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They can occur because of everyday things, like chugging one too many cups of coffee in the morning, or they can signal an abnormal heartbeat or other issues with your heart

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Mehta S, Dhar S, Birnbaum Y

A Mapacho cleansing ritual often involves the curandero (healer) puffing Mapacho and then blowing the smoke over the clients head, heart, and limbs while whistling or praying, thereby extracting spiritual blockages and restoring balance