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Calcified myocardial scar seen via cardiac imaging correlating with ventricular tachycardia focus
  1. Zachary Zuzek1,
  2. Imran Rashid2,3,
  3. Ivan Cakulev2,3 and
  4. Richard A Josephson2,3
  1. 1Department of Medicine, University Hospitals, Cleveland, Ohio, USA
  2. 2Division of Cardiovascular Medicine, Harrington Heart & Vascular Institute, University Hospitals Health System, Cleveland, Ohio, USA
  3. 3Case Western Reserve University School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA
  1. Correspondence to Dr Zachary Zuzek; zzuzek16{at}


A 74-year-old man presented with presyncope and non-sustained monomorphic ventricular tachycardia in the setting of acute coronary syndrome. On coronary angiogram, a calcified myocardial scar was revealed, which was later identified as the ventricular tachycardia focus via electrophysiological study.

  • arrhythmias
  • ischaemic heart disease
  • pacing and electrophysiology

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  • Contributors Each of the authors significantly contributed to this manuscript. ZZ was greatly involved in drafting the case report. IR, IC and RAJ were involved in critical revision of the manuscript and contributed vital intellectual content. All authors are responsible for the contents and have read and approved the manuscript for submission to BMJ. I have been critically involved throughout the study and manuscript preparation, and serve as the corresponding author. This paper is not under consideration elsewhere and none of the paper’s contents have been previously published. All authors have read, reviewed and approved the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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