Key result
Arrhythmogenic right ventricular dysplasia was diagnosed at autopsy in an octogenarian presenting with third-degree atrioventricular block, representing the oldest reported case in the literature.
Case Report (n=1)
This case report describes the oldest known patient diagnosed with ARVD, demonstrating that the condition can present or be recognized in the elderly.
ARVD may warrant consideration in elderly patients with unexplained AV block; extends phenotypic spectrum but leaves open questions on prevalence and management.
Arrhythmogenic right ventricular dysplasia (ARVD) is a form of cardiomyopathy characterized by fibrofatty infiltration of the right ventricle that leads to cardiac arrhythmias, usually sustained ventricular tachycardia or ventricular fibrillation. ARVD typically becomes recognized in young adults. The authors report a case of an octogenarian in whom third-degree atrioventricular block, low cardiac output syndrome, and failure to capture the pacer stimuli developed. ARVD was diagnosed at autopsy based on fibrofatty replacement of the right ventricle. To date, this case represents the oldest patient ever diagnosed with ARVD reported in the literature.
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Ferreira et al. (2003) conducted a case report in Arrhythmogenic right ventricular dysplasia (n=1). Arrhythmogenic right ventricular dysplasia was evaluated on Diagnosis of ARVD at autopsy. Arrhythmogenic right ventricular dysplasia was diagnosed at autopsy in an octogenarian presenting with third-degree atrioventricular block, representing the oldest reported case in the literature.
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