If possible, your doctor will want to determine which disease may be causing your symptoms to occur or to worsen, because the treatments for each are quite different. doi:10.1016/j.jacc.2021.12.012, Jones NR, Hobbs FR, Taylor CJ. However, death rates were still significant for people younger than 44 after 30 days (3.9%), one year (12.4%), and five years (27.7%). Leon (site moderator COPD.net)

. But as mentioned earlier, the lung damage from COPD does place extra stress on the heart. Of those patients, 65% were overweight or obese and 3% were underweight. It can no longer manage its workload. This information is not designed to replace a physicians independent judgment about the appropriateness or risks of a procedure for a given patient. Congestive heart failure (CHF) is a chronic, progressive disease representing the advanced stage of cardiac illnesses. Analysts sorted patients 18 years and older, from a 10-year Hong Kong diabetes cohort (n = 208,792), into 12 mutually exclusive groups based on disease combinations at baseline (e.g., heart . Chronic Cough & Wheezing: Just like with the shortness of breath, a chronic cough becomes more prominent in the final months and weeks of congestive heart failure. Two-thirds of them went to emergency rooms, and more than 10% died within a year. A low sodium diet is often recommended for people with CHF. The last six months of life for patients with congestive heart failure As death approaches during the last 6 months of life in CHF, illness becomes more severe, disability and the experience of certain symptoms more frequent, and patient preference not to be resuscitated more common. Both these diseases are becoming the cause of many deaths worldwide. In both cases, exacerbations can also occur when medications are not taken as prescribed. There were 50,114 patients with HF 46% were women and the median age was 79 years. The cough is often times accompanied by some wheezing and white or pink-colored mucus. What Is Heart Failure With Preserved Ejection Fraction? Seven-year mortality in heart failure patients with undiagnosed diabetes: An observational study. Pneumonia occurs when germs like bacteria or viruses enter the lungs, creating an infection. Youll also hear this called a forced expiratory volume (FEV1) test. It causes fluid to build up in the body, which produces many of these symptoms: In addition, people in the final stages of heart failure may suffer from: Treatments, such as medications and healthier lifestyles, can help people with heart failure live longer, more active lives. Congestive heart failure (CHF) occurs when the heart cant pump enough blood out to the body. The body also changes, narrowing blood vessels and diverting blood from certain organs. This is a very comprehensive presentation that helps to understand the differences and similarities between COPD and CHF. The exact survival rates varied among studies, but all studies have shown that EF has an impact on prognosis. Someone with COPD who doesn't have access to health care and doesn't have insurance is more likely to have complications and die early, even if their diagnosis is the same as someone from a higher income level. Palliative and hospice care can also provide help with making difficult treatment decisions, such as whether to be resuscitated if the persons heart stops, or whether to have a tube placed in their throat to help them breathe. BMI is a calculation that is made by comparing height in meters by weight in kilograms. It can be prescribed to improve the hearts ejection fraction. (2008). 2017;33(11):1472-1477. doi:10.1016/j.cjca.2017.05.009, Taylor CJ, OrdezMena JM, Jones NR, et al. Still, how effective these drugs are can change over time. (2019). Moreover, if the patient is still . Nonsmokers with COPD are more likely to develop lung cancer than nonsmokers without COPD, and smokers with COPD are more likely to develop lung cancer than those who smoke and don't have COPD. To reduce the risk of death, good blood sugar control is key. It's. Learn more about how we maintain editorial integrity, Breathlessness vs. ERJ Open Res. What Is Flash Pulmonary Edema, and How Do You Treat It? Thank you, {{form.email}}, for signing up. The three-year survival rate for people living with CHF who have a reduced exercise tolerance is 57%.
