Paget's disease and high output cardiac failure

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medInUSA

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Hi , I am a fourth year med student studying for Step 2 CK

why do patients with Paget's disease get High output cardiac failure???

thank you so much.
 
I believe it's from A/V malformations that develop during the bone remodeling...more blood in the venous system-->more blood to the heart-->high output failure
 
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