Why the study?
ARVC presentation can be varied and nonspecific, often leading to delays in diagnosis and specific treatment.
This case highlights the critical role of routine ECG and multimodality imaging, particularly cardiac MRI, in detecting asymptomatic arrhythmogenic right ventricular cardiomyopathy to enable monitoring and prevent sudden cardiac death.
Case supports ECG/MRI for asymptomatic ARVC detection; leaves open prospective validation before screening recommendations.
Arrythmogenic right ventricular cardiomyopathy (ARVC) is an inherited cardiac condition leading to one of the common cause for sudden cardiac death in young individuals. It is characterized by fibrofatty replacement of the cardiac myocytes predominantly the right ventricle. As the presentation can be varied and very nonspecific, it often leads to delay in diagnosis and specific treatment. Here, we present a 30 year male who was asymptomatic and detected to have electrocardiograph (ECG) and echocardiographic abnormalities suggestive of ARVC. Further, a cardiac imaging with cardiac MRI confirmed the diagnosis of ARVC highlighting the importance of multimodality imaging.
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Hirachan et al. (2021) studied this question.
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