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Cardiac arrhythmias in thalassaemia major: evaluation of chelation treatment using ambulatory monitoring.

found post mortem. The presence of a higher end-diastolic pressure in the left ventricle in our patient is very suggestive of myocardial restriction.4 Late onset pericardial constriction has been reported only in one case,5 and, like the case reported here, pericardiectomy led to improvement. This case report shows that the absence of clinical findings within five years does not preclude the later development of significant radiation-induced heart disease.