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A 46-year-old woman was admitted following three episodes of collapse. She had no past medical history but her cousin had died suddenly in her 30s from an unknown heart condition.
Physical examination and blood pressure were normal. An electrocardiogram (ECG) showed diffuse T wave inversion (figure 1), and troponin I measured at 12 h was 0.96 μg/l. Routine blood tests, inflammatory markers, coronary angiography and 24 h Holter …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.