[Arrhythmogenic right ventricular dysplasia--ARVD--case study].
A case of 20-year-old male with arrhythmogenic right ventricular dysplasia (ARVD) is presented. The patient was admitted to hospital due to exercise-related syncope which was preceded by palpitations. ECG, echocardiography, radionuclide ventriculography and endomyocardial biopsy confirmed the diagnosis of ARVD. Coronary angiography was normal. Exercise testing revealed ST segment elevation in the right precordial leads at the peak exercise, followed by sustained ventricular tachycardia of the left bundle branch block morphology, terminated by intravenous lignocaine. The patient received pacemaker and sotalol. During five-year follow-up no recurrences of syncope were observed and repeated Holter ECG monitoring demonstrated marked reduction of spontaneous ventricular ectopy.
Bacior
Bogumiła
B
I Klinika Kardiologii Collegium Medicum Uniwersytetu Jagiellońskiego, Cracow.
Kubinyi
Aleksandra
A
Grodecki
Janusz
J