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Question category: Cardiology

A 72 year old female has recurrent episodes of collapse over the last 12 months. She has a past medical history of hypertension and hypercholesterolaemia and her current medication is ramipril, bendroflumethiazide and simvastatin. You find her to be bradycardic with a heart rate of 40 bpm on examination and a blood pressure of 105/55 mmHg. on inspection of her JVP she has irregular cannon waves. The rest of her examination is unremarkable. What if the most likely diagnosis?


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