Arrhythmogenic Right Ventricular Cardiomyopathy Diagnosed during Hospitalization for Cardiac Arrest

Masahiko Ochi, Atsuyoshi Iida, Yuka Takahashi, Masamichi Tanaka, Hironori Saito, Hiromichi Naito, Takeshi Mikane, Soichiro Fuke

Research output: Contribution to journalArticlepeer-review

Abstract

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

Original languageEnglish
Pages (from-to)517-521
Number of pages5
JournalActa medica Okayama
Volume75
Issue number4
Publication statusPublished - 2021
Externally publishedYes

Keywords

  • inverted T-wave
  • right ventricular dilatation
  • sudden cardiac arrest
  • sudden cardiac death

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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