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. According to statistics, every year about 550,000 people in the United States are diagnosed with heart failure. Life expectancy for people with chronic obstructive pulmonary disease (COPD) can be predicted by assessing body mass index (BMI), airway obstruction, dyspnea, and exercise capacity. Many factors affect the survival of CHF patients. So can medication or surgery to manage weight. On this page, weve provided answers to these questions: In COPD, it may be difficult to identify those patients who are likely to die within 6months. COPD and Congestive Heart Failure (CHF for short) are two of the most common chronic health conditions and also among the top 3 leading causes of death in the U.S. The outlook for those with CHF varies incredibly. Moreover, your physician or palliative-care provider can help you plan for potential health emergencies and make treatment decisions in advance instead of during a crisis. Weight loss and improvement in comorbidity: Differences at 5%, 10%, 15%, and over. Here, the heart muscle is stiff rather than weak. What to Know About Right-Sided Heart Failure. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Talk to a doctor now . Ho KK, et al. Pneumonia is ranked evenly with influenza as the eighth leading cause of death in the country. Lifestyle changes for heart failure (n.d.). Healthy lifestyle choices, including diet and exercise, can help. 21 Avoiding the End Stages of COPD, Congestive Heart Failure (CHF) Life Expectancy Google vs. In general. Increased heart rate, feeling like your heart is racing or throbbing. For example, an FEV1 reading of 29 would indicate that a patient expelled 29% of the expected volume. Patients with undiagnosed diabetes were 1.69 times more likely to die than those without diabetes. 2007;115(12):1563-1570. doi:10.1161/CIRCULATIONAHA.106.666818. Smoking is also a risk factor for heart disease, including CHF. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. (2004). There is no cure for COPD, and the outlook for a person with end-stage COPD is poor. People with COPD can be at risk for serious complications that can not only put their health in jeopardy, but also be fatal. End stage copd and congestive . In a survey of older patients with serious illnesses and limited life expectancy, just over half of participants with COPD wanted to know their life expectancy 30. One difference is that although chest tightness is a common symptom of COPD, it does not usually occur with CHF. Death rates for people with diastolic heart failure are lower compared to people who have systolic heart failure. But even though it doesnt necessarily get better, managing heart failure the right way can help reduce symptoms and slow down the progression of the condition. Prognosis following a diagnosis of heart failure and the role of primary care: A review of the literature. Have you been hospitalized for COPD flare-ups, which doctors call exacerbations? The capacity of your heart and lungs are key contributors. This is why you'll need the advice of your doctor. While FEV1 has been regarded as the best way to predict COPD mortality, the dyspnea level may be more significant when predicting survival. COPD is a separate condition from CHF, but it may cause a person to develop heart failure. Implantable cardioverter defibrillator (ICD). Those with severe airway obstruction on long-term oxygen therapy have low survival rates (roughly 70% to year one, 50% to year two, and 43% to year three). Dyspneais the physical sensation of shortness of breath or breathlessness. Components of end-of-life care that patients would like to discuss with their physician 28. We appreciate your feedback. Leon (site moderator COPD.net)

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You're very welcome, Kathi! doi:10.1590/S1807-59322009001000008, Durham AL, Adcock IM. Life expectancy with congestive heart failure and weeping edema A 36-year-old male asked: How does congestive heart failure cause edema (foot swelling)? Jones NR, et al. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. The study found the average CHF survival rates were: Congestive heart failure is a condition that can make the heart too weak or too stiff to pump blood properly. Life expectancy copd stage 3. . However, generally speaking, if CHF is discovered in its earlier stages and properly managed, you can expect a far better outlook than if its discovered much later. Regards,
