TY - JOUR
T1 - Arrhythmogenic Right Ventricular Cardiomyopathy Diagnosed during Hospitalization for Cardiac Arrest
AU - Ochi, Masahiko
AU - Iida, Atsuyoshi
AU - Takahashi, Yuka
AU - Tanaka, Masamichi
AU - Saito, Hironori
AU - Naito, Hiromichi
AU - Mikane, Takeshi
AU - Fuke, Soichiro
N1 - Publisher Copyright:
© 2021 by Okayama University Medical School
PY - 2021
Y1 - 2021
N2 - Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a genetically mediated cardiomyopathy characterized by progressive myocardial loss of the right ventricle and its replacement by fibrofatty tissue, causing dyskinesia, aneurysm, and/or arrhythmia. The prevalence of ARVC is estimated to be 1 in 2,000-5,000, with the condition accounting for up to 20% of sudden cardiac deaths in individuals <35 years old. This report describes the case of 61-year-old Japanese who was diagnosed with ARVC after cardiac arrest (CA) and successful resuscitation. After the sudden CA, the restoration of spontaneous circulation was achieved with appropriate resuscitation, followed by the introduction of target temperature management in the intensive care unit. He was diagnosed with ARVC based on angiography and histology results. An ICD (implantable cardioverter-defibrillator) was implanted, and he was discharged without neurological sequelae 1 month post-CA. ARVC is an important cause of sudden CA, and successfully resuscitated patients with right ventricular dilation should undergo testing to rule out ARVC
AB - Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a genetically mediated cardiomyopathy characterized by progressive myocardial loss of the right ventricle and its replacement by fibrofatty tissue, causing dyskinesia, aneurysm, and/or arrhythmia. The prevalence of ARVC is estimated to be 1 in 2,000-5,000, with the condition accounting for up to 20% of sudden cardiac deaths in individuals <35 years old. This report describes the case of 61-year-old Japanese who was diagnosed with ARVC after cardiac arrest (CA) and successful resuscitation. After the sudden CA, the restoration of spontaneous circulation was achieved with appropriate resuscitation, followed by the introduction of target temperature management in the intensive care unit. He was diagnosed with ARVC based on angiography and histology results. An ICD (implantable cardioverter-defibrillator) was implanted, and he was discharged without neurological sequelae 1 month post-CA. ARVC is an important cause of sudden CA, and successfully resuscitated patients with right ventricular dilation should undergo testing to rule out ARVC
KW - inverted T-wave
KW - right ventricular dilatation
KW - sudden cardiac arrest
KW - sudden cardiac death
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M3 - Article
C2 - 34511620
AN - SCOPUS:85115230813
VL - 75
SP - 517
EP - 521
JO - Acta Medica Okayama
JF - Acta Medica Okayama
SN - 0386-300X
IS - 4
ER -