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A 45 year old man with a history of hypertrophic obstructive cardiomyopathy (HOCM) was admitted to our hospital because of a syncope. The diagnosis of HOCM had initially been made at cardiac catheterisation in 1975. He had been given 120 mg propranolol daily and his subsequent clinical history was uneventful. Since 1981 he had been undergoing echocardiography every two …