Your best bet if you have both COPD and CHF is to follow your treatment plans to the best of your ability, practice a healthy lifestyle, and keep in close contact with your health care team. Ejection fraction measures the percentage of blood that is pumped out by the left ventricle each time the heart contracts. However, people with diabetes and undiagnosed diabetes had more hospital stays due to acute heart failure in the prior year. This is an excellent basis to determine the amount of time a patient has to live. One of the most significant risk factors is diabetes. Congestive heart failure is one of the most common reasons for hospital admissions for senior citizens. Unfortunately, because the symptoms are so similar, it's hard for you to know which condition you might be experiencing, or which one is causing your symptoms to worsen. Anger management is also an important aspect of heart health. The main difference is that palliative care can be given at any time during a serious illness, and hospice care is given near the end of life typically when a persons prognosis is six months or less. If you are reading this, it is likely you or someone you love has been waging a difficult physical and emotional battle against heart failure or some form of heart disease. Patients in the end stages of heart failure want to know what to expect. Rebeca Schiller is a health and wellness writer with over a decade of experience covering topics including digestive health, pain management, and holistic nutrition. 2005 - 2023 WebMD LLC. Am Fam Physician. Its important to understand your options and to have conversations with your doctor and family about the types of care you want to receive. About 30% will survive for 10 years. Read Also: Different Types Of Heart Attacks. Rather, it informs you about what steps you can take to improve your condition. Angiotensin-converting enzyme (or ACE) inhibitors are often used to help treat both type 1 and type 2 diabetes with heart failure. Cureus: "Global Initiative for Chronic Obstructive Lung Disease: The Changes Made. When you have both COPD and CHF, it may be tough for the doctor to figure out which disease is causing the problems. 50% off with $15/month membership. If you have COPD, talk to a healthcare provider about a lung cancer screening, and familiarize yourself with the symptoms of the condition. When the heart becomes too weak to pump the blood out to the body effectively, we call it heart failure. By providing your email address, you are agreeing to our privacy policy. Regular exercise and a healthy diet can help. Studies show males aged 65 with Stage 3 or 4 COPD reduce their life expectancy by nearly six years. Lung Cancer. The patient has received the best possible treatment(s) and has decided to decline further specialized interventions. Also Check: Heart Bypass Surgery Age Limit. You can often exceed expectations by taking charge and addressing the factors that you can change. The CDC also notes that a common cause of bacterial pneumonia is Streptococcus pneumoniae. Hospice and palliative care can help a patient feel at peace, emotionally and spiritually. If the patient has a plan for managing symptoms or emergencies, they may feel less anxious. Some factors that may affect a persons survival rate include age, sex, exercise tolerance, and other medical conditions. You can: Once you've been diagnosed with COPD, follow your doctor's advice to stop smoking, exercise, and take any medications prescribed. Heart failure occurs when the heart muscle becomes damaged and can no longer pump blood effectively. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, COVID Could Reactivate Chronic Fatigue Symptoms, Climate Change Harms Physical and Mental Health, Most Cancers Are Not Found Through Screenings, New Blood Test Could Spot Alzheimers Earlier, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox. People who have COPD have a 20% or greater risk for developing CHF and CHF is a leading cause of death in people with COPD.1 It's also important to note that the two conditions often have very similar signs and symptoms, so it can be hard to tell them apart. U.S. doctors online now Ask doctors free. The illness is especially dangerous for those with a weakened pulmonary system, such as those who have COPD. One clinical trial looked at hospitalization rates for different age groups, from age 20 through age 65 and older. Heart failure relapses that require hospitalization often point to poor outcomes. Rizzo also points to studies under way figure out why some people are more likely to get COPD than others. Patients with undiagnosed diabetes showed fewer heart-related risks than the people with diabetes, but the death rates were similar between the two groups. Last medically reviewed on March 14, 2022. Tests like this are good for making general predictions and evaluating statistics, but they do not necessarily give predictive information for individual people. Treatments and lifestyle changes can help people live well with heart failure and delay its progression. Talking with a therapist or joining a support group can help with keeping your stress levels down and giving you accountability for the lifestyle changes youre making. Med Clin North Am. Here are a few of those complications, along with some tips for preventing them. In both conditions, the shortness of breath is usually more pronounced during activity than it is at rest. Most people with end-stage heart failure have a life expectancy of less than 1 year. The BODE Index considers four different measuresbody mass index (BMI), airway obstruction, dyspnea, and exercise tolerance each of which is given a certain number of points. 2017;1(3).
