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A 62-year-old man with scleredema of Buschke was referred to the cardiology clinic because of an abnormal ECG. He had no cardiac symptoms, and the cardiovascular examination was unremarkable. The echocardiogram showed a dilated, nonhypertrophied left ventricle with no regional wall motion abnormalities and an estimated ejection fraction of 15%. The right ventricle was normal in size and systolic From the Cardiothoracic Centre (doi:10.1161/hc2301.091931 pmid:11401947 fatcat:iqqhkf3wqvc4da6z6yfxxbdtde