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Evaluation of left atrial mechanical function and atrial conduction abnormalities in Maras powder (smokeless tobacco) users and smokers.

Cardiovasc J Afr · 2015 · PMC4538911 · PMID 26592906

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Intra- and inter-atrial dyssynchrony was prolonged in both MP users and cigarette smokers, but did not reach statistical significance.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.