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Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

CT coronary angiogram showed a hypoplastic RCA and dominant LCx. Although rare reduced lumen size of one or more coronary arteries has been reported as a cause of sudden death as its initial presentation in previously healthy young adults ( See MacFarland et al J Card Cases 4(3): E148-151, 2011 and Guo et al JACC 17(18)- 2021 ).