A 63-year-old man is for a follow-up visit to manage Fabry disease. They have a significant medical history, including end-stage renal disease, for which they are currently on hemodialysis. In the past, they underwent mitral valve repair and tricuspid annuloplasty to address severe mitral regurgitation and moderate tricuspid regurgitation. Additionally, they had a dual-chamber pacemaker implanted due to complete heart block.
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