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BMJ 2011; 342 doi: (Published 09 March 2011) Cite this as: BMJ 2011;342:d1431
  1. Ali Powell, research fellow1,
  2. James Sneddon, consultant physician and cardiologist2,
  3. Paul Jenkins, medical director1
  1. 1European Scanning Centre, London W1G 7HE, UK
  2. 2Spire Gatwick Park Hospital, Surrey RH6 0BB, UK
  1. dlalipowell{at}

A 57 year old man presented with epigastric discomfort and shortness of breath variably provoked by exercise. In a treadmill test he managed 15 minutes …

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