infiltration, altering conduction pathways and increasing arrhythmia risk 44