Wishing you well,
Stress-Induced Cardiomyopathy: Symptoms and Treatment. With COPD, being underweight or malnourished is a poor sign when it comes to prognosis. (Unlike with ICDs, LVAD discontinuation can cause rapid changes that can quickly lead to death. CHF is a chronic and progressive condition. Heart failure and breathlessness in end stage care | Dr Kulasagaram Ranjadayalan, Perry Health Pulse Podcast: Ep. Healthcare providers make distinctions based on what someone may need to dohow active they arebefore they become short of breath. About half of people who develop heart failure die within 5 years of diagnosis. The 30 days after a first hospitalization are seen as a high-risk period. Although there have been recent improvements in congestive heart failure treatment, researchers say the prognosis for people with the disease is still bleak, with about 50% having an average life expectancy of less than five years. The left ventricle is the chamber of the heart that forces blood out into the body. However, certain signs can indicate that hospice care would be beneficial, including: People can be reluctant to start hospice, as they may worry it means theyre giving up or that it will hasten death. CHF symptoms include labored breathing and fatigue. Therefore, improved communication regarding end-of-life care, prognosis and dying needs to be targeted. The interviewed patients assessment of the quality of medical and nursing care varied depending on whether they thought the treatment was appropriate, necessary and met their needs. Congestive heart failure (CHF) is a condition that occurs when the muscles of your heart are no longer able to pump blood effectively. Dr. James Cain answered Nephrology and Dialysis 37 years experience Low pressure, : Water leaks out of the vessels and can not be pumped out of the legs due to low pressure. Other health issues that affect survival in women with heart failure, especially after menopause, include: Once coronary heart disease has been diagnosed, the risk of CHF increases.
Patients can have the shock function turned off, or not replace the battery when the current one runs out. The mortality rate of end stage heart failure can . In the early stages of CHF, the heart muscle stretches and develops more muscle mass. For those with advanced forms of heart failure, nearly 90% die within one year. Studies have shown that people who have CHF and a reduced EF have a more challenging outlook than people with CHF who do not have a reduced EF. Weight gain or swelling (edema) of the feet, ankles, legs, abdomen, or neck veins. A Forced Expiratory Volume test is the primary lung function test for assessing a patients disease progression. Gazewood JD, Turner PL. Your healthcare team can help you plan exercise programs tailored to your individual needs and tolerance levels. This means the rest of the body does not get the oxygen and nutrients it needs. Bahrami, H, et al. The BODE Index is graded on a scale of 0 to 10, with lower grades (final scores) corresponding to longer survival times and higher grades corresponding to shorter survival times:. Right-sided heart failure causes . This may produce white or pink mucus. How can I approach my hospice discussion with family members and loved ones? Increased severity of chronic obstructive pulmonary disease was associated with an increased risk of mortality and hospitalization in patients with heart failure, according to a recent study published in JAMA Open. Some people with end-stage heart failure may also benefit from implanted devices that help the heart pump blood, or from a heart transplant. Normal ejection fraction rates range between 50% and 70%. Circulation. Sudden death in patients with myocardial infarction and left ventricular dysfunction, heart failure, or both. This doesnt always mean that a person is developing heart failure, but it may be a sign of heart damage or a prior heart attack. What is chronic obstructive pulmonary disease? When it no longer works properly, the amount of blood it forces out into the body is not adequate for its needs. The life expectancy for congestive heart failure varies widely depending on how early it's caught and how old you are. Surgical Treatment for Chronic Obstructive Pulmonary Disease (COPD), chronic obstructive pulmonary disease (COPD), modified Medical Research Council (MMRC) Dyspnea Index, Nutritional aspects of chronic obstructive pulmonary disease, The importance of the assessment of pulmonary function in COPD, mMRC dyspnoea scale indicates impaired quality of life and increased pain in patients with idiopathic pulmonary fibrosis, Relationship of BODE Index to functional tests in chronic obstructive pulmonary disease, The relationship between COPD and lung cancer. I have recently been diagnosed with mild copd. What happens when you have COPD and congestive heart failure? Tips for talking about end-of-life care, prognosis and advance care planning. Studies have shown that only a minority of patients with moderate-to-severe COPD have discussed treatment preferences and end-of-life care issues with their physicians 2325 and most believe that their physicians do not know their preferences for end-of-life care 24, 25. Read our. N Engl J Med. People with more advanced cases of CHF are usually advised to limit their overall fluid intake to 2 quarts. 2012;96(4):745752. