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Department of Cardiology, Rabin Medical Center, Beilinson Hospital, Petah Tikva, affiliated with the Sackler School of Medicine, Tel Aviv University, Petah Tikva, Israel. udikadmon@gmail.com
We present a case of a 45-year-old man with an incidental and longstanding diagnosis of extensive mediastinal and cardiac lipomatosis. Along the years, he had experienced various arrhythmias, mainly bradyarrhythmias, mostly asymptomatic. Recently after documenting a sinus pause of 6 seconds and runs of nonsustained ventricular tachycardias, he underwent an implantation of a cardioverter-defibrillator. There are many reports of cardiac lipomatosis in the literature, including reports of related ventricular arrhythmias, some of which are fatal. (PACE 2010; 513-515).
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