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A 53-year-old man presenting with palpitations
  1. Hafiz Naderi,
  2. Niall Keenan,
  3. Joban Sehmi
  1. Cardiology, West Hertfordshire Hospitals NHS Trust, Watford, UK
  1. Correspondence to Dr Hafiz Naderi, Cardiology, West Hertfordshire Hospitals NHS Trust, Watford WD18 0HB, UK; hafiz.naderi{at}

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A 53-year-old man was referred to our centre with palpitations. There was no significant medical history and he took no regular medication. Twenty-four hours Holter monitoring revealed sinus rhythm with frequent ventricular ectopy. Echocardiography identified a wall motion abnormality at the apex, raising the possibility of ischaemic heart disease. Coronary angiography was subsequently performed, and this demonstrated normal coronary arteries. Cardiac magnetic resonance (CMR) imaging was arranged to further investigate the regional wall motion abnormality detected on echocardiography (see figure 1).

Figure 1

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  • Contributors HN wrote the first draft of the manuscript. NK and JS reviewed and edited the draft before submission. All authors discussed the case and contributed to the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.