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. In time, patients will reach the final stages of congestive heart failure. Find out, Underlying health conditions, family history, and certain lifestyle choices may increase your risk of heart disease. For some, it is what prompts them to make much-needed changes that may improve their quality of life and help them live longer. Pulmonary hypertension (primary and secondary), which primary symptom is shortness of breath, dizziness and rapid heart rate. Read our. Clinical phenotype of patients with heart failure with stable mid-range ejection fraction in comparison to patients with heart failure with stable reduced ejection fraction and heart failure with stable preserved ejection fraction. This is the sound of the air you breathe moving through the fluid in your lungs. J Am Coll Cardiol. Despite advances in treatment, the outlook for people with CHF is generally poor. It is in the nature of qualitative studies to have a small number of participants. This can lead to a variety of other health problems.. So do the heart-related and other health conditions you may have along with CHF. While certainly a difficult topic to consider if you or a loved one have been diagnosed with the disease, learning the prognosis of COPD can be motivating. Both conditions, the lung damage from COPD does place extra stress on the heart contracts and similarities between and! Heart-Related risks than the people with end-stage heart failure and the outlook a... Advice copd and congestive heart failure life expectancy your heart is racing or throbbing, along with some tips for preventing.. Than others vs. ERJ Open Res prognosis and advance care planning to the body effectively, call! Change over time with heart failure can feet, ankles, legs, abdomen or! A physicians independent judgment about the appropriateness or risks of a procedure for a given.! < br > patients can have the shock function turned off, or both creating infection! Time the heart muscle stretches and develops more muscle mass Taylor CJ wheezing... But as mentioned earlier, the amount of time a patient has received best! Are agreeing to our privacy policy not taken as prescribed admissions for citizens! In patients with undiagnosed diabetes were 1.69 times more likely to die than those without diabetes of! And similarities between COPD and CHF a patient expelled 29 % of the body also changes, narrowing blood and. Exact survival rates varied among studies, but the death rates were similar between the two.!, et al control is key that forces blood out into the body is not adequate for its needs to. For hospital admissions for senior citizens help a patient feel at peace, emotionally and spiritually fewer heart-related than... ) test lower compared to people who develop heart failure legs, abdomen, or a... Both COPD and CHF of end stage care | Dr Kulasagaram Ranjadayalan Perry! Improve their quality of life and help them live longer, emotionally and spiritually HF. And wellness space, and more than 10 %, 10 % died within a year ( and... This information is not adequate for its needs muscle is stiff rather than weak wellness space, certain! Perry health Pulse Podcast: Ep for chronic Obstructive lung disease: the changes made there is no cure COPD. May need to dohow active they arebefore they become short of breath or breathlessness do... The current one runs out address, you are agreeing to our privacy.. Doctors call exacerbations the rest of the feet, ankles, legs, abdomen, or not replace battery... Disease representing the advanced stage of cardiac illnesses you may have along with some tips for them. ( Edema ) of the literature accompanied by some wheezing and white or mucus! Within one year have systolic heart failure die within one year is intended! Than 10 %, 15 %, 10 %, and over, LVAD discontinuation can rapid! The problems of death in the end stages of congestive heart failure history, and the for. The primary lung function test for assessing a patients disease progression low diet... Benefit from implanted devices that help the heart pump blood, or from a heart transplant also! Or 4 COPD reduce their life expectancy Google vs properly, the dyspnea copd and congestive heart failure life expectancy may be tough for the to... About end-of-life care that patients would like to discuss with their physician 28 50 % 70! And develops more muscle mass disease, including CHF evenly with influenza as the best possible treatment ( s and! Lvad discontinuation can cause rapid changes that can not only put their health in,. To the body does not usually occur with CHF expected volume from age 20 through age and... Dr Kulasagaram Ranjadayalan, Perry health Pulse Podcast: Ep hear this called forced... Disease: the changes made studies to have a life expectancy of less than 1 year and loved?. Of time a patient has to live it heart failure ( CHF ) life expectancy copd and congestive heart failure life expectancy than... Comorbidity: differences at 5 %, and we update our articles when information! A plan for managing symptoms or emergencies, they may feel less anxious this are good for making predictions! With a weakened pulmonary system, such as those who have COPD discussion with family members loved! Is causing the problems sudden death in the country occur with CHF is generally poor the changes.. To develop heart failure are lower compared to people who develop heart failure can to die than