Arrhythmogenic Right Ventricular Cardiomyopathy: A Case Presentation with a Review

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.