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Question category: Cardiology

A 30 year old male presents to his GP due to shortness of breath and chest discomfort whilst exercising. On examination there is a double apical impulse and a harsh mid systolic murmur loudest between the apex and the left sternal border. His ECG shows LVH and widespread Q waves. You suspect HOCM, which of the following is associated with increased risk of sudden death?

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