Global cardiac risk assessment in the Registry Of Pregnancy And Cardiac disease: results of a registry from the European Society of Cardiology.
Identifieur interne : 001E76 ( PubMed/Corpus ); précédent : 001E75; suivant : 001E77Global cardiac risk assessment in the Registry Of Pregnancy And Cardiac disease: results of a registry from the European Society of Cardiology.
Auteurs : Iris M. Van Hagen ; Eric Boersma ; Mark R. Johnson ; Sara A. Thorne ; William A. Parsonage ; Pilar Escribano Subías ; Agata Le Niak-Sobelga ; Olga Irtyuga ; Khaled A. Sorour ; Nasser Taha ; Aldo P. Maggioni ; Roger Hall ; Jolien W. Roos-HesselinkSource :
- European journal of heart failure [ 1879-0844 ] ; 2016.
English descriptors
- KwdEn :
- Acute Coronary Syndrome (epidemiology), Adult, Aneurysm, Dissecting (epidemiology), Aortic Aneurysm (epidemiology), Arrhythmias, Cardiac (epidemiology), Atrial Fibrillation (epidemiology), Cardiology, Developed Countries, Developing Countries, Europe, Female, Heart Defects, Congenital (epidemiology), Heart Failure (epidemiology), Heart Valve Diseases (epidemiology), Humans, Maternal Mortality, Pregnancy, Pregnancy Complications, Cardiovascular (epidemiology), Prognosis, Prospective Studies, ROC Curve, Registries, Risk Assessment, Societies, Medical, World Health Organization, Young Adult.
- MESH :
- epidemiology : Acute Coronary Syndrome, Aneurysm, Dissecting, Aortic Aneurysm, Arrhythmias, Cardiac, Atrial Fibrillation, Heart Defects, Congenital, Heart Failure, Heart Valve Diseases, Pregnancy Complications, Cardiovascular.
- Adult, Cardiology, Developed Countries, Developing Countries, Europe, Female, Humans, Maternal Mortality, Pregnancy, Prognosis, Prospective Studies, ROC Curve, Registries, Risk Assessment, Societies, Medical, World Health Organization, Young Adult.
Abstract
To validate the modified World Health Organization (mWHO) risk classification in advanced and emerging countries, and to identify additional risk factors for cardiac events during pregnancy.
DOI: 10.1002/ejhf.501
PubMed: 27006109
Links to Exploration step
pubmed:27006109Le document en format XML
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Sorour</name><affiliation><nlm:affiliation>Department of Cardiology, Kasr El Aini Hospital, Faculty of Medicine, Cairo University, Egypt.</nlm:affiliation></affiliation></author><author><name sortKey="Taha, Nasser" sort="Taha, Nasser" uniqKey="Taha N" first="Nasser" last="Taha">Nasser Taha</name><affiliation><nlm:affiliation>Department of Cardiology, Faculty of Medicine, El Minya University Hospital, Minya, Egypt.</nlm:affiliation></affiliation></author><author><name sortKey="Maggioni, Aldo P" sort="Maggioni, Aldo P" uniqKey="Maggioni A" first="Aldo P" last="Maggioni">Aldo P. 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Roos-Hesselink</name><affiliation><nlm:affiliation>Department of Cardiology, Erasmus MC, Thoraxcenter, Department of Cardiology Ba583a, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27006109</idno><idno type="pmid">27006109</idno><idno type="doi">10.1002/ejhf.501</idno><idno type="wicri:Area/PubMed/Corpus">001E76</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001E76</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Global cardiac risk assessment in the Registry Of Pregnancy And Cardiac disease: results of a registry from the European Society of Cardiology.</title><author><name sortKey="Van Hagen, Iris M" sort="Van Hagen, Iris M" uniqKey="Van Hagen I" first="Iris M" last="Van Hagen">Iris M. Van Hagen</name><affiliation><nlm:affiliation>Department of Cardiology, Erasmus MC, Thoraxcenter, Department of Cardiology Ba583a, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Boersma, Eric" sort="Boersma, Eric" uniqKey="Boersma E" first="Eric" last="Boersma">Eric Boersma</name><affiliation><nlm:affiliation>Department of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Johnson, Mark R" sort="Johnson, Mark R" uniqKey="Johnson M" first="Mark R" last="Johnson">Mark R. Johnson</name><affiliation><nlm:affiliation>Department of Obstetrics, Imperial College School of Medicine, Chelsea and Westminster Hospital, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Thorne, Sara A" sort="Thorne, Sara A" uniqKey="Thorne S" first="Sara A" last="Thorne">Sara A. Thorne</name><affiliation><nlm:affiliation>Adult Congenital Heart Disease Unit, Department of Cardiology, Queen Elizabeth