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A 24-year-old soldier suffered a cardiac arrest while shopping. Ventricular fibrillation was diagnosed and sinus rhythm restored with an external DC cardioversion. A 12-lead ECG confirmed sinus rhythm with evidence of ventricular pre-excitation (see Figure 1). Inpatient investigations including serum biochemistry, serum troponin, echocardiography and cardiac magnetic resonance scans revealed no abnormality. A diagnostic electrophysiological study confirmed a rapidly conducting (refractory period 340 msec) left …
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