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A 44 year-old male with a history of chronic Chagasic cardiomyopathy (CChC) (exclusively dromotropic form), systemic hypertension and centripetal obesity, presented for a routine electrocardiogram (ECG). There was no history of syncope or sudden death and no evidence of heart failure. Laboratory tests were within normal ranges. There was a positive serological test for Chagas' disease. There was no family history of cardiovascular disease and both parents had normal ECGs. His medicationpmid:20865687 fatcat:rg2fcwqhtbfpxd7z4psxesnyfm