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A 49-year-old man with non-ischaemic cardiomyopathy presented with acute hypoxia. Weeks earlier, his right ventricle was found to be severely impaired in function, with signs suggestive of extensive myocardial fibrosis (figure 1), while his left ventricle had an ejection fraction of 33% and patchy tissue abnormalities. Despite comprehensive testing then, including biopsies from both ventricles, the cause of his cardiomyopathy remained unclear.
Cardiac magnetic resonance image (short axis view at the level of the papillary muscles). There is dilatation and extensive late gadolinium enhancement of …
Footnotes
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Contributors All authors were involved in the care of the patient, as well as the composition and review of the manuscript.
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Competing interests None.
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Patient consent Obtained.
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Provenance and peer review Not commissioned; internally peer reviewed.
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