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A 40 year old man was admitted to the emergency department for syncope. He had no previous episodes. The initial assessment revealed a blood pressure of 120/80 mm Hg and a heart beat of 70 beats/min. The examination revealed no abnormality. The laboratory tests showed a moderate increase in serum lactate (23 mg/dl, 2.55 mmol/l). The first ECG undertaken by …
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