International Journal of Cardiovascular ResearchISSN: 2324-8602

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Case Report, Int J Cardiovasc Res Vol: 4 Issue: 6

Arrhythmogenic Right Ventricular Cardiomyopathy: A Case Presentation with a Review

Puja Sitwala1, Vatsal Ladia1, Balraj Singh1, Hemang B Panchal1, Vijay Ramu2 and Timir Paul2*
1Department of Internal Medicine, Eastern Tennessee State University, USA
2Department of Cardiology, Eastern Tennessee State University, USA
Corresponding author : Timir Paul
329 N state of Franklin Rd, Johnson City, TN, USA 37604
Tel: 423-979-4100; Fax: 423-979-4134
E-mail: pault@etsu.edu
Received: July 08, 2015 Accepted: September 03, 2015 Published: September 08, 2015
Citation: Sitwala P, Ladia V, Singh B, Panchal HB, Ramu V, Paul TK (2015) Arrhythmogenic Right Ventricular Cardiomyopathy: A Case Presentation with a Review. Int J Cardiovasc Res 4:6. doi:10.4172/2324-8602.1000239

Abstract

Arrhythmogenic Right Ventricular Cardiomyopathy: A Case Presentation with a Review

Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a rare but well known cause of sudden cardiac death (SCD) and malignant arrhythmias. Here we present a case of ARVC in a 26 year old male who had presented with syncope, palpitations and fatigue. Electrocardiogram (ECG) showed epsilon waves and T-wave inversion (TWI) in V1-V3, prolonged QTc of 498 msec and slurred S wave (>55 msec). He was discharged from the hospital on a betablocker and further evaluation with cardiac magnetic resonance imaging (MRI) as well as genetic testing was planned. This case indicates that any younger and middle-age patient who presents with syncope or palpitations, ARVC should be a differential and further work up with any non-invasive modality should be performed provided that there is a high suspicion of ARVC as in this patient with ECG findings suggestive of ARVC.

Keywords: Arrhythmogenic right ventricular cardiomyopathy; Sudden cardiac death (SCD); Malignant arrhythmias; Implantable cardiac defibrillator (ICD); EKG; Cardiovascular MR (CMR); Endomyocardial biopsy

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