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Correspondence
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Volume 344:1098-1099 April 5, 2001 Number 14
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Syncope

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To the Editor: Kapoor's excellent review of syncope (Dec. 21 issue)1 failed to mention arrhythmogenic right ventricular dysplasia as a possible cause of syncope. Although rare, this condition affects otherwise healthy young persons and can be fatal. Clinicians must have a high degree of suspicion in order to diagnose this condition, since the physical examination is often unremarkable. The classic electrocardiogram demonstrates inverted T waves in the right precordial leads, but it may be read as normal.2 Since this condition often only grossly affects the right ventricle, especially early in the disease process, the diagnosis may be missed on echocardiography. . . . [Full Text of this Article]

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