Abstract
A 53-year-old man, with a 15-year history of mycosis fungoides (MF), presented with fever, dizziness, and presyncope. On examination, he was tachycardic (180 bpm) and hypotensive (100/70 mmHg). The ECG showed diffuse STsegment depression, and cardiac troponin I was elevated (3.47 ng/ml). He was admitted with a suspected acute coronary syndrome. On the third day of hospitalization there were several episodes of sustained monomorphic ventricular tachycardia (MVT) (Figure 1A). Electric cardioversion was performed, and intravenous amiodarone was prescribed. On the following days episodes of nonsustained MVT with similar morphology were documented. Transthoracic and transesophageal echocardiography showed left ventricular (LV) concentric hypertrophy and diffuse hypokinesia (Figure 1B and C). Coronary angiography revealed no coronary artery disease. Cardiac magnetic resonance imaging revealed a mass
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