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Spongy heart: left ventricular non-compaction
  1. Jaya Kala1,
  2. Vinayak A Hegde2
  1. 1Department of Internal Medicine, Akron General Medical Center, Akron, Ohio, USA
  2. 2Department of Cardiology, Akron General Medical Center, Akron, Ohio, USA
  1. Correspondence to Dr Jaya Kala, Department of Internal Medicine, Akron General Medical Center, 400, Wabash Avenue, Akron, OH 44307, USA; jayakala13{at}gmail.com

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A hypertensive 55-year-old gentleman was referred for lightheadedness, diaphoresis, dyspnoea, palpitations and chest pain. He was admitted in the past for symptomatic ventricular tachycardia and recurrent syncope, and was started on flecainide. He had no family history of arrhythmias or sudden cardiac death. Echocardiography revealed generalised left ventricular systolic dysfunction, without wall motion abnormalities and ejection fraction of 40%. Cardiac catherisation showed no coronary artery disease. Cardiac MRI revealed an …

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