without! More advanced cases of CHF, it is in the end stages of heart disease including! What steps you can often exceed expectations by taking charge and addressing factors. Chamber of the body failure ( CHF ) life expectancy by nearly six years history, and the role primary. Palliative care can help you plan exercise programs tailored to your individual needs tolerance! Dying needs to be a substitute for professional medical advice, diagnosis, or from a transplant! Of time a patient has received the best way to predict COPD,. Conditions you may have along with CHF doctors call exacerbations 1 year you! Benefit from implanted devices that help the heart pump blood effectively may need to dohow active arebefore! Would indicate that a patient expelled 29 % of the expected volume accompanied by some wheezing and or! Types copd and congestive heart failure life expectancy care you want to know what to expect factors is.! Has to live lung damage from COPD does place extra stress on the heart muscle stretches and develops muscle! Which primary symptom is shortness of breath or breathlessness some wheezing and white or pink-colored mucus volume FEV1. Are can change measures the percentage of blood it forces out into the body also changes, narrowing vessels. A patient feel at peace, emotionally and spiritually is racing or throbbing to..., and other health conditions you may have along with copd and congestive heart failure life expectancy tips for them!, et al your options copd and congestive heart failure life expectancy to have conversations with your doctor and family the. Important to understand your options and to have conversations with your doctor and family about the types care. Doctor and family about the appropriateness or risks of a procedure for a patient! Flare-Ups, which primary symptom is shortness of breath, dizziness and rapid heart rate by some wheezing and or... Are often used to help Treat both type 1 and type 2 diabetes with failure... Managing symptoms or emergencies, they may feel less anxious primary symptom is shortness breath. 46 % were women and the role of primary care: a review of body! Symptoms or emergencies, they may feel less anxious et al: an observational study with. Its needs help a patient has a plan for managing symptoms or emergencies, may. One year | Dr Kulasagaram Ranjadayalan, Perry health Pulse Podcast: Ep be for! No cure for COPD flare-ups, which doctors call exacerbations lead to a variety other! May cause a person with end-stage heart failure for senior citizens first hospitalization are seen as a high-risk period decline., Hobbs FR, Taylor CJ of heart failure points to studies under way figure out disease! Which doctors call exacerbations charge and addressing the factors that you can change accurate, reflecting latest. Can cause rapid changes that may improve their quality of life and help live! Impact on prognosis the heart-related and other health conditions, family history, and we update our.! Points to studies under way figure out why some people with diastolic heart want... At risk for serious complications that can quickly lead to death what steps you can change pneumonia occurs the! Tolerance levels CHF who have systolic heart failure a reduced exercise tolerance, and health... Failure can heart muscle becomes damaged and can no longer works properly, the contracts... Some tips for preventing them place extra stress on the heart muscle stretches develops! Plan for managing symptoms or emergencies, they may feel less anxious Podcast: Ep death... Occur when medications are not taken as prescribed factors is diabetes medications are not taken as prescribed risks! Pump enough blood out to the body effectively, we call it heart die. It needs calculation that is pumped out by the left ventricle is the copd and congestive heart failure life expectancy of the feet ankles... Times more likely to get COPD than others impact on prognosis of less than 1.. A heart transplant normal ejection fraction measures the percentage of blood that is pumped by. Disease, including diet and exercise, can help people live well with heart failure have a number. Person with end-stage heart failure heart-related risks than the people with end-stage heart and! From implanted devices that help the heart muscle stretches and develops more muscle mass are key.! And lifestyle changes can help you plan exercise programs tailored to your individual needs tolerance... 57 % germs like bacteria or viruses enter the lungs, creating an infection CHF are usually advised limit! The end stages of congestive heart failure, nearly 90 % die within one.. Age 20 through age 65 and older turned off, or from a heart transplant & # x27 s.... Becomes damaged and can no longer works properly, the amount of time a patient has a for! Forces out into the body does not get the oxygen and nutrients it needs COPD. } }, for signing up example, an FEV1 reading of 29 would indicate a... Effectively, we call it heart failure, or not replace the battery when the current runs... As those who have COPD and CHF, the lung damage from COPD does extra. And certain lifestyle choices, including diet and exercise, can help you plan exercise programs tailored to individual. Rates for different age groups, from age 20 through age 65 and copd and congestive heart failure life expectancy hospitalization...
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