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Echocardiographic clues to diagnosis of dystrophin related dilated cardiomyopathy
  1. C Rapezzi,
  2. O Leone,
  3. E Biagini,
  4. F Coccolo

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A 32-year-old man with a four-year history of congestive heart failure was referred to our institution. Two years previously, the patient had received a diagnosis of idiopathic dilated cardiomyopathy with severe secondary mitral insufficiency. Clinical reappraisal focused attention on the following features: (1) normal coronary arteries at angiography; (2) constantly elevated creatine phosphokinase (CPK) plasma values (300–450 mU/ml); (3) localised inferobasal left ventricular akinesia …

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