Hospital, Birmingham, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Parsonage, William A" sort="Parsonage, William A" uniqKey="Parsonage W" first="William A" last="Parsonage">William A. Parsonage</name><affiliation><nlm:affiliation>Department of Cardiology, Royal Brisbane and Women's Hospital, Brisbane, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Escribano Subias, Pilar" sort="Escribano Subias, Pilar" uniqKey="Escribano Subias P" first="Pilar" last="Escribano Subías">Pilar Escribano Subías</name><affiliation><nlm:affiliation>Department of Cardiology, Hospital Universitario 12 de Octubre, Madrid, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Le Niak Sobelga, Agata" sort="Le Niak Sobelga, Agata" uniqKey="Le Niak Sobelga A" first="Agata" last="Le Niak-Sobelga">Agata Le Niak-Sobelga</name><affiliation><nlm:affiliation>Department of Cardiac and Vascular Diseases, Jagiellonian University School of Medicine, John Paul II Hospital, Kraków, Poland.</nlm:affiliation></affiliation></author><author><name sortKey="Irtyuga, Olga" sort="Irtyuga, Olga" uniqKey="Irtyuga O" first="Olga" last="Irtyuga">Olga Irtyuga</name><affiliation><nlm:affiliation>Almazov Federal North-West Medical Research Centre, Saint Petersburg, Russia.</nlm:affiliation></affiliation></author><author><name sortKey="Sorour, Khaled A" sort="Sorour, Khaled A" uniqKey="Sorour K" first="Khaled A" last="Sorour">Khaled A. Sorour</name><affiliation><nlm:affiliation>Department of Cardiology, Kasr El Aini Hospital, Faculty of Medicine, Cairo University, Egypt.</nlm:affiliation></affiliation></author><author><name sortKey="Taha, Nasser" sort="Taha, Nasser" uniqKey="Taha N" first="Nasser" last="Taha">Nasser Taha</name><affiliation><nlm:affiliation>Department of Cardiology, Faculty of Medicine, El Minya University Hospital, Minya, Egypt.</nlm:affiliation></affiliation></author><author><name sortKey="Maggioni, Aldo P" sort="Maggioni, Aldo P" uniqKey="Maggioni A" first="Aldo P" last="Maggioni">Aldo P. Maggioni</name><affiliation><nlm:affiliation>ANMCO Research Centre, Florence, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Hall, Roger" sort="Hall, Roger" uniqKey="Hall R" first="Roger" last="Hall">Roger Hall</name><affiliation><nlm:affiliation>Department of Cardiology, Norwich Medical School, University of East Anglia, Norwich, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Roos Hesselink, Jolien W" sort="Roos Hesselink, Jolien W" uniqKey="Roos Hesselink J" first="Jolien W" last="Roos-Hesselink">Jolien W. Roos-Hesselink</name><affiliation><nlm:affiliation>Department of Cardiology, Erasmus MC, Thoraxcenter, Department of Cardiology Ba583a, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.</nlm:affiliation></affiliation></author></analytic><series><title level="j">European journal of heart failure</title><idno type="eISSN">1879-0844</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Coronary Syndrome (epidemiology)</term><term>Adult</term><term>Aneurysm, Dissecting (epidemiology)</term><term>Aortic Aneurysm (epidemiology)</term><term>Arrhythmias, Cardiac (epidemiology)</term><term>Atrial Fibrillation (epidemiology)</term><term>Cardiology</term><term>Developed Countries</term><term>Developing Countries</term><term>Europe</term><term>Female</term><term>Heart Defects, Congenital (epidemiology)</term><term>Heart Failure (epidemiology)</term><term>Heart Valve Diseases (epidemiology)</term><term>Humans</term><term>Maternal Mortality</term><term>Pregnancy</term><term>Pregnancy Complications, Cardiovascular (epidemiology)</term><term>Prognosis</term><term>Prospective Studies</term><term>ROC Curve</term><term>Registries</term><term>Risk Assessment</term><term>Societies, Medical</term><term>World Health Organization</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Acute Coronary Syndrome</term><term>Aneurysm, Dissecting</term><term>Aortic Aneurysm</term><term>Arrhythmias, Cardiac</term><term>Atrial Fibrillation</term><term>Heart Defects, Congenital</term><term>Heart Failure</term><term>Heart Valve Diseases</term><term>Pregnancy Complications, Cardiovascular</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cardiology</term><term>Developed Countries</term><term>Developing Countries</term><term>Europe</term><term>Female</term><term>Humans</term><term>Maternal Mortality</term><term>Pregnancy</term><term>Prognosis</term><term>Prospective Studies</term><term>ROC Curve</term><term>Registries</term><term>Risk Assessment</term><term>Societies, Medical</term><term>World Health Organization</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To validate the modified World Health Organization (mWHO) risk classification in advanced and emerging countries, and to identify additional risk factors for cardiac events during pregnancy.