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Possible heart murmur or gallop rhythm heard when listening to the heart with a stethoscope. Weak femoral pulses. Causes. Pump (Muscle) Failure of the Left Ventricle. Heart muscle is flabby and weak for unknown causes (so-called “idiopathic dilated cardiomyopathy” or DCM) Trypanosomiasis (disease caused by the protozoa, Trypanosoma)—rare ................
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