Porcelain heart: a ticking time bomb

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A 78-year-old man with a history of myocardial infarction 15 years prior and severe left ventricular systolic dysfunction presented with fatigue, weight loss, and fever. Initial investigations revealed elevated inflammatory markers.

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Authors

SÁ-COUTO David (1,2), SANTOS Mariana (1), TRÊPA Maria (1,2,3), ALEXANDRE André (1,2), CAMPINAS Andreia (1,2), RODRIGUES Patrícia (1,2,3), TORRES Severo (1,2)

1. Centro Hospitalar Universitário do Porto, Porto, PORTUGAL
2. Instituto de Ciências Biomédicas Abel Salazar - U.Porto, Porto, PORTUGAL
3. UMIB - Unit for Multidisciplinary Research in Biomedicine, Porto, PORTUGAL