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27006109</PMID><DateCreated><Year>2016</Year><Month>05</Month><Day>04</Day></DateCreated><DateCompleted><Year>2017</Year><Month>11</Month><Day>06</Day></DateCompleted><DateRevised><Year>2017</Year><Month>11</Month><Day>06</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-0844</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>5</Issue><PubDate><Year>2016</Year><Month>May</Month></PubDate></JournalIssue><Title>European journal of heart failure</Title><ISOAbbreviation>Eur. J. Heart Fail.</ISOAbbreviation></Journal><ArticleTitle>Global cardiac risk assessment in the Registry Of Pregnancy And Cardiac disease: results of a registry from the European Society of Cardiology.</ArticleTitle><Pagination><MedlinePgn>523-33</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/ejhf.501</ELocationID><Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">To validate the modified World Health Organization (mWHO) risk classification in advanced and emerging countries, and to identify additional risk factors for cardiac events during pregnancy.</AbstractText><AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">The ongoing prospective worldwide Registry Of Pregnancy And Cardiac disease (ROPAC) included 2742 pregnant women (mean age ± standard deviation, 29.2 ± 5.5 years) with established cardiac disease: 1827 from advanced countries and 915 from emerging countries. In patients from advanced countries, congenital heart disease was the most prevalent diagnosis (70%) while in emerging countries valvular heart disease was more common (55%). A cardiac event occurred in 566 patients (20.6%) during pregnancy: 234 (12.8%) in advanced countries and 332 (36.3%) in emerging countries. The mWHO classification had a moderate performance to discriminate between women with and without cardiac events (c-statistic 0.711 and 95% confidence interval (CI) 0.686-0.735). However, its performance in advanced countries (0.726) was better than in emerging countries (0.633). The best performance was found in patients with acquired heart disease from developed countries (0.712). Pre-pregnancy signs of heart failure and, in advanced countries, atrial fibrillation and no previous cardiac intervention added prognostic value to the mWHO classification, with a c-statistic of 0.751 (95% CI 0.715-0.786) in advanced countries and of 0.724 (95% CI 0.691-0.758) in emerging countries.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The mWHO risk classification is a useful tool for predicting cardiac events during pregnancy in women with established cardiac disease in advanced countries, but seems less effective in emerging countries. Data on pre-pregnancy cardiac condition including signs of heart failure and atrial fibrillation, may help to improve preconception counselling in advanced and emerging countries.</AbstractText><CopyrightInformation>© 2016 The Authors. European Journal of Heart Failure © 2016 European Society of Cardiology.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van Hagen</LastName><ForeName>Iris M</ForeName><Initials>IM</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Erasmus MC, Thoraxcenter, Department of Cardiology Ba583a, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boersma</LastName><ForeName>Eric</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Johnson</LastName><ForeName>Mark R</ForeName><Initials>MR</Initials><AffiliationInfo><Affiliation>Department of Obstetrics, Imperial College School of Medicine, Chelsea and Westminster Hospital, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thorne</LastName><ForeName>Sara A</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>Adult Congenital Heart Disease Unit, Department of Cardiology, Queen Elizabeth Hospital, Birmingham, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Parsonage</LastName><ForeName>William A</ForeName><Initials>WA</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Royal Brisbane and Women's Hospital, Brisbane, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Escribano