Contribution of electroanatomical mapping to the diagnosis of arrhythmogenic right ventricular cardiomyopathy in a patient with sustained ventricular tachycardia.
Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a primary cardiomyopathy, characterized mainly by anatomic and functional defects of the right ventricle. In many cases its diagnosis is quite difficult in spite of the existence of defined diagnostic criteria for the disease. We describe an interesting case of a patient with sustained ventricular tachycardia derived from the right ventricular outflow tract, in whom the diagnosis of ARVC was made with the contribution of electrophysiologic study and electroanatomical mapping, as the use of all other diagnostic tests and laboratory methods had left many unanswered questions. Based on our case, but also on other studies and case reports in the literature, we conclude that electroanatomical mapping is useful for the documentation of the diagnosis of ARVC, whenever this is not clear from the use of available diagnostic tests according to the defined criteria of the disease.
Katsouras
Grigorios E
GE
2nd Cardiology Department, Onassis Cardiac Surgery Centre, Athens, Greece.
Margos
Panagiotis N
PN
Livanis
Efthimios G
EG
Theodorakis
Georgios N
GN
Kremastinos
Dimitrios T
DT
D019571:Arrhythmogenic Right Ventricular Dysplasia / Q000150:complications / Q000175:diagnosis*; D018780:Body Surface Potential Mapping / Q000379:methods*; D003937:Diagnosis, Differential; D022062:Electrophysiologic Techniques, Cardiac / Q000379:methods; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000150:complications