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 Gram has atrial fibrillation which is why she gets exhausted so easily.  A normal heart beats like lub dub.  Lub dub. But grams heart goes luuuuub dub lub duuuub so . her heart does pump just not efficently.  It got to 150 bpm which is a normal if she was sprinting but she was just laying still.  The new meds (beta blockers) will set her heart to a normal rythm.she is also being treated for anemia which explains a lot. she has a new dr. now that seems to be addressing some issues that may have been there for a while this Dr. seems to be doing a great job