A 33-year-old lady visited the cardiologist because of the sudden death of her brother at age 35. He died while watching TV and had been without symptoms as far as she was aware. Patient History: Her father received a pacemaker at the age of 48. She had no complaints of dizziness, palpitations, dyspnea or chest pain. Her only complaint was some weakness in her arms shortly after lifting them to get something from above her head.

Physical Examination: Physiological examination did not reveal any peculiarities. Her ECG is normal, although cardiac dimensions were at the upper limit of normal (image attached). What is the probable diagnosis and What would your next step be? *This case is from Docplexus Editorial Team for educative purpose only. Source: ECGpedia