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The variety and heterogeneity of LC clinical manifestations, as well as their non-specific nature, contribute to the challenge of the systematic study of LC as a uniform syndrome
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Case Summary: During a routine annual checkup for non-agonistic physical activity, an asymptomatic 47-year-old female was found to have a previously unknown right bundle branch block on her EKG

This has contributed to a heated debate about the efficacy of treatments such as cognitive behavioural therapy (CBT) and graded exercise therapy (GET), used primarily in the PACE trial [149], for those meeting stricter criteria for ME/CFS, such as the Canadian Consensus Criteria or the International Consensus Criteria
