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June 6, 2005EP Europace

Arrhythmogenic right ventricular dysplasia presenting as right ventricular outflow tract tachycardia

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Key result

Ablation and ICD successfully treat RVOT tachycardia in a patient diagnosed with ARVD.

  • n=1

Population

A 51-year-old male presenting with left bundle branch block inferior axis tachycardia

Design

Case_report

Authors

Christian Sticherling
Christian SticherlingElectrophysiology
MZMarkus ZabelElectrophysiology

Discussion

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Implication

Alerts to possible ARVD in RVOT tachycardia; leaves open need for systematic screening protocols.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 51-year-old male presenting with right ventricular outflow tract tachycardia diagnosed with arrhythmogenic right ventricular dysplasia.
I
Intervention
Electrophysiological study, ablation in the septal right ventricular outflow tract (RVOT), right ventricular angiography, magnetic resonance imaging (MRI), and implantable cardioverter defibrillator (ICD) implantation
O
Outcome
Diagnosis of arrhythmogenic right ventricular dysplasia (ARVD) and delivery of appropriate ICD shock

This case highlights that arrhythmogenic right ventricular dysplasia can present as right ventricular outflow tract tachycardia, emphasizing the need to suspect diffuse pathology when multiple tachycardia morphologies are present.

Cite This Study

Sticherling et al. (2005) conducted a case report in Arrhythmogenic right ventricular dysplasia (ARVD) (n=1). Ablation and ICD implantation was evaluated. A 51-year-old male presenting with right ventricular outflow tract tachycardia was diagnosed with arrhythmogenic right ventricular dysplasia and successfully treated with ablation and an ICD.

synapsesocial.com/papers/6aa25864fd3136035ea72b33https://doi.org/10.1016/j.eupc.2005.03.004

Topics

Ventricular arrhythmias
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical and electrophysiological differences between patients with arrhythmogenic right ventricular dysplasia and right ventricular outflow tract tachycardia2003 · 171 citations
  2. 2Electrophysiological characteristics and outcome in patients with idiopathic right ventricular arrhythmia compared with arrhythmogenic right ventricular dysplasia2002 · 72 citations
  3. 3Right ventricular dysplasia: a report of 24 adult cases.1982 · 1,613 citations
  4. 4Spectrum of Clinicopathologic Manifestations of Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia: A Multicenter Study1997 · 984 citations
  5. 5Misdiagnosis of Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy2004 · 207 citations