R Lobo1,2, K Lynch3, L F Casserly3. 1. St. John's Hospital, St. John's Square, Limerick, Ireland. DoctorRLobo@gmail.com. 2. Department of Cardiology, University Hospital Limerick, St. Nessan's Road, Dooradoyle, Limerick, Ireland. DoctorRLobo@gmail.com. 3. St. John's Hospital, St. John's Square, Limerick, Ireland.