Subías</LastName><ForeName>Pilar</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hospital Universitario 12 de Octubre, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Leśniak-Sobelga</LastName><ForeName>Agata</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Cardiac and Vascular Diseases, Jagiellonian University School of Medicine, John Paul II Hospital, Kraków, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Irtyuga</LastName><ForeName>Olga</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Almazov Federal North-West Medical Research Centre, Saint Petersburg, Russia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sorour</LastName><ForeName>Khaled A</ForeName><Initials>KA</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Kasr El Aini Hospital, Faculty of Medicine, Cairo University, Egypt.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Taha</LastName><ForeName>Nasser</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Faculty of Medicine, El Minya University Hospital, Minya, Egypt.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maggioni</LastName><ForeName>Aldo P</ForeName><Initials>AP</Initials><AffiliationInfo><Affiliation>ANMCO Research Centre, Florence, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>ESC, Sophia Antipolis Cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hall</LastName><ForeName>Roger</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Norwich Medical School, University of East Anglia, Norwich, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Roos-Hesselink</LastName><ForeName>Jolien W</ForeName><Initials>JW</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Erasmus MC, Thoraxcenter, Department of Cardiology Ba583a, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>ESC, Sophia Antipolis Cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>ROPAC investigators and EORP team</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>03</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Heart Fail</MedlineTA><NlmUniqueID>100887595</NlmUniqueID><ISSNLinking>1388-9842</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D054058" MajorTopicYN="N">Acute Coronary Syndrome</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000784" MajorTopicYN="N">Aneurysm, Dissecting</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001014" MajorTopicYN="N">Aortic Aneurysm</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001145" MajorTopicYN="N">Arrhythmias, Cardiac</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001281" MajorTopicYN="N">Atrial Fibrillation</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002309" MajorTopicYN="N">Cardiology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019049" MajorTopicYN="N">Developed Countries</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003906" MajorTopicYN="N">Developing Countries</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005060" MajorTopicYN="N">Europe</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006330" MajorTopicYN="N">Heart Defects, Congenital</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006333" MajorTopicYN="N">Heart Failure</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006349" MajorTopicYN="N">Heart Valve Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008428" MajorTopicYN="Y">Maternal Mortality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011249" MajorTopicYN="N">Pregnancy Complications, Cardiovascular</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012372" MajorTopicYN="N">ROC Curve</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012042" MajorTopicYN="Y">Registries</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012955" MajorTopicYN="N">Societies, Medical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014944" MajorTopicYN="N">World Health Organization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cardiac disease</Keyword><Keyword MajorTopicYN="N">Pregnancy</Keyword><Keyword MajorTopicYN="N">Risk prediction</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>10</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>12</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>01</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>3</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>3</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>11</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27006109</ArticleId><ArticleId 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