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Patient was planned to gradually start cardiac rehab.Discussion:CCF is a rare anomalous connection between coronary arteries and a cardiac chamber or other major blood vessels of the heart. However some patients can develop heart failure, angina, and arrhythmia due to significant intracardiac shunt or coronary steal phenomenon.
The finding of all negative QRS complexes in leads V3-thru- V6 therefore strongly suggests that the arrhythmia-associated impulse is not traveling over an AP ( Steurer et al — Clin. CT coronaryangiogram — No obstructive coronary disease. CT coronaryangiogram showed no obstructive coronary disease.
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