Abstract
A 42-year-old man with chronic heart failure and permanent atrial fibrillation was referred to our cardiology institute for diagnostic assessment and therapy. The patient denied any known family history of heart disease. No clinical/echocardiographic sign of heart disease was detected among living first-degree relatives. Atrial fibrillation and progressively worsening effort dyspnoea had started at age 25. Physical examination showed moderate bilateral leg oedema, marked hepatomegaly, and raised jugular venous pressure and gallop rhythm. ECG showed atrial fibrillation with right bundle branch block and left anterior hemiblock. Cardiomegaly and chronic …
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