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The pathologic lesions present in the coronary arteries,neural structures, and conduction system of the heart in patients who died from the eosinophilia-myalgia syndrome provide a suitable anatomic substrate for substantial cardiac electrical instability,including the occurrence of sudden death.In cases of unexplained cardiac electrical instability or sudden unexpected death an inquiry should be made about previous use of L- tryptophan.In patients with the eosinophilia-myalgia syndrome,the possibility of cardiac electrical instability should be considered as part of a long-range clinical management. |
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