Key result
Fontaine leads reveal epsilon waves, enabling ARVC diagnosis in an 85-year-old patient.
Why the study?
Arrhythmogenic right ventricular cardiomyopathy diagnosis in very elderly patients is rare and challenging, requiring improved detection methods.
The Fontaine lead system can be useful in detecting epsilon waves to diagnose arrhythmogenic right ventricular cardiomyopathy, even in very elderly patients.
May support considering ARVC in very elderly patients; extends reported age range but case report leaves broader use open.
We report an 85-year-old man with arrhythmogenic right ventricular cardiomyopathy who presented with monomorphic ventricular tachycardia. This is the oldest patient recorded with this disease. The presence of epsilon waves by the Fontaine lead system provided a high degree of suspicion for the disease.
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Chiladakis et al. (2010) studied this question. Fontaine electrocardiographic leads revealed epsilon waves that enabled the diagnosis of arrhythmogenic right ventricular cardiomyopathy in an 85-year-old man, the oldest recorded patient.
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