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‘Stack of coins’ indicative of arrhythmogenic right-ventricular dysplasia
  1. Steve Ramcharitar,
  2. Paul W X Foley,
  3. Nathan E Manghat
  1. Correspondence toDr Steve Ramcharitar; steve.ramcharitar{at}chem.ox.ac.uk

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Case description

A 30-year-old South East Asian man presented with presyncope. His 12-lead ECG showed a broad complex tachycardia with left bundle morphology which reverted to sinus rhythm with intravenous Amiodarone and Bisoprolol. Subsequent resting ECG demonstrated incomplete right bundle branch block and antero-septal T-wave inversion. Coronary angiography was normal, but his right ventriculogram had changes consistent with arrhythmogenic …

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