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Clinical red flags that suggest cardiac origin include: sudden onset of severe symptoms, radiation to typical cardiac distribution areas, associated autonomic symptoms (sweating, pallor), exertional provocation, and risk factors such as prior cardiovascular disease, long-standing diabetes, hypertension, dyslipidemia, or family history of premature coronary disease
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But it is sitting in a warm, acidic environment with billions of bacteria, and those bacteria are doing what bacteria do
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