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This large study shows that over 50% of multiple myeloma patients have a comorbidity at diagnosis and survival decreased with increasing numbers of comorbidities. This emphasizes the importance of comorbidities when evaluating patients and deciding on treatment strategies for individuals with multiple myeloma. Adult congenital heart disease (ACHD) is a highly underrepresented entity in medical literature, especially in the middle-eastern region. This study is the first to assess the prevalence of adult congenital heart disease among th