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Submitted: 07 September 2017 Modified: 07 September 2017
HERDIN Record #: NCR-PHC-17090710353058

Multimodality diagnosis of arrhythmogenic cardiomyopathy.

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Ventricular Tachycardia (VT) is one of the ominous arrhythmias detected during cardiac arrest. It may evolve into an unstable hemodynamic status and progress to sud-den cardiac death. This case emphasizes a multi-modality approach to the diagnosis of a rare case of hereditary cardiomyopathy wherein a 51 year old male presented with VT of various origins in the right ventricle. Upon conversion to sinus rhythm after cardioversion and/or defibrillation, electrocardiographic tracings revealed T wave inversions with an epsilon wave. Transthoracic echocardiogram revealed dilation of the right sided cham-bers, including the right ventricular outflow tract in the absence of a demonstrable shunt and severe right ventricle hypokinesia. Magnetic resonance imaging (MRI) revealed mul-tiple right ventricle aneurysms, dyskinesia, and depressed ventricular function. An im-plantable cardioverter defibrillator (ICD) inserted controlled the recurrences of VT but did not prevent deterioration of a failing right ventricle.

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Philippine Heart Center Medical Library EP.R.009.16 Fulltext Print Format