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A 77 year old man was brought to our hospital with an episode of dyspnoea on 29 December 2003, and hospitalised on the following day. The chest radiograph indicated cardiomegaly and pulmonary oedema, and the ECG showed a QS pattern and an elevated ST segment in V1–V3 and a depressed ST segment in V5 and V6. Although he was diagnosed as having congestive heart failure caused by acute myocardial …