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device.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Irregular heart rhythm","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22461-asd-closure","host":"my.clevelandclinic.org","quote":"Irregular heart rhythm, such as a fluttering feeling in your chest.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Shortness of breath","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22461-asd-closure","host":"my.clevelandclinic.org","quote":"Blood, fluid or pus coming from the incision site. 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