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A 49-year-old man with non-ischaemic cardiomyopathy presented with acute hypoxia. Weeks earlier, his right ventricle was found to be severely impaired in function, with signs suggestive of extensive myocardial fibrosis (figure 1), while his left ventricle had an ejection fraction of 33% and patchy tissue abnormalities. Despite comprehensive testing then, including biopsies from both ventricles, the cause of his cardiomyopathy remained unclear.
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