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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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