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A 48-year-old man was referred with a 1-month history of general fatigue, weight loss and night sweats. His blood pressure was normal and his pulse rate was 71 beats per minute. Chest radiography demonstrated increased cardiac size with a pulmonary mass, and the ECG revealed complete Atrio-Ventricular block with a broad complex escape rhythm (figure 1A). Both the erythrocyte sedimentation rate and C-reactive protein were …
Contributors JBK and WK wrote the initial manuscript. MJP and JBK edited the paper, including image editing and paper design. All authors read and approved the final manuscript.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.