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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. Figure-5: Long lead II recording on oral flecainide ( 10 minutes of continuous recording each line being 1-minute long ). No PVCs are seen. A workup was undertaken in search of a cause of the patient's ventricular arrhythmia. There were no plaques or stenoses.