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He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. His first electrocardiogram ( ECG) is given below: --Sinus bradycardia. Here is the coronaryangiogram: A distal thrombotic right coronary artery (RCA) occlusion ! He has 40 packs-year of smoking history.
Previously healthy, taking no medication and exercising regularly. No anginal symptoms asymptomatic during physical exercise. Below in Figure-5 is a 10-minute continuous lead II recording on oral Flecainide, now showing sinus bradycardia without a single PVC! CT coronaryangiogram showed a hypoplastic RCA and dominant LCx.
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