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A 61 year old patient with an implantable cardioverter-defibrillator (ICD) implanted for ischaemic ventricular tachycardia (VT) was admitted because of sustained VT and several ineffective defibrillator shocks. The ongoing VT was terminated with intravenous procainamide. Multiple episodes of VT were found in the Holter memory of the ICD (upper panel) …