PT - JOURNAL ARTICLE AU - Dhanuka Perera AU - Rakesh Uppal AU - John Hogan TI - A 72-year-old male with recurrent syncope AID - 10.1136/heartjnl-2016-309670 DP - 2017 May 01 TA - Heart PG - 800--800 VI - 103 IP - 10 4099 - http://heart.bmj.com/content/103/10/800.short 4100 - http://heart.bmj.com/content/103/10/800.full SO - Heart2017 May 01; 103 AB - Clinical introduction A 72-year-old patient presented with recurrent syncope 1 year after a myocardial infarction. Two recent falls resulted in fractures to the femur. Serial troponins were negative and ECG demonstrated fixed inferior ST-segment elevation and pathological Q waves. A Holter monitor recorded non-sustained ventricular tachycardia. A subsequent echocardiogram was abnormal, and further investigation with a three-dimensional (3D) cardiac CT coronary angiogram was performed (figure 1).Figure 1 Cardiac CT coronary angiogram—three-dimensional reconstruction.Question What is the most likely diagnosis? Cardiac tumourHypertrophic obstructive cardiomyopathyVentricular aneurysmVentricular diverticulumQuestion