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A 34-year-old man was admitted to our hospital (Niigata University Medical and Dental Hospital, Niigata, Japan) with dyspnoea on exertion and pretibial oedema. The chest x ray showed cardiomegaly, pulmonary congestion and right pleural effusion. The echocardiogram showed enlargement and diffuse hypokinesis of the left ventricle. Cardiac enzyme levels were not raised on laboratory …
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