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Correspondence
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Volume 341:1478-1479 November 4, 1999 Number 19
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Munchausen's Syndrome by Proxy Identified with an Implantable Electrocardiographic Recorder

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To the Editor: A 14-month-old infant was referred because of recurrent, apparently life-threatening events at home that began at the age of 3 months. He had required cardiopulmonary resuscitation by the ambulance team, who observed on two occasions that the patient had an irregular pulse and cyanosis. Despite an extensive workup, no cause could be established. During a prolonged admission to the hospital, there were no adverse events. Continuous in-hospital Holter recording for 10 days revealed no abnormalities. An extensive invasive electrophysiologic study was normal. Because the diagnosis was still uncertain, an electrocardiographic loop recorder (Medtronic BV) was implanted subcutaneously . . . [Full Text of this Article]

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