Abstract
A 61-year-old man with a history of diabetes mellitus presented, in January, 2003, with a slowly progressive dyspnoea during exertion, sometimes accompanied with chest discomfort, lower limb oedema, and general fatigue over the past year. His HbA1C levels had gradually increased, showing a degradation of glycaemic control. On physical examination and chest radiograph we found signs of congestive heart failure. Electrocardiography showed a trifascicular block and non-specific ST-segment abnormalities.
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