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A 58-year old man with known ischaemic heart disease and severe left ventricular systolic impairment had an implantable cardioverter defibrillator (ICD) implanted two years ago following a syncopal episode secondary to fast ventricular tachycardia (Medtronic Maximo DR7278). Unfortunately, at his last clinic visit he complained that his device had discharged without warning while he was …